A nutritional and hematological survey was conducted on 1001 females from 11 rural districts of Kumamoto Prefecture in 1969. In 1976 195 subjects from 4 of the areas were reexamined. On the basis of the results, a daily dietary recommended iron allowance was tentatively proposed for adult women.
I The results of the surveys were as follows:
1) In 1969, 36.3% of the subjects were anemic (Hb<12g/dl) if all 11 areas were considered and 33.0% if the 4 areas alone were considered. In 1976, only 18.5% were anemic.
2) In 1969, hematological findings of iron deficiency anemia-low serum iron, high total iron-binding capacity, high unsaturated iron-binding capacity-were recognized. But by 1976, these findings had almost completely disappeared.
3) Nutrient intake.
In 1969 protein and iron from animal foods were statistically low in the anemic group and correlated positively with hemoglobin levels. It is noteworthy that no significant correlation was found between total iron and hemoglobin.
All of the essential amino acid levels were statistically low in the anemic group. Lysine, Methionine Cystine and Threonine correlated positively with hemoglobin.
4) Intake from foods by food groups. Both in 1969 and 1976, a very low intake of meat was found in the anemic group.
II Evaluation of the currently recommended iron allowance for adult women in Japan and new proposals.
1) No difference in the occurrence of anemia was seen for the group receiving a total of 12mg. of iron or more and 24g. of animal protein or more which is the current daily dietary recommended iron allowance for adult women in Japan, and the group receiving less iron and protein.
2) With an increase in iron intake, anemia markedly decreases if the iron is from animal sources, indicating that iron from animal foods is superior to total iron as a parameter of the required amount.
3) In 1976, the rate of anemia decreased to 12% in the group which received 5mg. or more of iron from animal foods.
Therefore, from the standpoint of anemia alone, the necessary amount of iron from animal sources can be set at 5mg. per day. However, when taking Japanese dietary habits and expenditures for food into account, a value of 4mg. or more may be more feasible as a norm for adult women in Japan.
4) In conclusion, a dietary plan which would supply 4mg. iron from animal sources is presented.
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