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| Name | Class |
|---|---|
| University of Malawi | OTHER |
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To combat iron deficiency in Low and Middle-Income Countries, sustainable food-based solutions have to be implemented to serve populations, not only individuals. One solution is the introduction of iron biofortified staple crops on market level. Before market level introduction, the bioavailability of iron in the new biofortified Orange Fleshed Sweet Potato (OFSP) breed needs to be assessed. In this study the investigator compares the fractional and total iron absorption after extrinsic stable isotope labelling of the new biofortified high iron OFSP variety and a normal market level OFSP variety. The study is conducted in Malawian women of reproductive age with marginal iron status.
The 25 women enrolled will consume test meals consisting of 400g steamed and mashed high iron sweet potatoes labelled with Fe-58 daily for a period of 10 days and will then switch to the test meals consisting of 400g steamed and mashed control sweet potatoes labelled with Fe-57 for a period of 10 days. The order of test meal type is random. A baseline blood sample will be taken on the first meal feeding day prior to consumption of any test meals, on study day 26 (14 days after completion of the first test meal period) and on Day 40 (14 days after completion of the second test meal period). Erythrocyte incorporation of the stable isotope labels will be measured in these blood samples using an ICPMS and will be used to calculate fractional and total iron absorption from the two different type of test meals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Orange Fleshed Sweet Potato High Iron | Experimental | Meal sequence B, OFSP High Fe |
|
| Orange Fleshed Sweet Potato Control | Active Comparator | Meal sequence A, OFSP control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High Fe OFSP meal labelled with Fe-58 | Other | 400 gram steamed, mashed OFSP high Fe with 0.33 mg FeSO4-58 daily for 10 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fractional iron absorption from both Orange Fleshed Sweet Potato varieties | Proportion of stable isotope administered with test meals that has been incorporate into erythrocytes 14 days after completion of specific test meal feeding period | Measured 2 weeks after completion of feeding day sequence. Sequence consist of 2 times 10 feeding days. |
| Total iron absorption from both Orange Fleshed Sweet Potato varieties | Amount of iron absorbed (mg) from the labelled test meals | Measured 2 weeks after completion of feeding day sequence. Sequence consist of 2 times 10 feeding days. |
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of plasma ferritin level | Iron status marker | screening (-1), baseline (day 1), last test meal consumption (day 26) and 14 days after last test meal consumption (day 40) |
| Concentration of plasma CRP level |
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Inclusion Criteria:
Exclusion Criteria:
Based on health passport or birth certificate.
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| Name | Affiliation | Role |
|---|---|---|
| Michael Zimmermann, Prof. | Swiss Federal Institute of Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Training and Research Unit of Excellence, University of Malawi | Zomba | Malawi | ||||
| Swiss Federal Institute of Technology, Laboratory of Human Nutrition |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33188398 | Derived | Jongstra R, Mwangi MN, Burgos G, Zeder C, Low JW, Mzembe G, Liria R, Penny M, Andrade MI, Fairweather-Tait S, Zum Felde T, Campos H, Phiri KS, Zimmermann MB, Wegmuller R. Iron Absorption from Iron-Biofortified Sweetpotato Is Higher Than Regular Sweetpotato in Malawian Women while Iron Absorption from Regular and Iron-Biofortified Potatoes Is High in Peruvian Women. J Nutr. 2020 Dec 10;150(12):3094-3102. doi: 10.1093/jn/nxaa267. |
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| ID | Term |
|---|---|
| D018798 | Anemia, Iron-Deficiency |
| ID | Term |
|---|---|
| D000747 | Anemia, Hypochromic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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Each woman consumes both Orange Fleshed Sweet Potato varieties
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Participant is blinded, meal option A --> B or B --> A based on investigator randomisation.
| Control OFSP meal labelled with Fe-57 | Other | 400 gram steamed, mashed OFSP control with 0.33 mg FeSO5-57 daily for 10 days |
|
Inflammation status marker
| screening (-1), baseline (day 1), last test meal consumption (day 26) and 14 days after last test meal consumption (day 40) |
| Zurich |
| Canton of Zurich |
| 8092 |
| Switzerland |
| D000090463 |
| Iron Deficiencies |
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |