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The association between red and processed meat consumption and iron intakes and status among British adults

Published online by Cambridge University Press:  02 January 2007

Sigrid Gibson*
Affiliation:
SiG-Nurture Nutrition Consultancy, 11 Woodway, Guildford, Surrey, GU1 2TF, UK.
Margaret Ashwell
Affiliation:
Ashwell Associates, Ashwell Street, Ashwell, Hertfordshire, SG7 5PZ, UK.
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To examine the association between consumption of red and processed meat (RPM) and iron intakes and status in adults.

Design:

Further analysis of the Dietary and Nutritional Survey of British Adults, a cross-sectional study of 2197 adults aged 16–64 years carried out in 1986/7.

Subjects and methods:

Adults (836 men and 838 women) with serum ferritin measurements, who were not taking iron supplements, were classified into four groups according to RPM consumption (from 7-day weighed records). Iron absorbed was estimated from equations based on haem and non-haem iron and the influence of iron stores.

Results:

Women who ate least meat (<90gday-1) had three times the risk of a low iron intake (below the Lower Reference Nutrient Intake) compared with high consumers of RPM (>140gday-1). Men who ate no RPM also had a higher risk of low iron intake. Using an estimate of minimal values for iron losses, there was a twofold difference in the potential risk of negative iron balance between women non-RPM consumers and high RPM consumers. Status measurements indicated that, among women, anaemia was least prevalent (6%) among high consumers compared with 12–14% among average RPM consumers. Inverse trends were also observed for serum ferritin in both sexes.

Conclusions:

Low consumption of RPM has implications for iron intakes and iron status in men and women, since the risk of negative iron balance and its consequences are increased. Dietary messages must consider these implications and provide appropriate advice.

Type
Research Article
Copyright
Copyright © CABI Publishing 2003

References

1Robinson, F. The nutritional contribution of meat to the British diet: recent trends and analyses. Br. Nutr. Found. Nutr. Bull. 2002; 26: 283–93.Google Scholar
2Ministry of Agriculture, Fisheries and Food, National Food Survey, 1999. London: HMSO, 2000.Google Scholar
3Felton, JS, Knize, MG. Heterocyclic-amine mutagens/carcinogens in foods. In: Cooper, CS, Grover, PL, eds. Chemical Carcinogenesis and Mutagenesis. Handbook of Experimental Pharmacology. Vol. 1. Berlin: Springer-Verlag, 1990; 471502.CrossRefGoogle Scholar
4Willett, WC, Stampfer, MJ, Colditz, GA, Rosner, BA, Speizer, FE. Relation of meat, fat, and fiber intake to the risk of colon cancer in a prospective study among women. N. Engl. J. Med. 1990; 323: 1664–72.Google Scholar
5Giovannucci, E, Rimm, EB, Stampfer, MJ, Colditz, GA, Ascherio, A, Willett, WC. Intake of fat, meat, and fiber in relation to risk of colon cancer in men. Cancer Res. 1994; 54: 2390–7.Google Scholar
6World Cancer Research Fund. Food, Nutrition and The Prevention of Cancer: A Global Perspective. Washington, DC: American Institute for Cancer Research, 1997.Google Scholar
7Department of Health. Nutritional Aspects of the Development of Cancer. Report of the Working Group on Diet and Cancer, Committee on the Medical Aspects of Food and Nutrition Policy. Report on Health and Social Subjects No. 48, London: The Stationery Office, 1998.Google Scholar
8Heath, A-LM, Skeaff, CM, Williams, S, Gibson, RL. The role of blood loss and diet in the aetiology of mild iron deficiency in premenopausal adult New Zealand women. Public Health Nutr. 2001; 4(2): 197206.CrossRefGoogle ScholarPubMed
9Gregory, J, Foster, K, Tyler, H, Wiseman, M. Dietary and Nutritional Survey of British Adults. Office of the Population Censuses and Surveys, Social Survey Division, London: HMSO, 1990.Google Scholar
10Dallman, PR. Biochemical basis for the manifestations of iron deficiency. Annu. Rev. Nutr. 1986; 6: 1340.CrossRefGoogle ScholarPubMed
11Ashwell, MA, ed. Iron. Nutritional and Physiological Significance. British Nutrition Foundation Task Force. London: British Nutrition Foundation, 1995.Google Scholar
12Hurrell, RF. Bioavailability of iron. Eur. J. Clin. Nutr. 1997; 51(Suppl. 1): S4–8.Google Scholar
13Elliott, C. Eat less red meat to cut cancer risk, urges report. The Guardian. London: 1997.Google Scholar
14Monsen, ER & Balintfy, JL. Calculating dietary iron bioavailability: refinement and computerization. J. Am. Diet. Assoc. 1982; 80(4): 307–11.Google Scholar
15Bull, NL, Buss, DH. Haem and non-haem iron in British household diets. J. Hum. Nutr. 1980; 34(2): 141–5.Google Scholar
16Finch, S, Doyle, W, Lowe, C, Bates, C, Prentice, A, Smithers, G, et al. National Diet and Nutrition Survey: People aged 65 years and over. Vol. 1. Report of the Diet and Nutrition Survey. London: The Stationery Office, 1998Google Scholar
17Hallberg, L, Hulten, L, Gramatkovski, E. Iron absorption from the whole diet in men: how effective is the regulation of iron absorption?. Am. J. Clin. Nutr. 1997; 66(2): 347–56.Google Scholar
18Hulten, L, Gramatkovski, E, Gleerup, A, Hallberg, L. Iron absorption from the whole diet. Relation to meal composition, iron requirements and iron stores. Eur. J. Clin. Nutr. 1995; 49(11): 794808.Google ScholarPubMed
19Monsen, ER, Hallberg, L, Lagrisse, M, Hegsted, DM, Cook, JD, Mertz, W, et al. Estimation of available dietary iron. Am. J. Clin. Nutr. 1978; 31(1): 134–41.CrossRefGoogle ScholarPubMed
20Department of Health. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. London: HMSO, 1991.Google Scholar
21Hallberg, L, Hulthen, L. Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. Am. J. Clin. Nutr. 2000; 71(5): 1147–60.CrossRefGoogle ScholarPubMed
22Cook, JD, Reddy, MB. Effect of ascorbic acid intake on nonheme-iron absorption from a complete diet. Am. J. Clin. Nutr. 2001; 73(1): 93–8.CrossRefGoogle ScholarPubMed
23Reddy, MB, Hurrell, RF, Cook, JD. Estimation of nonheme-iron bioavailability from meal composition. Am. J. Clin. Nutr. 2000; 71(4): 937–43.Google Scholar
24Food and Agriculture Organization (FAO). Requirements of Vitamin A, Iron, Folate and B12. Report of a Joint FAO/WHO Consultation, Rome: FAO, 1988.Google Scholar
