About this trial
Obese people typically have chronic low-grade inflammation. Based on short-term studies, this inflammation could affect the absorption, utilization, storage, and mobilization of iron, and individuals with inflammation might develop iron deficiency (ID) and anemia when inadequacy of iron intake is presented. The double burden of malnutrition is nowadays emerging as a major public health concern in many countries, including Thailand. Understanding the association of chronic inflammation among people with overweight or obesity (OW/OB) with long-term iron absorption and loss is important for developing appropriate policies and programs to promote iron balance and, consequently, optimal iron status and health outcomes. Since previous reports among Thai women showed a high prevalence of OW/OB and anemia, this study will be conducted to determine the long-term iron absorption and loss among OW/OB free-living women using the iron isotope dilution method.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Normal weight group
Aged 40-50 years
Normal weight (BMI 18.5-22.9 kg/m²)
Hb ≥12.0 g/dL and inflammation-adjusted SFa <50.0 µg/L
Disqualifiers
Normal weight group
Having serious medical conditions such as cancer, chronic kidney disease, chronic liver disease, or chronic heart failure
Having metabolic NCDs (e.g., diabetes, hyperlipidemia, hypertension) requiring hospitalization
Pregnant, breastfeeding, or planning pregnancy during the study
Trial population
The study population will consist of 64 women aged 40-50 years, divided into two groups: 32 participants who are overweight or obese, and 32 participants with normal weight.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Mean long-term iron absorption (Fe abs)
Calculated over the duration of the study as follows: Fe abs = k abs x Fe total Where Fe total is the total body iron at the midpoint, calculated from the linear regression of Fe total versus time across each measurement point; and k abs is the fraction of total body iron absorbed per unit of time (derived from the slope of the linear regression equation of ln 57 Fe versus time). 57 Fe isotope will be measured using Inductively Coupled Plasma Mass Spectrometry (ICP-MS).
Mean long-term iron loss (Fe loss)
Calculated in the same manner as iron absorption: Fe loss = k loss x Fe total Where k loss is the fraction of total body iron lost per unit of time.
Iron gain (Fe gain)
Calculated as net iron balance: Fe gain = Fe abs - Fe loss
Secondary outcomes
Weight (kg)
Weight will be measured in kg (to the nearest 0.1 kg) using an Inbody digital weighing scale.
Height (cm)
Height will be measured to the mearest 0.1 cm using a Harpenden stadiometer.
Body Mass Index (BMI, kg/m²)
BMI will be calculatedn body weight in kilograms divided by height in meters squared.
Body composition (fat mass)
Body composition (fat mass) will be measured using the Bioelectrical Impedance Analyzer (BIA; InBody).
Sponsors and contacts
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Mahidol University
Lead sponsor
International Atomic Energy Agency
Collaborator