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TABLE 3. Absolute Amount of Iron Absorbed from Soy Sauce at a 40 Per Cent Reference Dose
Iron Dose |
Absorption |
Absolute |
Iron Absorption at |
||
( % ) |
(mg) |
||||
Soy Sauce | 3.0 | 6.95 | 0.21 | 10.80 | 0.32 |
Iron-fortified | |||||
soy sauce | 23.0 | 4.36 | 1.00 | 6.78 | 1.56 |
Iron-fortified | |||||
soy sauce + ascorbic acid | 23.0 | 8.35 | 1.92 | 12.98 | 2.99 |
Reference dose | 3.0 | 25.73 | 0.77 | 40.00 | 1.20 |
DISCUSSION
The results of the present study indicate that ferrous sulphate, in the amount of 75 to 100 mg of elemental iron per dl, has a good solubility in soy sauce and does not change the organoleptic characteristics of the product. According to the results of iron absorption measurements, it can be calculated that, given the average consumption of soy sauce in China of 15 to 20 ml per person every day, the use of fortified soy sauce in vegetable meals would result in the absorption of 0.64 to 1.13 mg of iron per day, an amount sufficient to meet the iron requirements of the general population. It can thus be concluded that soy sauce, fortified at the level proposed, could make a significant contribution to the prevention of iron deficiency in China. The amount of iron (1000 mg Fe/dl) we proposed for the fortification of soy sauce is similar to that used by Garby and Areekul (19) in the FeNa EDTA fortification of fish sauce, and by Nadiger et al. (22) to fortify common salt.
Iron absorption from fortified soy sauce can be doubled by adding ascorbic acid. Consumption of soy sauce fortified with iron and ascorbic acid could provide enough iron to meet the special iron needs of menstruating women. This kind of soy sauce could best be used in uncooked foods or foods already cooked in order to avoid destruction of ascorbic acid activity.
The enhancing effect of ascorbic acid on iron absorption observed in this study was lower than reported in the literature (31). This might have been because of the high iron content of the test meal (23 mg), or to the presence of inhibitors in soy sauce.
The iron absorption from iron-fortified soy sauce cooked with a vegetable meal was similar to that from iron-fortified soy sauce alone, when each individual's iron absorption data were recalculated at a reference dose absorption of 40 per cent. The former was 6.27 per cent, and the latter was 7.09 per cent. These results indicate that the vegetable meal containing potatoes, cabbage, green beans, and rice does not have more potent inhibitors than soy sauce has, a fact that is of considerable practical importance.
It is interesting to notice that the iron absorption from unfortified soy sauce was 6.95 per cent, and if we use the reference dose at 40 per cent to recalculate each individual's absorption data, it increases to 10.8 per cent. This indicates that soy sauce inhibits non-haem iron absorption less than other soy products do (32).
TABLE 4. Chemically Determined Nutrient Content and Calculated Caloric Content of Test Meals
Meal | Calories | Protein | Fat | Iron |
(kcal ) | (g) | (g) | (mg) | |
Vegetables and rice | 603.6 | 14.26 | 14.2 | 8.9 |
