Gold kiwifruit consumed with an iron-fortified breakfast cereal meal improves iron status in women with low iron stores: A 16-week randomised controlled trial
Open accessAbstract
Ascorbic acid, and more recently, the carotenoids lutein and zeaxanthin have been shown to enhance Fe absorption. However, it is not clear whether Fe status improves when foods high in ascorbic acid and carotenoids are consumed with Fe-fortified meals. The present study aimed to investigate whether consuming high v. low ascorbic acid-, lutein- and zeaxanthin-rich fruit (gold kiwifruit v. banana) with Fe-fortified breakfast cereal and milk improved Fe status in women with low Fe stores. Healthy women aged 18-44 years (n 89) with low Fe stores (serum ferritin ≤ 25 μg/l and Hb ≥ 115 g/l) were randomly stratified to receive Fe-fortified breakfast cereal (16 mg Fe as ferrous sulfate), milk and either two gold kiwifruit or one banana (164 mg v. not detectable ascorbic acid; 526 v. 22·90 μg lutein and zeaxanthin, respectively) at breakfast every day for 16 weeks. Biomarkers of Fe status and dietary intake were assessed at baseline and end in the final sample (n 69). Median serum ferritin increased significantly in the kiwifruit group (n 33) compared with the banana group (n 36), with 10·0 (25th, 75th percentiles 3·0, 17·5) v. 1·0 (25th, 75th percentiles - 2·8, 6·5) μg/l (P < 0·001). Median soluble transferrin receptor concentrations decreased significantly in the kiwifruit group compared with the banana group, with - 0·5 (25th, 75th percentiles - 0·7, - 0·1) v. 0·0 (25th, 75th percentiles - 0·3, 0·4) mg/l (P = 0·001). Consumption of an Fe-fortified breakfast cereal with kiwifruit compared with banana improved Fe status. Addition of an ascorbic acid-, lutein- and zeaxanthin-rich fruit to a breakfast cereal fortified with ferrous sulfate is a feasible approach to improve Fe status in women with low Fe stores.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Regular consumption of kiwifruit significantly increases plasma vitamin C, vitamin E, and lutein/zeaxanthin concentrations.
“Regular consumption of kiwifruit has been found to significantly (p ≤ 0.05) increase plasma vitamin C [74] vitamin E [71] and lutein/zeaxanthin concentrations [71,74].”
From Sleep and Nutrition Interactions: Implications for Athletes (2019) · cites this paper as [74]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Principles of nutritional assessment
(1990) · Choice Reviews Online · doi:10.5860/choice.27-6362 · Cited by 2,764 · see citing works
International Standards for Anthropometric Assessment (2006)
Marfell-Jones, M., Olds, T., Stewart, A. D., & Carter, L. (2006) · VUBIR (Vrije Universiteit Brussel) · Cited by 2,608 · see citing works
Principles Of Nutritional Assessment
Gibson, R. S. (2005) · doi:10.1093/oso/9780195171693.001.0001 · Cited by 1,887 · see citing works
Serum transferrin receptor: a quantitative measure of tissue iron deficiency
SKIKNE, B. S., Flowers, C., & Cook, J. (1990) · Blood · doi:10.1182/blood.v75.9.1870.1870 · Cited by 723 · see citing works
Iron absorption in man: ascorbic acid and dose-dependent inhibition by phytate
Hallberg, L., Brune, M. L., & ROSSANDER, L. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/49.1.140 · Cited by 630 · see citing works
Calcium: effect of different amounts on nonheme- and heme-iron absorption in humans
Hallberg, L., Brune, M. L., Erlandsson, M., Sandberg, A., & Rossander-Hultén, L. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/53.1.112 · Cited by 455 · see citing works
Diagnosis and Management of Iron-Deficiency Anaemia
COOK, J. (2005) · Best Practice & Research Clinical Haematology · doi:10.1016/j.beha.2004.08.022 · Cited by 452 · see citing works
Soy protein, phytate, and iron absorption in humans
Hurrell, R. F., Juillerat, M., Reddy, M., Lynch, S., Dassenko, S., & Cook, J. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/56.3.573 · Cited by 425 · see citing works
Fortification: Overcoming Technical and Practical Barriers
Hurrell, R. F. (2002) · Journal of Nutrition · doi:10.1093/jn/132.4.806s · Cited by 384 · see citing works
Preventing Iron Deficiency Through Food Fortification
Hurrell, R. F. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1997.tb01608.x · Cited by 362 · see citing works
Determinants of compliance with iron supplementation: Supplies, side effects, or psychology?
