Iron: Clinical Evidence & Substantiation Summary
What Is Iron?
Iron is an essential mineral required for oxygen transport, energy metabolism, and DNA synthesis. Iron deficiency is the most common nutritional deficiency worldwide, affecting an estimated 2 billion people. Supplementation is particularly important for premenopausal women, athletes, and vegetarians.
Mechanism of action: Iron is a critical component of hemoglobin (oxygen transport in red blood cells) and myoglobin (oxygen storage in muscles). It serves as a cofactor for cytochrome enzymes in the electron transport chain (ATP production) and is essential for DNA synthesis via ribonucleotide reductase.
Clinical Evidence Summary
Below are 5 key clinical studies on Iron. Nutra Comp analyses 112+ studies in its full clinical evidence report.
Iron supplementation for unexplained fatigue in non-anaemic women
Population: 8 RCTs, 1,170 women
Key finding: Iron supplementation significantly reduced fatigue in non-anaemic iron-deficient women (SMD -0.38, p<0.001).
Iron supplementation and athletic performance
Population: 22 RCTs
Key finding: Iron supplementation improved aerobic capacity (VO2max) in iron-deficient athletes, with greater effects in those with ferritin <20 μg/L.
The effect of iron on cognitive function
Population: 14 RCTs
Key finding: Iron supplementation improved attention and concentration in iron-deficient women and children (p<0.05).
Comparative bioavailability of iron supplements
Population: 48 iron-deficient women
Key finding: Ferrous bisglycinate showed 3.4× greater bioavailability than ferrous sulfate with significantly fewer GI side effects (p<0.01).
Iron and immune function: a systematic review
Population: 19 studies
Key finding: Iron status significantly influenced immune cell function, with deficiency impairing T-cell and neutrophil activity.
Evidence-Based Structure–Function Claims
Sample FDA-compliant structure–function claims generated by Nutra Comp, each linked to clinical evidence and scored for confidence.
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Key Terms
Frequently Asked Questions
Is iron FDA approved?
Iron is an essential mineral sold as a dietary supplement. The FDA has established a Daily Value of 18 mg for adults. Iron supplements do not require FDA drug approval.
What are the most studied benefits of iron?
The strongest evidence supports iron for reducing fatigue in iron-deficient individuals, supporting oxygen transport, improving athletic performance in deficient athletes, and supporting cognitive function.
What dosage of iron is used in clinical studies?
Dosage depends on iron status. For deficiency correction: 30–65 mg/day elemental iron. For maintenance: 18 mg/day. Ferrous bisglycinate offers better absorption at lower doses with fewer GI side effects.
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