IRON FORTIFICATION - SCI & TECH

News: Iron fortification: health risks of excessive iron intake

 

What's in the news?

       Recent study reveals that the net effect of iron provision through fortification on haemoglobin formation is likely to be lower than thought.

 

What is Iron fortification?

       Iron fortification refers to the process of adding iron to food products to increase their iron content.

       It is done using various forms of iron, such as iron salts or iron powders, which are added to the food during processing.

       Typically, a chosen food staple like wheat or rice, or even salt, is fortified to provide up to two thirds (10 mg/day) of the iron requirement of adult women, and almost the entire daily requirement of men.

       It is expected that just 5-10% of the ingested iron, from the iron salt that is added, is absorbed.

 

Key takeaways from the study:

Essentiality of iron:

       Iron is an essential mineral required for many bodily functions, including the formation of haemoglobin, but can be harmful when taken in excess.

       It is suggested for the treatment of iron deficiency anemia is fortification of food with iron.

 

Breaching of tolerable upper limit:

       Excessive iron intake can leads to the risk of adverse events like breaching of the ‘tolerable upper limit’ of intake, which is set at 40 mg/day.

 

Effect on Men:

       Women can ‘excrete’ iron from the body through menstrual bleeding, but men cannot, unless they have some form of pathological or abnormal bleeding. This makes men particularly vulnerable to excess iron intake.

 

Effect on Children:

       Trials conducted in the U.S. and Africa, showed that with fortification, there is an increased excretion of iron in children.

 

Extra excretion:

       Extra excretion takes place when excess iron is taken. It is likely that the extra iron is lost through the intestine, where cells of the intestinal lining exfoliate or drop off, and thereby deposit their iron into the intestine lumen for excretion, or through the urine.

 

Consequences of extra intake of iron:

  1. Unabsorbed iron can lead to inflammation in the gastrointestinal lining and disrupt the colonic microbiota with long term consequences.
  2. the irritation of mucosa can also lead to gastrointestinal blood loss, as has been described in endoscopic studies of patients on iron supplementation.
  3. Excess iron has been closely linked to many chronic comorbidities like diabetes.