Iron (FeSo4) bioavailability in obese subjects submitted to bariatric surgery

• Main Authors: Luciana Bueno, Juliana C. Pizzo, Julio Sergio Marchini, José Eduardo Dutra-de-Oliveira, José Ernesto Dos Santos, Fernando Barbosa Junior
• Format: Article
• Language: English
• Published: Arán Ediciones, S. L. 2013-02-01
• Series: Nutrición Hospitalaria
• Subjects: Disponibilidad de hierro; Formulaciones nutricionales; Personas con obesidad; Cirugía bariátrica
• Online Access: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112013000100013&lng=en&tlng=en

Background: Iron bioavailability in obese subjects after the ingestion of a nutritional supplement was the aim of this work. Methods: Fourteen persons were studied before and after bariatric surgery after the ingestion of a nutritional formulation containing 25 mg iron, 25 g fiber and 800 mg calcium. Results: The following ferremia values (median and minimum - maximum) were obtained before and after bariatric surgery, respectively: Fasting, 105 (70 - 364) μg/dL and 198 (38 - 617) μg/dL; 1 hour, 103 (63 - 305) μg/dL and 160 (11 - 207) μg/dL; 2 hours, 103 (62 - 150) μg/dL and 141 (10 - 412) μg/dL; 3 hours. 97 (63 - 190) μg/dL and 153 (6 - 270) μg/dL; 4 hours, 91 (58 - 163) μg/dL and 156 (40 - 251) μg/dL (p>0.05), with no association of serum iron levels with time. There was a difference in total triglycerides (95 ± 29 mg/dL and 60 ± 10 mg/dL) which were correlated with a decrease in serum ferritin levels (r = 0,926, p = 0.008), UIBC (r = 0.910, p = 0.01), total cholesterol (r = 0,918, p = 0.01) and LDL-c fraction (r = 0.830, p = 0.04), with an increase in HDL-c fraction (r = 0,807, p = 0.05). Conclusion: Iron bioavailability in obese subjects was affected by the ingestion of the nutritional formulation containing calcium and fiber, a fact that may cause these patients to develop iron deficiency.