Nutrient Information: 铁 Iron, Fe

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Nutrient Key Information 
Nutrient Name: 铁 Iron, Fe
Nutrient Category: 矿物质 (Minerals)
Measuring Unit: mg
Nutrient Summary: 铁是血红蛋白的重要组成部分,可将氧气从肺部输送到全身组织。您应该摄入足够量的铁以增强红血细胞的形成能力。
Nutrient Function: 铁是多种蛋白质的重要组成部分:血红蛋白hemoglobin、肌红蛋白myoglobin和细胞色素cytochromes。 它主要的作用是在血液和肌肉中输送氧气。
• 制造红细胞中的血红蛋白hemoglobin,将氧气从肺部输送到全身组织进行新陈代谢。
• 制造肌红蛋白myoglobin为肌肉提供氧气。
• 骨髓中红细胞生成所必需的。

它还在体内发挥其他作用:
• 对于激活某些酶和制造氨基酸、胶原蛋白、神经递质和激素必不可少
• 能量营养素代谢以产生能量所必需的
• 帮助成长和发育
• 通过促进免疫细胞增殖和成熟,来提高免疫功能
• 有助于伤口愈合

备注:
• 体内约2/3的铁存在于血红蛋白中,它参与将氧气从肺输送到全身组织进行新陈代谢。
• 体内约25%的铁以铁蛋白ferritin形式存在于可移动的铁库中,它储存在肝脏、脾脏和骨髓中。
• 体内约15%的铁存在于肌肉组织的肌红蛋白中。

Iron Rich Foods
 


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Food Sources

血红素铁 Heme iron (具有相对高的吸收率 ~25%):
• 内脏(如肝脏)
• 瘦肉
• 海鲜(例如金枪鱼、沙丁鱼、黑线鳕、虾、牡蛎、蛤蜊)
• 家禽肉
• 蛋

非血红素铁 Nonheme iron (具有相对低的吸收率 ~16.8%):
• 豆类(例如芸豆 kidney beans、斑豆 pinto beans)、小扁豆(lentils)和豌豆
• 豆制品(例如豆腐)
• 坚果(例如腰果cashews、坚果almonds)和瓜子(例如南瓜子)
• 绿色蔬菜(例如菠菜、羽衣甘蓝kale、西兰花broccoli、甘蓝菜collard greens)
• 铁强化早餐麦片和面包,以及全谷物
• 水干果(例如葡萄干和梅干)
• 蛋
• 肉、海鲜、家禽肉

对于纯素饮食者,铁的主要食物来源如下:
• 强化早餐麦片、强化谷物和全谷物
• 豆类,例如黑眼豆black eye pea、芸豆kidney beans、斑豆pinto beans、扁豆lentils
• 深绿色叶类蔬菜,例如菠菜、萝卜青菜turnip greens
• 干果,例如杏、李子、葡萄干
由于蔬菜的铁生物利用度较低,素食者需要摄入更多的铁质食物。

促进非血红素铁Nonheme iron 吸收的因素包括:
• 维生素C抗坏血酸
• 瘦肉、鱼、家禽肉
• 酸(柠檬酸和乳酸)
• 糖类(果糖)

抑制非血红素铁吸收的因素包括:
- 植酸盐Phytate:存在于食物如大豆、黑豆、扁豆、绿豆、豌豆、未精制的大米和谷物。
• 多酚类Polyphenols: 存在于食物如茶、多种谷物制品和红酒。
• 钙抑制铁的吸收,尤其是存在于植物中的非血红素。。
• 乳制品(如牛奶)会降低铁的吸收率。富含铁的食物或补充剂与乳制品的食用时间要间隔1小时左右。

阅读以下文章了解更多有关血红素铁heme iron与非血红素铁nonheme iron:
Heme, an Essential Nutrient from Dietary Proteins, Critically Impacts Diverse Physiological and Pathological Processes

