Iron Absorption From Rice Fortified With Ferric Pyrophosphate

NCT ID: NCT02176759

Last Updated: 2014-12-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-09-30

Brief Summary

Ferric pyrophosphate (FePP) is a water-insoluble, food grade iron compound used to fortify rice, infant cereals and chocolate-drink powders as it causes no organoleptic changes to the food vehicle. However, it is only of low absorption in man. Therefore, strategies to enhance the bioavailability of FePP, such as adding citrate or decreasing the particle size of FePP need to be investigated. The primary objectives of the present study are: 1) to test whether the presence of citrate in iron fortified rice with FePP results in higher iron bioavailability, and 2) to test whether the presence of citrate in the rice grain during the extrusion and cooking process results in higher iron bioavailability compared with iron-fortified rice where citrate has been added shortly before consumption. As a secondary objective the investigators will compare the absorption from different FePP combinations with a reference meal fortified with ferrous sulphate. The investigator hypothesize that the addition of citrate enhances iron absorption and that the positive effect is greater when the citrate is added during the extrusion.

The investigator will conduct an iron absorption study in 20 women, 18 to 45 years old to evaluate the iron bioavailability from extruded rice fortified with 1) regular FePP, 2) regular FePP and citrate (both extruded into the rice kernels), 3) regular FePP and citrate added at the time of consumption, and 4) from normal rice fortified with ferrous sulphate at the time of consumption. Iron absorption will be measured as erythrocyte incorporation of stable iron isotopes at least 14 days after the administration of the isotopically labelled test meals. The iron absorption from the different meals within the same participant will be compared by repeated-measures ANOVA followed by a Bonferroni corrected pairwise comparison.

The present study will provide important data where iron bioavailability from rice is accurately and directly measured using stable isotopic labels as absorption tracers. This direct data can be used to base decisions on the level of fortification, can potentially reduce costs and optimize iron delivery to the targeted population in iron fortification programs.

Conditions

Iron Deficiency; Anemia; Iron Deficiency Anemia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Regular FePP

Rice (50g dry weight) fortified with 4mg regular FePP

Group Type: EXPERIMENTAL

Administration of rice fortified with regular FePP

Intervention Type: OTHER

Regular FePP with citrate added during extrusion

Rice (50g dry weight) fortified with 4mg regular FePP and citrate added during the extrusion process

Group Type: EXPERIMENTAL

Administration of rice fortified with regular FePP with citrate added during extrusion

Intervention Type: OTHER

Regular FePP with citrated added at consumption

Rice (50g dry weight) fortified with 4mg regular FePP and citrate shortly added before consumption

Group Type: EXPERIMENTAL

Administration of rice fortified with regular FePP and citrate added at consumption

Intervention Type: OTHER

Ferrous sulphate

Rice (50g dry weight) fortified with 4mg ferrous sulphate

Group Type: ACTIVE_COMPARATOR

Administration of rice fortified with ferrous sulphate

Intervention Type: OTHER

Interventions

Administration of rice fortified with regular FePP

Intervention Type: OTHER

Administration of rice fortified with regular FePP with citrate added during extrusion

Intervention Type: OTHER

Administration of rice fortified with regular FePP and citrate added at consumption

Intervention Type: OTHER

Administration of rice fortified with ferrous sulphate

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Female, 18 to 45 years old
• Normal body Mass Index (18.5 - 25 kg/m2)
• Body weight < 65 kg
• Signed informed consent

Exclusion Criteria

• Pregnancy (assessed by a pregnancy test)
• Lactating
• Any metabolic, gastrointestinal kidney or chronic disease such as diabetes, hepatitis, hypertension, cancer or cardiovascular diseases (according to the participants own statement)
• Continuous/long-term use of medication during the whole study (except for contraceptives)
• Consumption of mineral and vitamin supplements within 2 weeks prior to 1st meal administration
• Blood transfusion, blood donation or significant blood loss (accident, surgery) over the past 4 months
• Earlier participation in a study using Fe stable isotopes or participation in any clinical study within the last 30 days
• Participant who cannot be expected to comply with study protocol (e.g. not available on certain study appointments)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Swiss Federal Institute of Technology

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Human Nutrition Laboratory

Zurich, Canton of Zurich, Switzerland

Countries

Switzerland

References

Hackl L, Speich C, Zeder C, Sanchez-Ferrer A, Adelmann H, de Pee S, Tay F, Zimmermann MB, Moretti D. Cold Extrusion but Not Coating Affects Iron Bioavailability from Fortified Rice in Young Women and Is Associated with Modifications in Starch Microstructure and Mineral Retention during Cooking. J Nutr. 2017 Dec;147(12):2319-2325. doi: 10.3945/jn.117.259085. Epub 2017 Oct 18.

Reference Type: DERIVED

PMID: 29046406 (View on PubMed)

Hackl L, Cercamondi CI, Zeder C, Wild D, Adelmann H, Zimmermann MB, Moretti D. Cofortification of ferric pyrophosphate and citric acid/trisodium citrate into extruded rice grains doubles iron bioavailability through in situ generation of soluble ferric pyrophosphate citrate complexes. Am J Clin Nutr. 2016 May;103(5):1252-9. doi: 10.3945/ajcn.115.128173. Epub 2016 Apr 6.

Reference Type: DERIVED

PMID: 27053382 (View on PubMed)

Other Identifiers

Rice_SFePP

Identifier Type: -

Identifier Source: org_study_id