Cited by 490Phytochemicals and Antioxidant ActivitiesIron Metabolism and DisordersCoffee research and impacts

Inhibition of non-haem iron absorption in man by polyphenolic-containing beverages

Open access
Hurrell, Richard F., Reddy, Manju, Cook, James D.·1999·British Journal of Nutrition

Abstract

The effects of different polyphenol-containing beverages on Fe absorption from a bread meal were estimated in adult human subjects from the erythrocyte incorporation of radio-Fe. The test beverages contained different polyphenol structures and were rich in either phenolic acids (chlorogenic acid in coffee), monomeric flavonoids (herb teas, camomile ( Matricaria recutita L.)), vervain ( Verbena officinalis L.), lime flower ( Tilia cordata Mill.), pennyroyal ( Mentha pulegium L.) and peppermint ( Mentha piperita L.), or complex polyphenol polymerization products (black tea and cocoa). All beverages were potent inhibitors of Fe absorption and reduced absorption in a dose-dependent fashion depending on the content of total polyphenols. Compared with a water control meal, beverages containing 20–50 mg total polyphenols/serving reduced Fe absorption from the bread meal by 50–70 %, whereas beverages containing 100–400 mg total polyphenols/serving reduced Fe absorption by 60–90 %. Inhibition by black tea was 79–94 %, peppermint tea 84 %, pennyroyal 73 %, cocoa 71 %, vervain 59 %, lime flower 52 % and camomile 47 %. At an identical concentration of total polyphenols, black tea was more inhibitory than cocoa, and more inhibitory than herb teas camomile, vervain, lime flower and pennyroyal, but was of equal inhibition to peppermint tea. Adding milk to coffee and tea had little or no influence on their inhibitory nature. Our findings demonstrate that herb teas, as well as black tea, coffee and cocoa can be potent inhibitors of Fe absorption. This property should be considered when giving dietary advice in relation to Fe nutrition.

AI snapshot

Written from the paper’s full text.

TL;DR

In adult volunteers, polyphenol-containing beverages—black tea, herb teas, coffee and cocoa—strongly inhibited non-haem iron absorption from a bread meal in a dose-dependent manner. Black tea was generally most inhibitory, and adding milk had little or no effect.

Key findings

  • All test beverages inhibited Fe absorption dose-dependently: beverages with 20–50 mg total polyphenols/serving reduced absorption by 50–70%, while those with 100–400 mg/serving reduced absorption by 60–90%.
  • Compared with water control meals, absorption ratios were black tea 0.06–0.21, peppermint 0.16, pennyroyal 0.27, cocoa 0.29, vervain 0.41, lime flower 0.48 and camomile 0.53; corresponding inhibition was black tea 79–94%, peppermint 84%, pennyroyal 73%, cocoa 71%, vervain 59%, lime flower 52% and camomile 47%.
  • At identical total polyphenol concentrations, black tea was more inhibitory than cocoa and the herb teas camomile, vervain, lime flower and pennyroyal, but equal to peppermint tea. Even 5% black tea, containing only 20 mg polyphenol/serving, reduced Fe absorption by almost 70% (absorption ratio 0.34).
  • Adding milk had little or no influence: milk slightly increased Fe absorption from tea (0.71% to 0.96%; ratio 1.36, P<0.05) but had no effect on coffee (ratio 1.04, P>0.05). Coffee was less inhibitory than tea (2.81% vs 0.71% in study 6).

Methods

  • Eight separate Fe absorption studies were performed in 77 volunteers (23 males, 54 females, aged 19–40 years), with 8–10 subjects per study; all were healthy and non-anaemic, serum ferritin ranged from 9 to 193 g/l, and five female subjects were Fe-deficient (serum ferritin ≤12 g/l).
  • Fe absorption was measured by the extrinsic tag radio-Fe technique using 55Fe and 59Fe, with test meals of Fe-fortified bread rolls plus beverages or water, and absorption estimated from erythrocyte incorporation at 2 weeks; four measurements were made per subject.
  • Total polyphenols in tea, herb teas and cocoa were measured by the Folin-Ciocalteau method with catechin as standard; coffee was analysed for chlorogenic acid by the AOAC method; Fe was determined by atomic absorption spectroscopy. Statistical analysis used log-transformed absorption values and paired tests.

Limitations

  • The authors state that their studies used a simple bread meal and may not extrapolate directly to more complex meals containing a wider range of Fe absorption inhibitors and enhancers; they also note that different herb tea concentrations contained different polyphenol types, which may explain the less clear polyphenol–absorption relationship for herb teas.
  • The authors state that the important public-health question is whether regular consumption affects Fe status, but their single-meal studies cannot resolve this, and population evidence is mixed.
  • Evident from the text: the findings are short-term absorption measurements rather than clinical iron-status outcomes, each study had only 8–10 subjects, and the wide serum ferritin range with five Fe-deficient women may influence absorption responses.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1017/s0007114599000537

Cites

61 of 61 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

6 of 21 cited sources checked · 4 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    A significant negative correlation has been reported between the total polyphenol content of vegetable foods and absorption of their Fe content in man.

    “Fe absorption from other vegetables rich in polyphenols, such as spinach and aubergine, has also been observed to be low and a significant negative correlation has been reported between the total polyphenol content of vegetable foods and absorption of their Fe content in man (Gillooly et al. 1983).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Gillooly et al. 1983 source
  • Premisecitation

    A major cause of Fe deficiency is impaired absorption of non-haem Fe due to potent inhibitors such as phytic acid or polyphenol compounds in many plant foods.

    “A major cause of Fe deficiency is the impaired absorption of non-haem Fe (Charlton & Bothwell, 1983) due to the presence of potent inhibitors of absorption such as phytic acid or polyphenol compounds in many plant foods (Fairweather-Tait & Hurrell, 1996).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Charlton & Bothwell, 1983 source
    • cites Fairweather-Tait & Hurrell, 1996 source
  • Study design and conductcitation

    The added radio-Fe uniformly labels all the non-haem food Fe in the meal.

    “The added radio-Fe uniformly labels all the non-haem food Fe in the meal.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Cook et al. 1972 source

      The Introduction and Discussion (pages unavailable in our copy) say the extrinsic radioiron tag can assess absorption from a common pool of nonheme iron in a meal. They do not show that added radioiron uniformly labels all nonheme food iron; the Discussion reports that absorption of the extrinsic tag was about 10% greater than absorption of the intrinsic tag. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Findingown data

    In studies 1-3, black tea had the greatest inhibitory effect on Fe absorption.

    “In studies 1-3 (Table 2) which compared peppermint teas, cocoa and black tea, the black tea had the greatest inhibitory effect on Fe absorption.”
    Quote in the paperSubstantial claim
  • Findingown data

    Compared with a water control meal, beverages containing 20-50 mg total polyphenols/serving reduced Fe absorption from a bread meal by 50-70%.

    “Compared with a water control meal, beverages containing 20-50 mg total polyphenols/serving reduced Fe absorption from the bread meal by 50-70 %, whereas beverages containing 100-400 mg total polyphenols/serving reduced Fe absorption by 60-90 %.”
    • Also stated in: § Influence of polyphenols on iron absorption · hedged
      “Despite these differences, our results would indicate that any beverage providing 20-50 mg total polyphenols would reduce Fe absorption from a bread meal by 50-70 %, whereas beverages containing 100-400 mg total polyphenols would reduce Fe absorption by 60-90 %.”
    Quote in the paperSubstantial claim
  • May combine two claims. 9
  • Classified as probably not a substantial claim. 5
  • May combine two claims.

    Premisecitation

    Consumption of black tea and coffee has been shown to strongly inhibit Fe absorption from composite meals, with coffee having about half the inhibitory effect of tea.