Example Foods High in: 铁 Iron, Fe
View Additional Food Sources
Food Description Nutrient Amount1 Daily Value%2
Pork, fresh, variety meats and by-products, liver, cooked, braised
Category: 猪肉食品
17.92 mg 99.56%
Chocolate, dark, 70-85% cacao solids
Category: 甜食
11.9 mg 66.11%
Mollusks, oyster, eastern, wild, cooked, moist heat
Category: 鱼类和贝类产品
9.21 mg 51.17%
Seeds, pumpkin and squash seed kernels, roasted, without salt
Category: 坚果和种子食品
8.07 mg 44.83%
Beef, plate steak, boneless, outside skirt, separable lean and fat, trimmed to 0" fat, all grades, cooked, grilled
Category: 牛肉食品
5.09 mg 28.28%
Spinach, cooked, boiled, drained, without salt
Category: 蔬菜及蔬菜制品
3.57 mg 19.83%
Beans, kidney, all types, mature seeds, cooked, boiled, without salt
Category: 豆类和豆类产品
2.22 mg 12.33%
1 Nutrient amount is in 100 gram food
2 Use FDA 2000 calorie diet as Daily Value reference



Additional Nutrient Information
Nutrient Summary 铁是血红蛋白的重要组成部分,可将氧气从肺部输送到全身组织。您应该摄入足够量的铁以增强红血细胞的形成能力。
Deficiency Health Effects 在世界范围内,缺铁是最常见的营养缺乏症之一。 主要受影响的是儿童和育龄女性。 以下是一些缺铁的影响和症状:
• 缺铁性贫血,由于铁储备严重消耗而导致的血红蛋白hemoglobin浓度低
• 体力劳动能力下降
• 认知功能受损
• 免疫反应能力降低
• 婴儿心理活动和发育迟缓

缺铁检测阶段:
• 第1阶段:测量血液中的血清蛋白铁蛋白 serum protein ferritin,它反映了铁储存状态。 越少越坏。
• 第2阶段:测量血液中转运铁的血清蛋白转铁蛋白 serum protein transferrin。 转铁蛋白transferrin越多,血清铁蛋白ferritin越少,情况越差。
• 第3阶段:铁的缺乏开始限制红细胞血红蛋白hemoglobin的生成。 这是通过测量血红蛋白hemoglobin和血细胞比容hematocrit量来检测的。 越少越坏。

备注:
1)缺铁性贫血会影响有氧运动的表现,例如长跑,因为有氧运动需要红血细胞中的血红蛋白将氧气输送到身体细胞进行能量代谢。为了预防缺铁,身体活跃的人,尤其是运动员,需要在每餐中摄入富含铁和维生素 C 的优质食物。
Effects if Above Upper Limit 过多的铁可能由以下原因引起:
• 大剂量铁补充剂。
• 血色素沉着症hemochromatosis disorder。它导致身体从食物中吸收过多的铁(超过我们身体所需的铁)。
• 过量饮酒会损害小肠并增加血色素沉着症hemochromatosis的风险。
• 反复输血。因为它绕过了肠道对铁吸收的防御。

过量的铁积聚在肝脏、心脏、关节和其他组织中。铁过量可能会导致以下症状和健康问题:
• 过量的游离铁会成为自由基 free radical,它们会攻击细胞脂质、DNA 和蛋白质。 身体试图产生称为含铁血黄素hemosiderin的储存蛋白以避免游离铁。含铁血黄素hemosiderin是除常规储铁铁蛋白ferritin之外的铁蛋白。
• 胃肠道不适,如便秘和恶心
• 急性中毒伴有呕吐和腹泻
• 高剂量的铁可能会降低锌zinc的吸收
• 未治疗的铁超载可能导致肝硬化、肝癌、心脏衰竭和关节炎。
External References
Additional Information 铁是一种微量矿物质 trace mineral (也称为 micromineral),这是指人体需要的量相对较少(每天少于 100 毫克)。


