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Short-term, high-dose iron supplementation to healthy pregnant women increases oxidative stress markers: Implications for use of phytonutrients
Authors: Rashmi Tripathi, Supriya Gupta, Sarojni Rai, Poonam C. Mittal
Number of views: 368
Abstract
The National Nutritional Anemia Control Program of the Government of India prescribes
a mandatory supplement of 100 mg elemental iron to all pregnant women for 100 days
because of widespread iron deficiency anemia. However, such iron supplementation
has been recently reported to cause oxidative stress
(OS)
. The present study was
undertaken to assess whether short-term supplementation to healthy pregnant women
is a better strategy. Disease-free pregnant women, 20-35 years, blood hemoglobin
(Hb)>10g/dL
, 30 in each trimester
(T1, T2, T3)
, were enrolled.
T2+T3
respondents were
divided into unsupplemented
(UnS)
and those receiving 100mg elemental iron with
500
g folic acid daily, for only 2-4 weeks
(S)
and compared with 50 matched non-
pregnant
(NP)
controls. Supplemented
(S)
gained more weight than unsupplemented
(UnS)
. Hb and hematocrit (Hct) declined in
T2+T3
in
UnS
, but not in
S
. However, Hct
remained lower than
NP
throughout pregnancy. Plasma ferritin declined through
gestation in
UnS
, but
S
showed recovery of iron stores.
OS
marker, malonyldialdehyde
(MDA)
increased and antioxidant enzymes, superoxide dismutase
(SOD)
and catalase
(CAT)
declined through pregnancy.
S
showed statistically significantly more changes
than
UnS
. Overall antioxidant capacity marker, Ferric Reducing Activity of plasma
increased throughout pregnancy, but was only marginally higher in
S
compared to
UnS
. Thus, even short-term high-dose iron supplementation improved iron status
marginally, but produced increase in
OS
in healthy pregnant women. We discuss the
implications of these findings in the light of current knowledge regarding
phytonutrients, especially iron and antioxidants which may provide a better strategy
for supplementation of iron to pregnant women.