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Iron:
An A-Z guide
Introduction
to Iron
We’ve all heard
of it and we know we need it, but are we getting enough?
Iron is one of
the 16 essential elements the human body needs in order to stay happy and
healthy, but we’re not the only species that needs iron. In fact, by mass, iron
is the most common element on Earth and is essential for all living things
(Plants, animals, bacteria… you name it).
Even with iron
being so common, it is well known that iron deficiency and toxicity is still
occurring in communities all over the world. Especially in less developed
nations and especially in children. Since our bodies cannot produce iron, we
have to get it from the foods we consume. If we cannot get it from natural
foods, then supplementation can help. However, there is a ‘sweet spot’ for how
much iron a person should have per day.
Age in
Years
|
Aim for
an intake of *milligrams (mg)/day
|
Stay
below* mg/day
|
Men 19
and older
|
8
|
45
|
Women
19-50
|
18
|
45
|
Women
51 and older
|
8
|
45
|
Pregnant
women 19-50
|
27
|
45
|
Breastfeeding
women 19-50
|
9
|
45
|
*This includes sources of iron from food and supplements.
Iron
Deficiency
70% of the iron
we consume is used to carry oxygen from the lungs throughout our bodies. More
accurately, it is used to make a metalloprotein (a protein that contains a
metal) called hemoglobin, which carries oxygen in the blood. Without iron, no
hemoglobin. Without hemoglobin, there is no oxygen transporation. As you can
imagine, this can cause a lot of nasty side effects.
-Short-term Iron
Deficiency:
Dizziness
Fatigue
Low
Stamina (athletes)
Low
Immunity
Chest
Pain
Shortness
of Breath (after mild physical activities)
- Long-Term Iron
Deficiency:
-
Iron Deficiency Anemia (Lack of healthy red blood cells)
-
Pica (Craving/eating non-food items like ice or dirt)
Unfortunately,
many iron-deficient people never have symptoms or realize that they are feeling
uneasy because of an iron deficiency. As you can see, the short-term effects
are common side effects of many different sicknesses and deficiencies. It is
always a good idea to consult a medical professional if symptoms persist. After
all, Iron deficiency is the most common nutrient deficiency worldwide
(Especially for children) according to the Centers of Disease Control and
Prevention (CDC).
Iron
Toxicity
I’m sure you’ve
heard the saying ‘everything in moderation’. It goes for iron as well.
As you will see
in the list of foods below, some of them have an iron content that is higher
than the recommended daily amount. When the body receives too much iron, it
begins to store it in organs and tissues such as the heart and liver. Acute and
chronic toxicity can cause permanent damage to these areas. In children under
the age of 5, iron toxicity is the leading cause of fatal poisoning usually by
way of iron supplementation. Medical experts insist that iron supplements
should be discussed with a medical professional prior to use.
The 5 stages of
iron toxicity as described in the Merck Manual Home Edition:
·
In stage 1 (within 6 hours after the overdose), symptoms include
vomiting, vomiting blood, diarrhea, abdominal pain, irritability, and
drowsiness. If poisoning is very serious, rapid breathing, a rapid heart rate,
coma, unconsciousness, seizures, and low blood pressure may develop.
·
In stage 2 (6 to 48 hours after the overdose), the person's
condition can appear to improve.
·
In stage 3 (12 to 48 hours after the overdose), very low blood
pressure (shock), fever, bleeding, jaundice, liver failure, and seizures can
develop.
·
In stage 4 (2 to 5 days after the overdose), the liver fails,
and people may die from shock, bleeding, and blood-clotting abnormalities.
Sugar levels in the blood can decrease. Confusion and sluggishness (lethargy)
or coma may develop.
·
In stage 5 (2 to 5 weeks after the overdose), the stomach or
intestines can become blocked by scars. Scarring in either organ can cause cramping,
abdominal pain and vomiting. Severe scarring of the liver can develop later.
Lets
Get Iron Efficient!
I think we can
all agree that suffering from the pains of iron deficiency is not how we want
to spend our Saturday nights. In order to get iron efficient, we must first
understand the two types of iron found in foods. Heme and non-heme. Heme iron
is found in meat and dairy and is the most easily absorbed by the body.
Non-heme iron is found in vegetables, dried fruits, nuts, and is the type used
in iron-fortified foods like some cereals. This type of iron is more difficult
for the body to absorb.
The American
Society for Clinical Nutrition did a study in 2003 where participants were
given 25mg ascorbic acid (in the form of limeade) along with their iron rich
foods to test whether it would help with absorption. After 2 weeks, the participants
blood was taken and those who took the ascorbic acid with their meals went from
absorbing 3% of the iron in the food to absorbing 12.6% of the iron. Similar
studies where Riboflavin was used instead of vitamin C had similar effects on
the absorption of iron. It should also be noted that if you are trying to up
your iron intake then you should be careful not to eat your iron filled foods
with foods high in calcium as calcium hinders the absorption of iron. Also, the tannins in coffee and tea
decrease absorption. Wait 30 minutes before and after meals to have these
beverages.
Here is a list of the 30 most iron filled
foods:
- Heme Iron
1.
Clams, cooked: 100g / 28mg
2.
Chicken, Liver: 100g / 12.9mg
3.
Lamb, Kidneys, Braised: 100g / 12.4mg
4.
Lamb, Liver, Pan-Fried: 100g / 10.2mg
5.