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Daily Value Age Group Recommended Daily Values Daily Value Upper Limits
Toddler 1 to 3 years old: 7 mg 40 mg
Child 4 to 8 years old: 10 mg 40 mg
Male 9 to 13 years old: 8 mg 40 mg
Male 14 to 18 years old: 11 mg 45 mg
Male 19 to 30 years old: 8 mg 45 mg
Male 31 to 50 years old: 8 mg 45 mg
Male 51 to 70 years old: 8 mg 45 mg
Male Senior 71 or older: 8 mg 45 mg
Female 9 to 13 years old: 8 mg 40 mg
Female 14 to 18 years old: 15 mg 45 mg
Female 19 to 30 years old: 18 mg 45 mg
Female 31 to 50 years old: 18 mg 45 mg
Female 51 to 70 years old: 8 mg 45 mg
Female Senior 71 or older: 8 mg 45 mg
Female Pregnancy (>18): 27 mg 45 mg
Female Lactation (>18): 9 mg 45 mg
FDA (Based on 2000 calorie daily diet): 18 mg


铁 Iron, Fe Interactions With Other Nutrients 
维生素 C 总抗坏血酸 (Vitamin C, total ascorbic acid)
Vitamin C enhances nonheme iron absorption

Vitamin C helps convert ferric iron (Fe3+) found in plant-based foods into ferrous iron (Fe2+). Ferrous iron is more soluble and easier for the body to absorb in the small intestine. So including vitamin C-rich foods or beverages in the meals containing iron-rich plant foods can significantly improve iron absorption.


锰 Manganese, Mn
Iron intake and iron store status in the body have an inverse relationship with manganese absorption

Both iron and manganese use and compete Divalent Metal Transporter 1 (DMT1) for uptake them into intestinal cells. Iron supplements can inhibit manganese absorption more significantly than dietary iron because supplements provide a concentrated source of iron.

The body's iron stores influence the expression of DMT1. When iron stores are low (iron deficiency), the body upregulates DMT1 to increase iron, as well as manganese, absorption. Conversely, when iron stores are high, DMT1 expression is downregulated, which can reduce the absorption of both iron and manganese.

锌 Zinc, Zn
Iron and zinc supplements may decrease each other's absorption

Iron and zinc share a common absorption pathway in the intestines, high concentration of one mineral can potentially inhibit the absorption of the other due to competition for this transporter. In addition, iron supplements can form insoluble complexes with zinc in the gastrointestinal tract, that reduce the availability of zinc for absorption.


When taking high bioavailability Ferrous Sulfate iron supplement, especially without food, the impact to the zinc absorption is more pronounced. The higher the iron supplement dosage, the severe the zinc absorption reduction. It is true vice versa.


Recommend to separate the intake of iron and zinc supplements by a few hours to reduce direct competition for absorption. It is better to obtain heme iron from animal products which is less likely to interfere with zinc absorption, and also make sure to get sufficient zinc from food sources such as meat, shellfish, seeds, nuts, cheese, and whole grains.

References: Iron and Zinc Homeostasis and Interactions: Does Enteric Zinc Excretion Cross-Talk with Intestinal Iron Absorption?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722515
钙 Calcium, Ca
Calcium can inhibit the absorption of iron

Several studies have shown that calcium, whether from food or supplements, can reduce the absorption of non-heme iron (found in plant-based foods) when they are consumed simultaneously. The calcium-iron complexes that form in the intestine reduce the amount of iron that can be absorbed. However, this inhibitory effect is temporary.

To optimize iron absorption, it is better to consume calcium-rich foods or supplements at different times than iron-rich meals, especially meals containing iron-rich vegetables.


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Dietary Reference Intakes The nutrient Dietary Reference Intakes and nutrition facts is from Institute of Medicine of National Academies 2006. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: The National Academies Press. https://doi.org/10.17226/11537
US FDA Nutrition Education Nutrition facts knowledge are based on U.S. FOOD & DRUG Administration Nutrition Education Resources & Materials. https://www.accessdata.fda.gov/scripts/interactivenutritionfactslabel/
National Institutes of Health Nutrition facts knowledge are based on National Institutes of Health Dietary Supplement Fact Sheets. https://ods.od.nih.gov/factsheets/list-all
Disclaimer The nutrient information provided here should not take the place of medical advice. We encourage you to talk to your healthcare providers (such as your doctor) about your dietary requirements which are best for your overall health. We also recommend you to read organization or professional reference documents or articles mentioned, but not limited to, in this page. Any mentions and reference links in this page don't represent our endorsement of their services and advice.


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