Vegetables and | ||||
rice + tea | 651.8 | 13.88 | 19.1 | 8.9 |
Vegetables and | ||||
rice+meat | 651.8 | 24.70 | 21.8 | 11.2 |
TABLE 5. Iron Absorption from a Vegetable Meal Containing Iron-Fortified Soy Sauce and the Effect of Pork and Tea
Subject | Sex | Age (Yr) |
Hct. (% ) |
Hgb. (g/dl) |
Serum Ferritin (µg/l) |
Iron Absorption (% of Dose) | Absorption Ratio | |||||
Vegetable Meal (A) |
Vegetable Meal + Tea (B) |
Vegetable Meal + Meat (C) |
Reference Iron Ascorbate (D) |
A/B | C/A | C/B | ||||||
1. NC | F | 47 | 45.8 | 15.6 | 12 | 13.78 | 8.32 | 28.70 | 98.32 | 1.66 | 2.09 | 3.44 |
2. UV | F | 43 | 39.2 | 13.7 | 12 | 13.94 | 8.87 | 22.04 | 79.56 | 1.57 | 1.58 | 2.48 |
3. OA | F | 40 | 41.2 | 14.0 | 19 | 15.30 | 6.12 | 24.79 | 75.56 | 2.50 | 1.62 | 4.05 |
4. EV | F | 39 | 39.9 | 12.2 | 5 | 8.35 | 3.53 | 9.66 | 50.76 | 2.37 | 1.16 | 2.74 |
5. NR | F | 34 | 40.8 | 13.2 | 12 | 29.28 | 18.50 | 20.82 | 50.21 | 1.58 | 0.71 | 1.13 |
6. MS | F | 49 | 42.1 | 14.3 | 51 | 7.00 | 3.60 | 17.10 | 43.82 | 1.94 | 2.44 | 4.75 |
7. MH | F | 39 | 41.7 | 13.8 | 9 | 9.49 | 3.96 | 19.96 | 40.23 | 2.40 | 2.10 | 5.04 |
8. NR | F | 52 | 48.2 | 16.8 | 101 | 3.72 | 1.32 | 19.28 | 34.19 | 2.81 | 5.18 | 14.61 |
9. AC | M | 20 | 46.7 | 15.9 | 71 | 3.00 | 3.64 | 3.28 | 33.69 | 0.82 | 1.09 | 0.90 |
10. JR | M | 46 | 43.8 | 15.1 | 82 | 7.27 | 1.32 | 9.69 | 31.01 | 5.51 | 1.33 | 7.34 |
11. AE | F | 49 | 45.0 | 14.9 | 41 | 20.86 | 9.72 | 20.76 | 28.94 | 2.14 | 1.00 | 2.13 |
12. JB | F | 42 | 39.2 | 12,6 | 62 | 1.82 | 0.80 | 4.08 | 28,12 | 2.28 | 2.24 | 5.10 |
13. MG | F | 42 | 43.2 | 15.2 | 24 | 11.03 | 7.87 | 10.70 | 26.89 | 1.40 | 0.97 | 1.36 |
14. RS | M | 26 | 45.9 | 15.3 | 84 | 0.67 | 0.30 | 1.74 | 19.36 | 2.23 | 2.60 | 5.80 |
15. OL | F | 36 | 43.2 | 14.8 | 108 | 2.74 | 1.19 | 6.25 | 19.11 | 2.30 | 2.28 | 5.25 |
16. LQ | M | 25 | 48.3 | 16.0 | 82 | 0.77 | 1.06 | 1.62 | 18.50 | 0.73 | 2.10 | 1.52 |
17, SB | M | 18 | 46.1 | 15.1 | 66 | 2.68 | 3.18 | 5.34 | 16.21 | 0.84 | 1.99 | 1.67 |
Average | 38 | 43.5 | 14.6 | 34 | 5.65 | 3.07 | 9.67 | 35.52 | 1.84* | 1.71* | 3.14* | |
S.D. | 10 | 3.0 | 1.2 |
*P<0.001.
It is well known that meat enhances non-haem iron absorption. The present findings of a marked effect of pork on the iron absorption from a vegetable meal cooked with iron-fortified soy sauce are in good agreement with other reports (9, 33, 34).
TABLE 6. Absolute Amount of Iron Absorbed from Vegetable Meals Containing Iron-Fortified Soy Sauce at a Reference Dose Absorption of 40 Per Cent
Iron
Content (mg) |
Absorption (%) |
Absolute
Absorption (mg) |
Iron
Absorption at 40% Reference Dose |
||
(%) | (mg) | ||||
Vegetable | |||||
meal | 8.9 | 5.65 | 0.50 | 6.36 | 0.57 |
Vegetable | |||||
meal and tea | 8.9 | 3.07 | 0.27 | 3.46 | 0.31 |
Vegetable | |||||
meal and | |||||
meat | 11.2 | 9.67 | 1.08 | 10.89 | 1.22 |
Reference | |||||
dose | 3.0 | 35.52 | 1.06 | 40 00 | 1.20 |
Tea is one of the most well-known inhibitors of iron absorption. Reports in the literature (14, 31) have always used black tea. In the present study a green tea, widely used in China was selected. It also had a marked inhibitory effect.
