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Iron

What is Iron?

Iron is essential for producing hemoglobin in red blood cells, which carries oxygen throughout the body. It's crucial for energy production, muscle function, and immune system health. Adequate iron levels ensure efficient oxygen transport, cognitive function, and overall vitality.

Iron deficiency leads to anemia, marked by symptoms like fatigue, weakness, pale skin, and in severe cases, heart problems. Causes include insufficient dietary intake, chronic blood loss, or malabsorption disorders, with prevalence among women of reproductive age, pregnant women, and individuals with poor iron intake.

Iron absorption is influenced by various dietary factors. Vitamin C enhances iron absorption, especially non-heme iron from plant-based sources. Riboflavin (vitamin B2) deficiency can impact iron absorption. Tannins, phytates, and polyphenols in foods like tea and whole grains can inhibit iron absorption. The presence of heme iron in a meal boosts non-heme iron absorption. Gastrointestinal health and minerals like copper and zinc also play roles in iron metabolism. Vitamin A plays a role in iron metabolism and can help alleviate iron deficiency anemia.

Iron overload, or hemochromatosis, occurs from excessive iron absorption or genetic conditions, causing organ damage. Symptoms include joint pain, abdominal pain, and fatigue. Iron levels are managed through diet, supplementation for deficiency, or phlebotomy and chelation for overload. Dietary management involves balancing iron-rich foods with enhancers and inhibitors of iron absorption, considering individual dietary needs and health conditions. Regular monitoring is crucial for those at risk of deficiency or overload.

To maintain healthy Iron levels:

  • Consume a variety of iron-rich foods, including lean meats, poultry, and fish for heme iron, and legumes, leafy greens, and fortified cereals for non-heme iron.

  • Pair iron-rich plant foods with vitamin C sources (e.g., citrus fruits, bell peppers) to enhance non-heme iron absorption.

  • Avoid consuming calcium-rich foods or supplements at the same time as iron-rich meals, as calcium can interfere with iron absorption.

  • If you drink tea or coffee, do so between meals rather than with iron-rich foods, as tannins can inhibit iron absorption.

  • Include vitamin A-rich foods in your diet to support iron metabolism.

  • If you're at risk for iron deficiency (e.g., menstruating women, vegetarians), consider iron supplementation under medical supervision.

  • Maintain good gut health, as it plays a role in iron absorption and metabolism.

  • Regular blood tests to check iron levels are advisable, especially for those at risk of deficiency or overload.

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Measurement Units

Iron can be measured in: mg/L, mmol/L, ng/mL, µg/100mL, µg/dL, µg/L, µg%, µmol/L

Reference Ranges by Age and Gender

Reference ranges represent typical values for healthy individuals. Your healthcare provider must interpret your specific results.

Age Range Gender Unit Optimal Normal Source
All ages Woman​ µg/dL - 60 - 160 Pagana, 2019
All ages Man​ µg/dL - 80 - 180 Pagana, 2019

Health Impact

Immunity​

Iron is vital for immune cell proliferation and development, particularly lymphocytes, which are essential for generating an immune response. Iron is necessary for the proper functioning of neutrophils, including their ability to generate reactive oxygen species for microbial killing. Adequate iron levels are required for optimal natural killer (NK) cell activity. Both iron deficiency and excess can impair immune function. [Soyano, 1999][Ward, 2011][Dickson, 2020]

Sleep Quality​

Iron plays a crucial role in various bodily functions, including sleep regulation. Iron deficiency can lead to restless legs syndrome (RLS), a neurological disorder characterized by uncomfortable sensations in the legs and an uncontrollable urge to move them, often interfering with sleep. This condition can significantly disrupt sleep quality and lead to insomnia.[Murat, 2015][Leung, 2020]