Octopus, Cooked: 100g / 9.5
6.
Oyster, Pacific or Eastern, Wild, Cooked: 100g / 9.2mg
7.
Beef, Liver: 100g / 8.8mg
8.
Lamb, Liver, Braised: 100g / 8.3mg
9.
Oyster, Eastern, Breaded, Fried: 100g /7mg
10.
95% Lean, Ground Beef: 100g / 2.8mg
11.
Top Shoulder Steak, Grilled: 100g / 2.9mg
12.
Duck, Cooked: 100g / 2.7mg
13.
Pork, Shoulder (Boston Butt), Roasted: 100g / 1.4mg
- Non-heme Iron
14.
Thyme, Fresh: 100g / 17.4mg
15.
Sesame Seeds: 100g / 14.6mg
16.
Pumpkin Seeds, Dried: 100g / 8.8mg
17.
Chocolate, Dark: 100g / 8mg
18.
Chia Seeds: 100g / 7.7mg
19.
Cashews: 100g / 6.7mg
20.
Parsely, Fresh: 100g / 6.2mg
21.
Tofu: 100g / 5.4mg
22.
Soybeans, Boiled: 100g / 5.1mg
23.
French Bread, Toasted: 100g / 3.9
24.
Spinach, Boiled: 100g / 3.6mg
25.
Coconut, Toasted: 100g / 3.4mg
26.
Olives, Jumbo or small: 100g / 3.3 mg
27.
Lentils, Boiled: 100g / 3.3mg
28.
Hummus, Commercial: 100g / 2.4mg
29.
Swiss Chard, Boiled: 100g / 2.3mg
30.
Asparagus: 100g / 2.1mg
Other noteworthy
sources of non-heme iron:
1.
Thyme, Dried, Ground: 1 tbsp / 5.3mg
2.
Blackstrap Molasses, Natural: 1 tbsp / 3.5mg
3.
Thyme, Dried, Leaves: 1 tbsp / 3.3mg
4.
Tahini, Ground, Hulled Sesame Seeds: 1 tbsp / 1.3mg
5.
Pepper, Black, Ground: 1 tbsp / 0.7mg
Iron
Filled Meals
Here are 3 iron
filled, low calcium (remember calcium hinders iron absorption) meals to get you
started.
1. Spiced Carrot & Lentil Soup
Ingredients:
-
2
tsp cumin seeds
-
Pinch
chilli flakes
-
2
tbsp olive oil
-
600g
carrots, washed and coarsely grated (no need to peel)
-
140g
split red lentils
-
1L
hot vegetable stock (from cube is fine)
-
125ml
milk
-
Plain
yogurt and naan bread, to serve
Instructions:
1.
Heat a large saucepan and dry-fry the cumin seeds and chilli flakes for 1
minute or until they start to jump around the pan and release their aromas.
Scoop out about half of the seeds with a spoon and set aside. Add the oil,
carrot, lentils, stock and milk to the pan and bring to a boil. Simmer for 15
minutes until the lentils have swollen and softened.
2.
Whizz the soup with a stick blender or in a food processor until smooth (or
leave chunky if you prefer). Season to taste and finish with a dollop of yogurt
and a sprinkling of the reserved toasted spices. Serve with warmed naan breads.
**
Where’s the Iron? The iron in this dish can be found mostly in the cumin seeds
and the split red lentils!
2. Pumpkin & Spinach Salad
Ingredients:
-
600g
butternut squash, deseeded, peeled, cut into wedges
-
2
tsp olive oil
-
2
tsp honey
-
2
tsp sesame seeds
-
1
tbsp fresh lemon juice
-
1
tbsp honey, extra
-
2
tbsp extra virgin olive oil
-
2
tsp wholegrain mustard
-
150g
baby spinach leaves
-
75g
toasted pine nuts
Instructions:
1. Preheat oven to 220°C. Line a baking tray
with non-stick baking paper. Place the pumpkin in a large bowl. Drizzle with
oil and honey. Season with salt and pepper. Gently toss until the pumpkin is
well coated. Place in a single layer on the lined tray. Bake, turning once
during cooking, for 25 minutes or until golden brown. Remove from oven and
sprinkle evenly with the sesame seeds. Return to oven and bake for 5 minutes or
until the seeds are lightly toasted. Remove from oven and set aside for 30
minutes to cool.
2. Combine the lemon
juice, extra virgin olive oil, mustard and extra honey in a screw-top jar and
shake until well combined. Season with salt and pepper.
3. Place the pumpkin,
spinach and pine nuts in a large bowl. Drizzle with the dressing and gently
toss until just combined. Serve immediately.
** Where’s the iron? The
iron in this dish can be found in the toasted pine nuts, baby spinach leaves,
squash, and sesame seeds. That’s a lot of iron!
3. Garlic Chicken Livers
Ingredients:
-
½ lb chicken liver
-
1 tbsp olive oil
-
1 tsp lemon juice
-
½ tsp salt
-
3 cloves garlic
Instructions:
1. Wash, trim and dry the chicken livers
2. Dry fry, no oil, in a frying pan, for three or four minutes
until cooked through
3. Whilst still on
the cooker add the oil, lemon juice and salt to taste
4. Gently stir to mix
5. Serve immediately into a single portion dish and sprinkle
liberally with chopped garlic, the more the better.
Wheres
the iron? The iron in this dish can be found primarily in the chicken liver!