ACKNOWLEDGEMENTS
This work was supported by a grant from the University of Chile. It was directed by Dr. Abraham Stekel. The author is grateful to Fernando Pizarro, Silvia Núñez, Patricia Chadud, Sandra Llaguno, Mirtha Provoste, and Jorge Olavarría for their outstanding technical help and to Adriana Vargas for secretarial assistance. Dr. Tomes Walter gave invaluable advice.
REFERENCES
1. C.A. Finch, "Diagnostic Value of Different Methods to Detect Iron Deficiency", in: Iron Daficiency. L. Hallberg, H.G. Harwerth, and A. Vannotti (Eds.), Academic Press, New York, 1970, p. 409.
2. C.A. Finch, L.R. Miller, A.R. Inamdar, R. Person, K. Seller and B. Mackler "Iron Deficiency in the Rat. Physiological and Biochemical Studies of Muscle Dysfunction. J. Clin Invest 58:447 (1976).
3. P.R. Dallman, M.A. Siimes, and E.C. Mannies, "Brain Iron: Persistent Deficiency Following Short-Term Iron Deprivation in the Young Rat. " Grit J. Haemat 31: 209 (1975).
4. R. K. Chandra, " Iron and Immunocompetence. " Nutr. Rev. 34: 129 (1976).
5. S.T. Callender, B.J. Mallet, and M.D. Smith, "Absorption of Haemoglobin-Iron." Brit J. Haemat. 3: 186 (1957).
6. M.E. Conrad B.I. Benjamin H.L Williams, and A.L. Foy "Human Absorption of Hemoglobin-Iron." Gastroenterology 53:5 (1967).
7. M. Layrisse and C. Martinez-Torres, "Model for Measuring Dietary Absorption of Heme-Iron: Test with a Complete Meal." Am. J. Clin Nutr. 25: 401 -(1972).
8. A. Turnbull, F. Cleton, and C. Finch, "Iron Absorption. IV. The Absorption of Hemoglobin Iron." Clin. Invest 41: 1897 (1962).
9. C. Martinez-Torres and M. Layrisse, "Iron Absorption from Veal Muscle."Am. J. Clin. Nutr. 24:531 (1971).
10. J.D. Cook, M. Layrisse, C. Martinez-Torres, R. Walker, E. Monsen, and C.A. Finch, "Food Iron Absorption Measured by an Extrinsic Tag.". J. Clin. Invest. 51: 805 (1972).
11. E. Bjorn-Rasmussen, L. Hallberg, and R.B. Walker "Food Iron Absorption in Ivan. I. Isotopic Exchange between Food Iron and Inorganic Salt Added to Food: Studies on Maize, Wheat and Eggs." Am. J. Clin. Nutr. 25: 317 (1972).
12. M. Layrisse, C. Martinez-Torres, and M. González, "Measures meat of the Total Daily Dietary Iron Absorption by the Extrinsic Tag Model." Am. J. Clin. Nutr. 27: 152 (1974).
13. M.H. Sayers, S.R. Lynch, P. Jacobs, R.W. Charlton, T.H.Bothwell, R.B. Walker, and F. Mayet, "The Effects of Ascorbic Acid Supplementation on the Absorption of Iron in Maize, Wheat, and Soya." Brit. J. Haemat. 24: 209 (1973).
14. P.B. Disler, S.R. Lynch, R.W, Charlton, J.D. Torrance, T.H. Bothwell, R.B, Walker, and F. Mayet "The Effect of Tea on Iron Absorption." Gut 16: 193 (1975).
15. E. Ríos, R.E, Hunter, J.D. Cook, N.J. Smith, and C.A. Finch, "Absorption of Iron as Supplements in Infant Cereals and Infant Formulas." Pediatrics 55: 86 (1975).