    “The consumption of black tea and coffee has been shown to strongly inhibit Fe absorption from composite meals (Disler et al. 1975;Hallberg & Rossander, 1982;Morck et al. 1983), with coffee having about half the inhibitory effect of tea.”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Disler et al. 1975 source

      The Abstract and the section on non-haem food iron report that tea inhibited iron absorption from bread and a rice meal with potato and onion soup. The Discussion mentions only unpublished preliminary observations that coffee has a similar effect; it does not establish coffee’s effect on composite meals or say it is half as inhibitory as tea. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites Hallberg & Rossander, 1982
    • cites Morck et al. 1983 source
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    Fe absorption was measured using the extrinsic tag radio-Fe technique with 55Fe and 59Fe.

    “Fe absorption was measured using the extrinsic tag radio-Fe technique with 55 Fe and 59 Fe (Cook et al. 1972).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Cook et al. 1972 source
  • May combine two claims.

    Premisecitation

    Red wine and cocoa, as well as various vegetables with a high polyphenol content, have been reported to inhibit Fe absorption.

    “Other beverages such as red wine (Bezwoda et al. 1985;Cook et al. 1995) and cocoa (Gillooly et al. 1984), as well as various vegetables with a high polyphenol content (Gillooly et al. 1983;Tuntawiroon et al. 1991), have also been reported to inhibit Fe absorption.”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Bezwoda et al. 1985 source
    • cites Cook et al. 1995 source
    • cites Gillooly et al. 1984 source
  • May combine two claims.

    Findingown data

    Compared with the water control meal, the absorption ratios were peppermint 0.16, pennyroyal 0.27, cocoa 0.29, vervain 0.41, lime flower 0.48 and camomile 0.53.

    “Compared with the water control meal, the absorption ratios were: peppermint 0⋅16, pennyroyal 0⋅27, cocoa 0⋅29, vervain 0⋅41, lime flower 0⋅48 and camomile 0⋅53.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Inhibition by Assam tea, peppermint tea and cocoa in the absence of the bread roll (84-97%) is much higher than the 20-25% inhibition reported for red wine in a previous study.

    “This is much higher than the 20-25 % inhibition reported for red wine in our previous study (Cook et al. 1995) but indicates that a polyphenol-Fe complex was formed in the intestinal lumen and that Fe within the complex was unavailable for absorption.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cook et al. 1995 source
  • May combine two claims.

    Findingown data

    Polyphenols from different beverages inhibited Fe absorption in a dose-dependent fashion, and relative Fe absorption from different concentrations of polyphenols fitted best onto a potential-law curve: relative Fe absorption = 2 × (mg polyphenol/serving)^-0.5.

    “Polyphenols from the different beverages inhibited Fe absorption in a dose-dependent fashion and relative Fe absorption from different concentrations of polyphenols fitted best onto the curve following a potential law (relative Fe absorption ¼ 2 × (mg polyphenol/serving) -0⋅5 ).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    In the absence of the bread roll, Fe absorption from black tea, peppermint and cocoa was still far lower than from water alone, with absorption ratios 0.03, 0.16 and 0.06 respectively.

    “In the absence of the bread roll, Fe absorption from black tea, peppermint and cocoa was still far lower than from water alone, the absorption ratios being 0⋅03 for black tea, 0⋅16 for peppermint and 0⋅06 for cocoa (study 8).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The inhibitory phenolic compounds include phenolic acids (such as chlorogenic acid from coffee), monomeric flavonoids (such as found in herb teas), and complex polymerization products (such as found in black tea and cocoa).

    “The inhibitory phenolic compounds would appear to include phenolic acids, such as chlorogenic acid from coffee, monomeric flavonoids such as found in herb teas, and the complex polymerization products found in black tea and cocoa.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Paired tests were used to compare absorption from selected test meals within each study by determining whether the mean log absorption ratios differed significantly from zero.

