Effect of supplementation with ferrous sulfate or iron bis-glycinate chelate on ferritin concentration in Mexican schoolchildren: a randomized controlled trial.
Study Goal
The researchers aimed to compare the short- and medium-term effects of daily supplementation with ferrous sulfate versus iron bis-glycinate chelate on ferritin concentration in schoolchildren with iron deficiency but without anemia.
Results Summary
Ferritin concentration increased significantly post-supplementation and remained elevated 6 months later, with iron bis-glycinate chelate showing higher ferritin levels at 6 months. Hemoglobin concentration did not change significantly in either group.
Population
Schoolchildren from public boarding schools in Mexico City with low iron stores but without anemia.
Effective Dosage
30 mg/day of elemental iron
Duration
12 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
daily supplementation with ferrous sulfate | increase | ferritin concentration | schoolchildren with iron deficiency but without anemia | - | increased significantly | #1 |
daily supplementation with iron bis-glycinate chelate | increase | ferritin concentration | schoolchildren with iron deficiency but without anemia | - | increased significantly | #2 |
daily supplement of 30 mg/day of elemental iron as ferrous sulfate | no change | ferritin concentration | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | no difference was found | #3 |
daily supplement of 30 mg/day of elemental iron as iron bis-glycinate chelate | no change | ferritin concentration | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | no difference was found | #4 |
iron bis-glycinate chelate | increase | ferritin concentration | the group that received bis-glycinate chelate iron | - | was higher | #5 |
daily supplement of 30 mg/day of elemental iron as ferrous sulfate | no change | odds for low iron storage | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | no difference | #6 |
daily supplement of 30 mg/day of elemental iron as iron bis-glycinate chelate | no change | odds for low iron storage | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | no difference | #7 |
daily supplement of 30 mg/day of elemental iron as ferrous sulfate | no change | hemoglobin concentration | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | did not change significantly | #8 |
daily supplement of 30 mg/day of elemental iron as iron bis-glycinate chelate | no change | hemoglobin concentration | schoolchildren with low iron stores as assessed by serum ferritin concentration but without anemia | - | did not change significantly | #9 |
Supplementing with 30 mg/d of elementary iron, either as ferrous sulfate or iron bis-glycinate chelate for 90 days | increase | ferritin concentration | schoolchildren with low iron stores | - | showed positive effects on increasing | #10 |
BACKGROUND: Iron deficiency is one of the most common nutritional deficiencies worldwide. It is more prevalent when iron requirements are increased during pregnancy and during growth spurts of infancy and adolescence. The last stage in the process of iron depletion is characterized by a decrease in hemoglobin concentration, resulting in iron deficiency anemia. Iron deficiency, even before it is clinically identified as anemia, compromises the immune response, physical capacity for work, and intellectual functions such as attention level. Therefore, interventions addressing iron deficiency should be based on prevention rather than on treatment of anemia. The aim of this study was to compare short- and medium-term effects on ferritin concentration of daily supplementation with ferrous sulfate or iron bis-glycinate chelate in schoolchildren with iron deficiency but without anemia. METHODS: Two hundred schoolchildren from public boarding schools in Mexico City who had low iron stores as assessed by serum ferritin concentration but without anemia were randomly assigned to a daily supplement of 30 mg/day of elemental iron as ferrous sulfate or iron bis-glycinate chelate for 12 weeks. Iron status was evaluated at baseline, one week post-supplementation (short term), and 6 months (medium term) after supplementation. RESULTS: Ferritin concentration increased significantly between baseline and post-supplementation as well as between baseline and 6 months after supplementation. One week post-supplementation no difference was found in ferritin concentration between iron compounds, but 6 months after supplementation ferritin concentration was higher in the group that received bis-glycinate chelate iron. However, there is no difference in the odds for low iron storage between 6 months after supplementation versus the odds after supplementation; nor were these odds different by type of supplement. Hemoglobin concentration did not change significantly in either group after supplementation. CONCLUSIONS: Supplementing with 30 mg/d of elementary iron, either as ferrous sulfate or iron bis-glycinate chelate for 90 days, showed positive effects on increasing ferritin concentration in schoolchildren with low iron stores, and this effect persisted 6 months after supplementation.