A small-dose iron tolerance test as an indicator of mild iron deficiency

JAMA
|April 20, 1984
PubMed

Insights

The iron tolerance test with small iron doses effectively identifies iron deficiency. Mildly deficient men showed significant plasma iron increases, unlike normal individuals, indicating high sensitivity without radioactive tracers.

Area of Science:

  • Hematology
  • Nutritional Science
  • Clinical Diagnostics

Background:

  • Iron deficiency is a global health concern.
  • Accurate assessment of iron absorption is crucial for diagnosis and treatment.
  • Traditional methods for assessing iron status can be invasive or complex.

Purpose of the Study:

  • To evaluate the efficacy of a small-dose iron tolerance test in detecting iron deficiency.
  • To compare iron absorption responses in normal versus iron-deficient individuals.
  • To establish a sensitive, non-radioactive method for assessing iron status.

Main Methods:

  • Administered small oral iron doses (5-20 mg) to participants.
  • Measured plasma iron concentration at baseline and regular intervals post-ingestion.
  • Included both normal and mildly iron-deficient adult men in the study cohort.

Main Results:

  • Individuals with normal iron stores exhibited minimal changes in plasma iron levels.
  • Mildly iron-deficient men demonstrated substantial increases in plasma iron concentration.
  • The observed plasma iron level changes were consistent and dose-dependent.

Conclusions:

  • The small-dose iron tolerance test is a sensitive indicator of iron deficiency.
  • This method offers a reliable, non-radioactive alternative for studying iron absorption.
  • The test provides a practical approach for clinical assessment of iron status.