Galloway, R., & McGuire, J. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90135-x · Cited by 277 · see citing works
Effect of ascorbic acid intake on nonheme-iron absorption from a complete diet
Cook, J. D., & Reddy, M. B. (2001) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/73.1.93 · Cited by 258 · see citing works
Vitamin C, the common cold, and iron absorption
Cook, J. D., & Monsen, E. R. (1977) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/30.2.235 · Cited by 250 · see citing works
Baynes, R. D. (1996) · Clinical Biochemistry · doi:10.1016/0009-9120(96)00010-k · Cited by 215 · see citing works
Hallberg, L., Brune, M. L., & ROSSANDER, L. (1986) · PubMed · Cited by 198 · see citing works
Estimation of nonheme-iron bioavailability from meal composition
Reddy, M. B., Hurrell, R. F., & Cook, J. D. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.4.937 · Cited by 192 · see citing works
The effects of fruit juices and fruits on the absorption of iron from a rice meal
Ballot, D. E., Baynes, R. D., Bothwell, T. H., Gillooly, M., Macfarlane, J., MacPhail, A. P., Lyons, G., Derman, D. P., Bezwoda, W. R., Torrance, J. D., et al. (1987) · British Journal Of Nutrition · doi:10.1079/bjn19870041 · Cited by 157 · see citing works
Iron Nutrition in Health and Disease
Beard, J. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.5.1297 · Cited by 156 · see citing works
The effect of high ascorbic acid supplementation on body iron stores
Cook, J., Watson, S., Simpson, K., Lipschitz, D., & SKIKNE, B. S. (1984) · Blood · doi:10.1182/blood.v64.3.721.721 · Cited by 135 · see citing works
Effect of calcium supplementation on daily nonheme-iron absorption and long-term iron status
Minihane, A. M., & Fairweather‐Tait, S. J. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.1.96 · Cited by 131 · see citing works
Iron Nutrition in Health And Disease
Hallberg, L., & Nestor, J. G. (1996) · Cited by 129 · see citing works
Enhancing the Absorption of Fortification Iron
Hurrell, Lynch, Bothwell, et al. (2004) · International Journal for Vitamin and Nutrition Research · doi:10.1024/0300-9831.74.6.387 · Cited by 125 · see citing works
The influence of different cereal grains on iron absorption from infant cereal foods
Cook, J., Reddy, M., Burri, J., et al. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.4.964 · Cited by 124 · see citing works
Effect of ascorbic acid on apparent iron absorption by women with low iron stores
Hunt, J., Gallagher, S., & Johnson, L. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.6.1381 · Cited by 111 · see citing works
Effect of a mild infection on serum ferritin concentration—clinical and epidemiological implications
Hulthén, L., Lindstedt, G., Lundberg, P., & Hallberg, L. (1998) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600573 · Cited by 95 · see citing works
Zimmermann, M. B., Winichagoon, P., Gowachirapant, S., et al. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.6.1276 · Cited by 89 · see citing works
Heath, A. M., Skeaff, C. M., Williams, S., et al. (2001) · Public Health Nutrition · doi:10.1079/phn200054 · Cited by 80 · see citing works
Can Dietary Treatment of Non-Anemic Iron Deficiency Improve Iron Status?
Heath, A. M., Skeaff, C. M., O’Brien, S. M., Williams, S., & Gibson, R. S. (2001) · Journal of the American College of Nutrition · doi:10.1080/07315724.2001.10719056 · Cited by 72 · see citing works
No enhancing effect of vitamin A on iron absorption in humans
Walczyk, T., Davidsson, L., Rossander-Hulthén, L., Hallberg, L., & Hurrell, R. F. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.1.144 · Cited by 69 · see citing works
Ascorbic acid: effect on ongoing iron absorption and status in iron-depleted young women
Hunt, J., Mullen, L., Lykken, G., et al. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.4.649 · Cited by 68 · see citing works
Taylor, P., Martínez-Torres, C., Leets, I., et al. (1988) · Journal of Nutrition · doi:10.1093/jn/118.9.1110 · Cited by 67 · see citing works
Carotenoids increase iron absorption from cereal-based food in the human
Garcia‐Casal, M. N. (2006) · Nutrition Research · doi:10.1016/j.nutres.2006.06.015 · Cited by 66 · see citing works
Díaz, M., Rosado, J. L., Allen, L. H., Abrams, S. A., & García, O. P. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.3.436 · Cited by 64 · see citing works
Hanson, L. N., Engelman, H. M., Alekel, D. L., Schalinske, K. L., Kohut, M. L., & Reddy, M. B. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/84.4.774 · Cited by 63 · see citing works
García, O. P., Díaz, M., Rosado, J. L., et al. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.2.267 · Cited by 52 · see citing works
Calcium supplementation and iron status of females
Bendich, A. (2001) · Nutrition · doi:10.1016/s0899-9007(00)00482-2 · Cited by 44 · see citing works
Kristensen, M. B., Tetens, I., Jørgensen, A. B. A., Thomsen, A. D., Milman, N. T., Hels, O. H., Sandström, B., & Hansen, M. (2004) · European Journal of Nutrition · doi:10.1007/s00394-004-0529-4 · Cited by 38 · see citing works
Heath, A., Skeaff, C. M., & Gibson, R. S. (1999) · Journal of Trace Elements in Medicine and Biology · doi:10.1016/s0946-672x(99)80063-7 · Cited by 18 · see citing works
Beck, K. L., Conlon, C. A., Kruger, R., et al. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-36 · Cited by 11 · see citing works
Self-citationImpact of tofu or tofu + orange juice on hematological indices of lacto-ovo vegetarian females
Kandiah, J. (2002) · Plant Foods for Human Nutrition · doi:10.1023/a:1015225202781 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Food and Agriculture Organization and World Health Organization (2002) Iron. In Human Vitamin and Mineral Requirements: Report of a Joint FAO/WHO Expert Consultation, Bangkok, Thailand, pp. 195-221. Rome: FAO.
- Fairweather-Tait SJ (1995) Iron absorption. In Iron: Nutritional and Physiological Significance, pp. 3-12 [British Nutrition Foundation, editor]. London: Chapman and Hall.
- Teucher B, Olivares M & Cori H (editors) (2003) Enhancers of Iron Absorption: Ascorbic Acid and Other Organic Acids. Sustain Workshop on Innovative Ingredient Technologies to Enhance Iron Absorption Mar 09 -12. Washington, DC: Verlag Hans Huber.
Cited by
Sorted by citations
Sleep and Nutrition Interactions: Implications for Athletes
Doherty, R., Madigan, S., Warrington, G., & Ellis, J. (2019) · Nutrients · doi:10.3390/nu11040822 · Cited by 186 · see citing works
“05) increase plasma vitamin C [74] vitamin E [71] and lutein/zeaxanthin concentrations [71,74].”
BackgroundSynthetic or food-derived vitamin C—Are they equally bioavailable?
Carr, A., & Vissers, M. (2013) · Nutrients · doi:10.3390/nu5114284 · Cited by 137 · see citing works
- Authors
- Beck, K., Conlon, C. A., Kruger, R., Coad, J., & Stonehouse, W.
- Affiliations
- Massey University (NZ)
- Corresponding author
- Beck, Kathryn
- Venue
- British Journal Of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-08-23
- Volume
- 105
- Issue
- 1
- Pages
- 101-109
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2106625771
- Cited by
- 72
- References
- 40
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 9 · 2021: 3 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 4 · 2015: 4 · 2014: 3 · 2013: 8 · 2012: 5
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion)
- Funders
- New Horizons for Women Trust
- Massey University
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food and Agricultural Sciences
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Plant Micronutrient Interactions and Effects
- Keywords
- gold kiwifruit, iron status, iron fortification, breakfast cereals, vitamin C, lutein, zeaxanthin, serum ferritin, soluble transferrin receptor, ferrous sulfate, banana, dietary iron bioavailability, iron deficiency, iron status biomarkers
- MeSH terms
- Adult, Antioxidants, Ascorbic Acid, Carotenoids, Edible Grain, Female, Ferritins, Ferrous Compounds, Food, Fortified, Fruit, Humans, Phytotherapy, Plant Extracts, Receptors, Transferrin, Biomarkers, Anemia, Iron-Deficiency, Iron, Dietary, Musa, Actinidia, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review