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The effect of lactobacillus plantarum 299v on iron status and physical performance in female iron-deficient athletes : A randomized controlled trial

Axling, Ulrika LU ; Önning, Gunilla LU ; Combs, Maile A. ; Bogale, Alemtsehay ; Högström, Magnus and Svensson, Michael (2020) In Nutrients 12(5).
Abstract

Iron is an essential micronutrient for oxygen transport and mitochondrial metabolism and is critical for physical performance. Compromised iron stores are more commonly found among athletes, and females are especially at risk. Iron deficiency is generally treated using oral iron supplements. However, only a small proportion of ingested iron is absorbed, necessitating higher intakes, which may result in adverse side effects, reduced compliance, and inefficient repletion of iron stores. The probiotic strain Lactobacillus plantarum 299v (Lp299v) significantly increases intestinal iron absorption in meal studies. The present study was conducted to explore the effects of 20 mg of iron with or without Lp299v on iron status, mood state, and... (More)

Iron is an essential micronutrient for oxygen transport and mitochondrial metabolism and is critical for physical performance. Compromised iron stores are more commonly found among athletes, and females are especially at risk. Iron deficiency is generally treated using oral iron supplements. However, only a small proportion of ingested iron is absorbed, necessitating higher intakes, which may result in adverse side effects, reduced compliance, and inefficient repletion of iron stores. The probiotic strain Lactobacillus plantarum 299v (Lp299v) significantly increases intestinal iron absorption in meal studies. The present study was conducted to explore the effects of 20 mg of iron with or without Lp299v on iron status, mood state, and physical performance. Fifty-three healthy non-anemic female athletes with low iron stores (ferritin < 30 µg/L) were randomized, and 39 completed the study. Intake of Lp299v with iron for four weeks increased ferritin levels more than iron alone (13.6 vs. 8.2 µg/L), but the difference between the groups was not significant (p = 0.056). The mean reticulocyte hemoglobin content increased after intake of Lp299v compared to control (1.5 vs. 0.82 pg) after 12 weeks, but the difference between the group was not significant (p = 0.083). The Profile of Mood States (POMS) questionnaire showed increased vigor with Lp299v vs. iron alone after 12 weeks (3.5 vs. 0.1, p = 0.015). No conclusive effects on physical performance were observed. In conclusion, Lp299v, together with 20 mg of iron, could result in a more substantial and rapid improvement in iron status and improved vigor compared to 20 mg of iron alone. A larger clinical trial is needed to further explore these findings as well as the impact of Lp299v on physical performance.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Athletes, DSM 9843, Exercise, Ferritin, Iron-deficiency, Lactobacillus plantarum 299v, Physical performance, Probiotics, Vigor
in
Nutrients
volume
12
issue
5
article number
1279
publisher
MDPI AG
external identifiers
  • scopus:85084141292
  • pmid:32365981
ISSN
2072-6643
DOI
10.3390/nu12051279
language
English
LU publication?
yes
id
43789892-1afc-4c69-86d9-a8b463a4f01d
date added to LUP
2021-01-14 15:13:35
date last changed
2024-06-27 06:41:58
@article{43789892-1afc-4c69-86d9-a8b463a4f01d,
  abstract     = {{<p>Iron is an essential micronutrient for oxygen transport and mitochondrial metabolism and is critical for physical performance. Compromised iron stores are more commonly found among athletes, and females are especially at risk. Iron deficiency is generally treated using oral iron supplements. However, only a small proportion of ingested iron is absorbed, necessitating higher intakes, which may result in adverse side effects, reduced compliance, and inefficient repletion of iron stores. The probiotic strain Lactobacillus plantarum 299v (Lp299v) significantly increases intestinal iron absorption in meal studies. The present study was conducted to explore the effects of 20 mg of iron with or without Lp299v on iron status, mood state, and physical performance. Fifty-three healthy non-anemic female athletes with low iron stores (ferritin &lt; 30 µg/L) were randomized, and 39 completed the study. Intake of Lp299v with iron for four weeks increased ferritin levels more than iron alone (13.6 vs. 8.2 µg/L), but the difference between the groups was not significant (p = 0.056). The mean reticulocyte hemoglobin content increased after intake of Lp299v compared to control (1.5 vs. 0.82 pg) after 12 weeks, but the difference between the group was not significant (p = 0.083). The Profile of Mood States (POMS) questionnaire showed increased vigor with Lp299v vs. iron alone after 12 weeks (3.5 vs. 0.1, p = 0.015). No conclusive effects on physical performance were observed. In conclusion, Lp299v, together with 20 mg of iron, could result in a more substantial and rapid improvement in iron status and improved vigor compared to 20 mg of iron alone. A larger clinical trial is needed to further explore these findings as well as the impact of Lp299v on physical performance.</p>}},
  author       = {{Axling, Ulrika and Önning, Gunilla and Combs, Maile A. and Bogale, Alemtsehay and Högström, Magnus and Svensson, Michael}},
  issn         = {{2072-6643}},
  keywords     = {{Athletes; DSM 9843; Exercise; Ferritin; Iron-deficiency; Lactobacillus plantarum 299v; Physical performance; Probiotics; Vigor}},
  language     = {{eng}},
  number       = {{5}},
  publisher    = {{MDPI AG}},
  series       = {{Nutrients}},
  title        = {{The effect of lactobacillus plantarum 299v on iron status and physical performance in female iron-deficient athletes : A randomized controlled trial}},
  url          = {{http://dx.doi.org/10.3390/nu12051279}},
  doi          = {{10.3390/nu12051279}},
  volume       = {{12}},
  year         = {{2020}},
}