Effects of Iron Dietary Supplements to Prevent Iron Deficiency in Repeat Blood Donors

J. Lee, Jae Sook Lee, Deukim Ko, Jiyeong Seon, Jin Hyuk Yang, Jun Nyun Kim, Mi Ae Youn
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Abstract

Background: The purpose of this study was to prepare data for the prevention and management of iron deficiency by analyzing the effects of taking iron supplements provided by blood centers for repeat blood donors. Methods: The high-risk groups with a potential iron deficiency were defined as three or more whole blood donations within the previous year and were provided with iron supplements for three months. Their hemoglobin and ferritin levels were checked up once a month for six months. The effectiveness of the iron supplements was evaluated by analyzing the changes in the initial and monthly hemoglobin and ferritin results. Results: At the time of recruitments, an average 50.4% (40.8% of men and 65.3% of women, respectively) of participants had ferritin levels of less than 15 ng/mL, the World Health Organization iron deficiency standard, but after three months iron supplementation, the results decreased to 10.9% (9.0% of men and 13.8% of women). The ferritin levels increased significantly after taking iron supplements for three months and showed significant increases in both men and women, particularly after two months ( P < 0.05). Conclusion: The dietary iron supplements containing low-dose iron were effective in preventing iron deficiency in repeat blood donors by increasing the ferritin levels. (Korean J Blood Transfus 2021;32:102-111)
铁补充剂对预防重复献血者铁缺乏的作用
背景:本研究的目的是通过分析血液中心提供的铁补充剂对重复献血者的影响,为预防和管理铁缺乏准备数据。方法:将可能缺铁的高危人群定义为前一年献血3次及以上,并给予3个月补铁。他们的血红蛋白和铁蛋白水平每月检查一次,持续6个月。通过分析初始和每月血红蛋白和铁蛋白结果的变化来评估铁补充剂的有效性。结果:在招募时,平均50.4%(男性占40.8%,女性占65.3%)的参与者铁蛋白水平低于世界卫生组织缺铁标准15 ng/mL,但在补充铁三个月后,结果降至10.9%(男性占9.0%,女性占13.8%)。铁蛋白水平在服用铁补充剂3个月后显著升高,且在男性和女性中均有显著升高,尤其是在服用铁补充剂2个月后(P < 0.05)。结论:低剂量膳食补铁可通过提高铁蛋白水平预防重复献血者缺铁。(韩国输血杂志2021;32:102-111)
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