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Consumption of less meat and more plant-based protein can greatly reduce the negative impact of food production on the environment. Studies show that vegan diets can decrease greenhouse gas emissions, land use, and water. However, it is important to consider the nutritional value of alternatives, as meat is a key source of nutrients like iron. Iron deficiency anemia (IDA) is estimated to be the top 5 leading causes of years lived with disability burden globally and the first cause in women. Nutritional iron deficiency anemia is often caused by low iron content and low dietary iron bioavailability. As meat, fish, and poultry are excellent sources of bioavailable iron, shifting or maintaining a predominantly plant-based diet can increase the risk of iron deficiency (ID).
Phytic acid, the main phosphorus storage compound in plants, can hinder iron absorption and other divalent minerals. Phytase is an enzyme that breaks down phytic acid, which lessens its ability to bind with minerals like iron. This enzyme is present in various plant tissues, with particularly high amounts found in wheat and rye.
There is limited clinical evidence regarding iron absorption from plant-based meat. Thus, it is important to measure iron absorption from plant-based foods before and after treatment to remove phytic acid (dephytinization).
The aim of this study is to determine the effect of phytic acid reduction on iron absorption. FIA of the soy protein concentrates meat analog with phytic acid will be compared with FIA from soy protein concentrate with dephytinization. In addition, this study will assess the FIA in a pork meat meal and will compare it to the FIA from the dephytinized meat analog.
The goal of this clinical trial is to assess the iron absorption from plant-based protein with and without the reduction of phytic acid. This study is a randomized control trial, cross-over where each participant acts as their own control.
Participants will be asked to consume test meals prepared from soy with and without dephytinization and test meals based on minced pork meat, that contains isotopic iron (57Fe and 58Fe) as ferrous sulfate. After 14 days of the test meal administration, participants will be given blood samples to access the isotopic iron enrichment in blood.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Soy protein concentrate meat analog | Experimental | Meat analog made from soy protein concentrate contains 57Fe as ferrous sulfate. All participants will consume this test meal. |
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| Soy protein concentrate meat analog without phytic acid | Experimental | Meat analog made from soy protein concentrate that was removed phytic acid (dephytinization) contains 58Fe as ferrous sulfate. All participants will consume this test meal. |
|
| minced pork meat | Experimental | A meal based on minced pork meat, containing 57Fe intrinsically, will be prepared and served to the participants. All participants will consume this test meal. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| soy protein concentrate-meat analog | Other | Baked Meat analogs-soy protein concentrate containing 57Fe as ferrous sulfate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fractional iron absorption | The fraction of absorbed iron from isotopic iron contained in the test meal. This fractional iron absorption will be measured from blood sample after 14 days from test meal administration | Baseline, 14 days after test meal administration |
| Measure | Description | Time Frame |
|---|---|---|
| Iron status | Hemoglobin (Hb), plasma ferritin (PF), and serum soluble transferrin receptor (sTfR) | Baseline, 14 days after test meal administration |
| Inflammatory status | Alpha-1-acid glycoprotein (AGP), C-reactive protein (CRP) |
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Inclusion Criteria:
Exclusion Criteria:
Women are vulnerable to developing iron deficiency. Thus, this study aims to study in female population according to sex.
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| Name | Affiliation | Role |
|---|---|---|
| Diego Moretti, Ph.D | FFHS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fernfachhochschule Schweiz (FFHS) - Campus Gleisarena | Zurich | Canton of Zurich | 8005 | Switzerland |
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| ID | Term |
|---|---|
| D000090463 | Iron Deficiencies |
| ID | Term |
|---|---|
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000080305 | Pork Meat |
| ID | Term |
|---|---|
| D000069466 | Red Meat |
| D008460 | Meat |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
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Randomized control trial, cross-over
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Test meals will be randomized and served to participants. Participants will not know or taste the differences of dephytinization in soy protein concentrate.
| soy protein concentrate-meat analog_dephytinization | Other | Baked dephytinized_Meat analogs-soy protein concentrate containing 58Fe as ferrous sulfate |
|
| pork meat | Other | Meals made with minced pork meat labelled with 57Fe. |
|
| Baseline, 14 days after test meal administration |
| D010829 |
| Physiological Phenomena |
| D019602 | Food and Beverages |