Skip to main content
Log in

Effect of iron supplementation on oxidative stress and antioxidant status in iron-deficiency anemia

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

This study was designed to measure the effect of iron supplementation on antioxidant status in iron-deficient anemia, including the time for hemoglobin normalization and at the time of filling of iron body stores. The extent of plasma lipid peroxidation was evaluated by measuring the levels of malondialdehyde and glutathione peroxidase (GSH-Px), and the activities of superoxide dismutase (SOD) and catalase in 63 patients with iron-deficiency anemia before and after 6 wk of iron supplementation and at the time when body iron stores are saturated. After 6 wk of iron supplementation, a significant decrease of oxidative stress was observed in the treated subjects relative to controls (p<0.05). No significant differences existed between treated patients at 6 wk and at the end of the study. The erythrocyte levels of catalase, SOD, and GSH-Px were significantly lower in treated patients relative to controls (p<0.05). These levels increased after 6 wk of supplementation (p<0.05) and showed no significant differences with those at the end of the study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. A. C. Looker, M. E. Cogswell, and E.W. Gunter, Iron deficiency, United States, 1999–2000. MMWR, 51, 897–899 (2001).

    Google Scholar 

  2. E. M. Ross, Evaluation and treatment of iron deficiency in adults, Nutr. Clin. Care 5, 220–224 (2002).

    Article  PubMed  Google Scholar 

  3. R. Yip, Iron supplementation: country level experiences and lessons learned, J. Nutr. 132, 859–861 (2002).

    Google Scholar 

  4. S. Hercberg, P. Preziosi, and P. Galan, Iron deficiency in Europe, Public Health Nutr. 4, 537–545 (2001).

    Article  PubMed  CAS  Google Scholar 

  5. D. Tekin, S. Yavuzer, M. Tekin, et al., Possible effects of antioxidants status on increased platelet aggregation in childhood iron-deficiency anemia, Pediatr. Int. 43, 74–77 (2001).

    Article  PubMed  CAS  Google Scholar 

  6. M. Isler, N. Delibas, M. Guclu, et al., Superoxide dismutase and glutathione peroxidase in erythrocytes of patients with iron deficiency anemia: effects of different treatment modalities, Croat. Med. J. 43, 16–19 (2002).

    PubMed  Google Scholar 

  7. W. Wasowicz, J. Neve, and A. Peretz, Optimized steps in fluorometric determination of thiobarbituric acid-reactive substances in serum: importance of extraction pH and influence of sample preservation and storage, Clin. Chem. 39, 2533–2536 (1993).

    Google Scholar 

  8. H. P. Misra and I. Fridovich, The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase, J. Biol. Chem. 247, 3170–3175 (1973).

    Google Scholar 

  9. H. E. Aebi, Catalase of enzymatic analysis, Volume III Enzymes. I. Oxidoreductases, Transferases, in H. U. Bergmeyer, ed., VCH, Weinheim, pp. 273–285 (1987).

    Google Scholar 

  10. D. E. Paglia and W. N. Valentine, Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase, J. Lab. Clin. Med. 70, 158–169 (1967).

    PubMed  CAS  Google Scholar 

  11. J. L. Vives Corrons, A. Miguel-Garcia, M. A. Pujades, et al., Increased susceptibility of microcytic red blood cells to in vitro oxidative stress, Eur. J. Haematol. 55, 327–331 (1995).

    Article  PubMed  CAS  Google Scholar 

  12. A. A. Golovin and V. D. Konvai, Lipid peroxidation in patients with iron deficiency anemia complicated by frequent acute respiratory distress, Klin. Med. 69, 73–75 (1991).

    CAS  Google Scholar 

  13. J. Acharya, N. A. Punchard, J. A. Taylor, et al., Red cell lipid peroxidation and antioxidant enzymes in iron deficiency, Eur. J. Haematol. 4, 287–291 (1991).

    Google Scholar 

  14. A. Komerova, A. Lece, A. Skesters, et al., Anemia nad antioxidant defence of the red blood cells, Mater. Med. Pol. 30, 12–15 (1998).

    Google Scholar 

  15. P. M. Moriarty, M. F. Picciano, J. L. Beard, et al., Classical selenium-dependent glutathione peroxidase expression is decreased secondary to iron deficiency in rats, J. Nutr. 125, 293–301 (1995).

    PubMed  CAS  Google Scholar 

  16. A. Meral, P. Tuncer, E. Surmen-Gur, et al., Lipid peroxidation and antioxidant status in beta-thalassemia, Pediatr. Hematol. Oncol. 17, 687–693 (2000).

    Article  PubMed  CAS  Google Scholar 

  17. G. M. Brittenham, Disorders of iron metabolism: iron deficiency and iron overload, in Hematology: Basic Principles and Practice, R. Hoffman, E. J. Benz, Jr., S. J. Shattil, et al., eds., Churchill Livingstone, Philadelphia, p. 416 (2000).

    Google Scholar 

  18. M. Bartal, D. Mazor, A. Dvilansky, et al., Iron deficiency anemia: recovery from in vitro oxidative stress, Acta Hamatol. 90, 94–98 (1993).

    CAS  Google Scholar 

  19. M. E. Inal, G. Kanbak, and E. Sunal, Antioxidant enzyme activities and malondialdehyde levels related to aging, Clin. Chim. Acta 305, 75–80 (2001).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kurtoglu, E., Ugur, A., Baltaci, A.K. et al. Effect of iron supplementation on oxidative stress and antioxidant status in iron-deficiency anemia. Biol Trace Elem Res 96, 117–123 (2003). https://doi.org/10.1385/BTER:96:1-3:117

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1385/BTER:96:1-3:117

Index Entries

Navigation