25Green, R, Charlton, R, Seftel, H, Bothwell, T, Mayet, F, Adams, B, et al. Body iron excretion in man: a collaborative study. Am. J. Med. 1968; 45(3): 336–53.CrossRefGoogle Scholar
26Hallberg, L, Hogdahl, M, Nilsson, L, Rybo, G. Menstrual blood loss – a population study. Variation at different ages and attempts to define normality. Acta Obstet. Gynecol. Scand. 1966; 45(3): 320–51.Google Scholar
27Hallberg, L, Rossander-Hulten, L. Iron requirements in menstruating women. Am. J. Clin. Nutr. 1991; 54(6): 1047–58.CrossRefGoogle ScholarPubMed
28Cole, SK, Billewicz, WZ, Thomson, AM. Sources of variation in menstrual blood loss. J. Obstet. Gynaecol. Br. Commonw. 1971; 78(10): 933–9.Google Scholar
29Hefnawi, F, El-Zayat, AF, Yacout, MM. Physiologic studies of menstrual blood loss. I. Range and consistency of menstrual blood loss in and iron requirements of menstruating Egyptian women. Int. J. Gynaecol. Obstet. 1980; 17(4): 343–8.Google Scholar
30Guillebaud, J, Bonnar, J, Morehead, J, Matthews, A. Menstrual blood-loss with intrauterine devices. Lancet 1976; 1(7956): 387–90.CrossRefGoogle ScholarPubMed
31Harvey, L. The bioavailability of iron, zinc and copper in meat containing and vegetarian diets in the United Kingdom. Unpublished, 2002.Google Scholar
32Worthington-Roberts, BS, Breskin, MW, Monsen, ER. Iron status of premenopausal women in a university community and its relationship to habitual dietary sources of protein. Am. J. Clin. Nutr. 1988; 47(2): 275–9.Google Scholar
33Ortega, RM, Lopez-Sobaler, AM, Requejo, AM, Quintas, ME, Gaspar, MJ, Andres, P, et al. The influence of meat consumption on dietary data, iron status and serum lipid parameters in young women. Int. J. Vitam. Nutr. Res. 1998; 68(4): 255–62.Google Scholar
34Brussaard, JH, Brants, HA, Bouman, M & Lowik, MR. Iron intake and iron status among adults in the Netherlands. Eur. J. Clin. Nutr. 1997; 51(Suppl. 3): S51–8.Google ScholarPubMed
35Leggett, BA, Brown, NN, Bryant, SJ, Duplock, L, Powell, LW, Halliday, JW. Factors affecting the concentrations of ferritin in serum in a healthy Australian population. Clin. Chem. 1990; 36(7): 1350–5.CrossRefGoogle Scholar
36Galan, P, Yoon, HC, Preziosi, P, Viteri, F, Valeix, P, Fieux, B, et al. Determining factors in the iron status of adult women in the SU.VI.MAX study. SUpplementation en VItamines et Mineraux AntioXydants. Eur. J. Clin. Nutr. 1998; 52(6): 383–8.Google Scholar
37Craig, WJ. Iron status of vegetarians. Am. J. Clin. Nutr. 1994; 59(Suppl. 5): 1233S–7S.Google Scholar
38Haddad, EH, Berk, LS, Kettering, JD, Hubbard, RW, Peters, WR. Dietary intake and biochemical, hematologic, and immune status of vegans compared with nonvegetarians. Am. J. Clin. Nutr. 1999; 70(Suppl. 3): 586S–93S.Google Scholar
39Faber, M, Gouws, E, Benade, AJ, Labadarios, D. Anthropometric measurements, dietary intake and biochemical data of South African lacto-ovovegetarians. S. Afr. Med. J. 1986; 69(12): 733–8.Google Scholar
40Helman, AD, Darnton-Hill, I. Vitamin and iron status in new vegetarians. Am. J. Clin. Nutr. 1987; 45(4): 785–9.CrossRefGoogle ScholarPubMed
41Reddy, S, Sanders, TA. Haematological studies on pre-menopausal Indian and Caucasian vegetarians compared with Caucasian omnivores. Br. J. Nutr. 1990; 64(2): 331–8.Google Scholar
42Thane, CW, Bates, CJ. Iron intakes and status in adolescent British girls according to meat consumption [abstract]. Ann. Nutr. Metab. 2001; 45(Suppl. 1): 480–1.Google Scholar
43Nathan, I, Hackett, AF, Kirby, S. The dietary intake of a group of vegetarian children aged 7–11 years compared with matched omnivores. Br. J. Nutr. 1996; 75(4): 533–44.Google Scholar
44Nelson, M, Bakaliou, F, Trivedi, A. Iron-deficiency anaemia and physical performance in adolescent girls from different ethnic backgrounds. Br. J. Nutr. 1994; 72(3): 427–33.Google Scholar
45Alexander, D, Ball, MJ, Mann, J. Nutrient intake and haematological status of vegetarians and age–sex matched omnivores. Eur. J. Clin. Nutr. 1994; 48: 538–46.Google Scholar
46Food Standards Agency. Second Consumer Attitudes Survey [online]. Available at http://www.foodstandards.gov.uk/yourviews/surveys/foodsafety-nutrition-diet/47020, 2002.Google Scholar