    “Paired tests were used to compare absorption from selected test meals within each study by determining whether the mean log absorption ratios differed significantly from zero.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Fe was determined by atomic absorption spectroscopy after dry ashing.

    “Fe was determined by atomic absorption spectroscopy after dry ashing.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Tea-drinking by infants in Israel and coffee-drinking by pregnant women in Costa Rica have been shown to have a negative effect on Fe status.

    “Tea-drinking by infants in Israel (Merhav et al. 1985) and coffee-drinking by pregnant women in Costa Rica (Munoz et al. 1988) have been shown to have a negative effect on Fe status.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Merhav et al. 1985 source
    • cites Munoz et al. 1988 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Coffee was analysed for chlorogenic acid by the AOAC method.

    “Coffee was analysed for chlorogenic acid by the AOAC method (Association of Official Analytical Chemists, 1990).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Association of Official Analytical Chemists, 1990

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Total polyphenols were measured using the Folin-Ciocalteau method with catechin as a standard.

    “Total polyphenols were measured in the tea, herb teas and cocoa beverages using the Folin-Ciocalteau method (Singleton & Rossi, 1965) with catechin as a standard.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Singleton & Rossi, 1965 source
  • May combine two claims.

    Interpretationreasoning

    The results indicate that a polyphenol-Fe complex was formed in the intestinal lumen and that Fe within the complex was unavailable for absorption.

    “This is much higher than the 20-25 % inhibition reported for red wine in our previous study (Cook et al. 1995) but indicates that a polyphenol-Fe complex was formed in the intestinal lumen and that Fe within the complex was unavailable for absorption.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Polyphenol compounds can complex with Fe in the intestinal lumen, making Fe unavailable for absorption.
14 of 14
  • The paper relies on this without support.

    Polyphenol compounds can complex with Fe in the intestinal lumen, making Fe unavailable for absorption.

    “The phenolic compounds are released from the food or beverage during digestion, and can complex with Fe in the intestinal lumen making it unavailable for absorption.”
1 of 1

Cites

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Research works printed but not linked: 1

  1. 1989, Recommended Dietary Allowances

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Authors
Hurrell, R. F., Reddy, M., & Cook, J. D.
Affiliations
  • ETH Zurich (CH)
  • Iowa State University (US)
  • University of Kansas Medical Center (US)
Corresponding author
Hurrell, Richard F.
Venue
British Journal of Nutrition
Published
1999-04
Volume
81
Issue
4
Pages
289-295
ISSN
  • 0007-1145 (ISSN-L)
  • 1475-2662
OpenAlex
W2148247285
Cited by
490
References
60
Citations by year
2026: 23 · 2025: 15 · 2024: 17 · 2023: 16 · 2022: 19 · 2021: 23 · 2020: 20 · 2019: 19 · 2018: 18 · 2017: 20 · 2016: 16 · 2015: 22 · 2014: 22 · 2013: 35 · 2012: 21
FWCI
5.29
Type
journal article
Language
en
Open access
Locations
  • British Journal Of Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • reroDoc Digital Library (submittedVersion)
  • Repository for Publications and Research Data (ETH Zurich) (submittedVersion, other-oa)
  • Iowa State University Digital Repository (Iowa State University) (submittedVersion)
  • ETH Zürich Research Collection
Topics
  • Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Health Sciences › Medicine › Pharmacology › Coffee research and impacts
Keywords
polyphenols, iron absorption inhibition, black tea, Theobroma cacao, coffee, peppermint tea, Mentha pulegium, Verbena officinalis, chamomile, flavonoids, phenolic acids, chlorogenic acid, dietary iron, milk
MeSH terms
Adult, Animals, Beverages, Bread, Coffee, Dose-Response Relationship, Drug, Erythrocytes, Female, Humans, Intestinal Absorption, Iron, Male, Milk, Phenols, Tea

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