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Academic References

  1. DeMars LC and Reeves PG. Copper deficiency reduces iron absorption and biological half-life in male rats (2004). J Nutr. DOI: 10.1093/jn/134.8.1953
  2. Pagana KD, Pagana TJ, and Pagana TN. Mosby’s Diagnostic & Laboratory Test Reference (2019). Mosby’s Diagnostic & Laboratory Test Reference.
  3. Chew F. and Mejia L. A.. Hematologic effect of supplementing anemic children with vitamin A alone and in combination with iron (1992). The American Journal of Clinical Nutrition. DOI: 10.1093/ajcn/48.3.595
  4. Arredondo M, Martínez R, Núñez M. T., Olivares M., and Ruz M. Inhibition of iron and copper uptake by iron copper and zinc (2006). Biological Research. DOI: 10.4067/S0716-97602006000100011
  5. Neidlein S., Pourhassan M., and Wirth R.. Iron deficiency, fatigue and muscle strength and function in older hospitalized patients (2021). Eur J Clin Nutr. DOI: 10.1038/s41430-020-00742-z
  6. Cook J. D. and Monsen E. R.. Vitamin C, the common cold, and iron absorption (1991). Am J Clin Nutr. DOI: 10.1093/ajcn/30.2.235
  7. Jáuregui-Lobera I. Iron deficiency and cognitive functions (2014). Neuropsychiatr Dis Treat. DOI: 10.2147/NDT.S72491
  8. Ali U, Bahattin A, İlknur P, Mehmet S, Murat S, Serdal K, Tunahan U, and Süleyman D. Assessment of subjective sleep quality in iron deficiency anaemia (2015). Afr Health Sci. DOI: 10.4314/ahs.v15i2.40
  9. Zimmermann MB and Köhrle J. The impact of iron and selenium deficiencies on iodine and thyroid metabolism (2002). Thyroid. View Source
  10. Beard JL and Murray-Kolb LE. Iron treatment normalizes cognitive functioning in young women (2007). Am J Clin Nutr. DOI: 10.1093/ajcn/85.3.778
  11. Gómez M and Soyano A. Participación del hierro en la inmunidad y su relación con las infecciones [Role of iron in immunity and its relation with infections] (1999). Arch Latinoam Nutr. View Source
  12. Wang W. Serum ferritin: Past, present and future (2010). Biochim Biophys Acta. View Source
  13. Banasiak Waldemar, Jankowska Ewa., Kasztura Monika, Ponikowski Piotr, Stugiewicz Magdalena, and Tkaczyszyn Michal. The influence of iron deficiency on the functioning of skeletal muscles: experimental evidence and clinical implications (2016). European journal of heart failure. DOI: 10.1002/ejhf.467
  14. Crichton RR, Della Corte L, Dexter DT, Srai SK, Taylor DL, and Ward RJ. Iron and the immune system (2011). Basic Neurosciences, Genetics and Immunology. DOI: 10.1007/s00702-010-0479-3
  15. Ipsiroglu OS, Leung W, McWilliams S, Singh I, and Stockler S. Iron deficiency and sleep - A scoping review (2020). Sleep Med Rev. DOI: 10.1016/j.smrv.2020.101274
  16. Cartwright GE, Lee GR, Lukens JN, and Nacht S. Iron metabolism in copper-deficient swine (1968). J Clin Invest. DOI: 10.1172/JCI105891
  17. Abadi A, Moshtaaghi M, Shahbaazi SH, Vahdat Shariatpanaahi M, and Vahdat Shariatpanaahi Z. The relationship between depression and serum ferritin level (2007). Eur J Clin Nutr. DOI: 10.1038/sj.ejcn.1602542
  18. Christian P, Fishman S. M., and West KP Jr. The role of vitamins in the prevention and control of anaemia (2000). Public Health Nutrition. DOI: 10.1017/s1368980000000173
  19. Murray-Kolb LE and Scott SP. Iron Status Is Associated with Performance on Executive Functioning Tasks in Nonanemic Young Women (2016). J Nutr. DOI: 10.3945/jn.115.223586
  20. Brune M., Hallberg L., and Rossander L.. The role of vitamin C in iron absorption (1982). International Journal for Vitamin and Nutrition Research. Supplement. View Source

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