16. A. Stekel, M. Olivares, I. López, F. Pizarro, M. Amar, P. Chadud, and S. Llaguno, "A Field Trial with Acidified Milk Fortified with Iron and Ascorbic Acid." Pediat. Res. 14: 74 (1980).
17. P.C. Elwood, W.E. Waters, and P. Sweetnam, "The Haematinic Effect of Iron in Flour." Clin. Sci. 40: 31 (1971).
18. H. Natvig and O.O. Vellar, "Iron-Fortified Bread: A Long Term Controlled Therapeutic Community-Based Experiment with Ferrous Sulphate-Enriched Flour." Acta Med. Scand. 194:463 (1973).
19. L. Garby and S. Areekul, "Iron Supplementation in Thai Fish Sauce." Ann. Trap. Med. Parasit. 68: 467 (1974).
20. M. Layrisse, C. Martinez-Torres, M. Renzi F. Vélez, and M González, "Sugar as a Vehicle for Iron Fortification." Am J. Clin. Nutr. 29: 8 (1976).
21. M. Layrisse, C. Martínez-Torres, and M. Renzi, "Sugar as a Vehicle for Iron Fortification: Further Studies." Am. J. Clin. Nutr. 29: 274 (1976).
22. H.A. Nadiger, K.A.V.R. Krishnamachari B.S. Nadamuni Naidu, B.S. Narasinga Rao, and S.G. Srikantia, "The Use of Common Sait (Sodium Chloride) Fortified with Iron to Control Anaemia: Results of a Preliminary Study." Brit J. Nutr. 43:45 (1980).
23. R. Sawanik, "Iron and iodine Fortification in Thailand." J. Med. Assoc. Thailand 62 (Suppl. 1): 1 (1979).
24. E. Björn-Rasmussen, L. Hallberg and R.B. Walker, "Food iron Absorption in Man. II, Isotipic Exchange of Iron between Labeled Foods and between a Food Iron and an Iron Salt." Am. J. Clin. Nutr. 26: 1311 (1973).
25. A. Ashworth, P. F. Milner, and J.C. Waterlow, "Absorption of Iron from Maize (Zea mays L.) and Soya Beans (Glycine hispida Max.) in Jamaican Infants." Grit J. Nutr. 29: 269 (1973).
26. C. Martinez-Torres and M. Layrisse, "Interest for the Study of Dietary Absorption and Iron Fortification." World Rev. Nutr. Dietet. 19:51 (1974).
27. D.S. Fisher and D.C. Price, "A Simple Serum iron Method Using the New Sensitive Chromogen Trypiridyl-s-Triazine." Clin. Chem. 10:21 (1964).
28. Gamma Dab (125I) Ferritin Radioimmunoassay Kit. Clinical Assays, Division of Travenol Laboratories, Inc. Cambridge, Massachusetts U S. A.
29. S.B. Nadler, J.U Hidaigo, and T. Bloch, "The Tulane Table of Blood Volume (ml) in Normal Men." Surgery 51: 224 (1962).
30. J.D. Eakins and D.A. Brown, "An Improved Method for the Simultaneous Determination of Iron 55 andiron 59 in Brood by Liquid Scintillation Counting." Int J. Appl. Radiat. 17: 391 (1966).
31. L. Hallberg, "Food Iron Absorption", in: Iron Methods in Hematology, J. D. Cook (Ed.) Churchill Livingstone, Edingburg, London, New York, 1980,p. 116).
32. International Nutritional Anemia Consultative Group (INACG) Report on The Effects of Cereals and Legumes on Iron Availability, The Nutrition Foundation, Washington, D. C., June 1982.
33. M. Layrisse, J.D. Cook, C. Martinez, M. Roche, I.N. Kuhn, R.B. Walker and C.A. Finch "Food Iron Absorption: A Comparison 6f Vegetable and Ánimal Foods. 8100d 33: 430 (1969).
34. E. Björn-Rasmussen and L. Hallberg. "Effect of Animal Proteins on the Absorption. of Food Iron in Man." Nutr. Metab. 23: 192 (1979).