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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Blood donation, body iron status and carotid intima-media thickness
Mariëlle F Engberink1, Johanna M Geleijnse, Jane Durga
1Wageningen University, Division of Human Nutrition, Wageningen, The Netherlands. marielle.engberink@wur.nl
Insights
Frequent blood donation lowers iron levels, potentially offering protection against atherosclerosis. This study examined blood donation history, iron status, and carotid intima-media thickness in adults.
Area of Science:
- Cardiovascular Science
- Hematology
- Nutritional Science
Background:
- Iron accumulation can promote oxidative stress, leading to arterial wall damage and atherosclerosis.
- Blood donation is a potential method to reduce body iron status and mitigate cardiovascular risk.
Purpose of the Study:
- To investigate the relationship between blood donation, iron status, and atherosclerosis.
- To assess if frequent blood donation is associated with reduced intima-media thickness of the common carotid artery (CIMT).
Main Methods:
- Data on blood donation history and CIMT were collected from 819 subjects (50-70 years).
- Serum iron parameters, including non-transferrin bound iron (NTBI), were assessed.
- Serum ferritin levels and NTBI were compared across current, ex-, and never-blood donors.
Main Results:
- Current blood donors had significantly lower serum ferritin levels compared to ex-donors and never-donors.
- NTBI levels showed a statistically significant difference between groups.
- A slight, though not statistically significant, reduction in CIMT was observed in frequent blood donors.
Conclusions:
- Frequent blood donation, by lowering body iron, may offer some protection against accelerated atherosclerosis.
- Further research is needed to confirm the protective effects of blood donation on cardiovascular health.
Abstract:
Iron could promote free radical formation, which may lead to injury of the arterial wall and atherosclerosis. Blood donation may reduce cardiovascular risk by lowering body iron status. We collected data on blood donation history and intima-media thickness of the common carotid artery (CIMT) in 819 subjects (50-70 years), who were recruited from municipal and blood bank registries in The Netherlands. Serum iron parameters were assessed, including non-transferrin bound iron (NTBI) that has recently been found in conditions of iron overload. Serum ferritin was lower in current donors (n=443; 44 microg/L) than in ex-donors (n=120; 114 microg/L) and never-donors (n=256; 124 microg/L, P for trend <0.001). For NTBI, values were 2.33, 2.54, and 2.51 micromol/L, respectively (P<0.05). CIMT was slightly reduced in frequent donors (i.e., > or =49 times during life or > or =2 times per year), although not statistically significant. CIMT was not significantly related to NTBI. Frequent blood donation, resulting in lowered body iron, might give some protection against accelerated atherosclerosis.
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