How Taking Antacids & Eating Whole Grains Can Worsen Anemia

Whole Grains, Common Drugs and Even Beverages Can Inhibit Iron Absorption

By jcorn, published Oct 17, 2007
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Many people assume whole grains are healthy for them. In many cases, that is absolutely true. Whole grains reduce risks of heart disease, stroke, cancer, diabetes and obesity. They are among the foods which can lower the risk of heart attacks or certain types of cancer, including colon cancer. But, like so many foods, they can be a problem for some people, including those who tend to be low in iron. Most of these people are female. People who take antacids or who have low amounts of stomach acid (common in the elderly) can also have issues with iron deficiency, according to whfoods.org's page at www.whfoods.com/genpage.php

Some Foods, Drinks and Drugs Contribute to Anemia

For most people. whole grains are not a problem. However, 10 to 25 percent of the population, mostly women, are low in iron. For these people, proper use of whole grains and other foods and drugs can make a huge difference in how much iron is absorbed. Some fruits, vegetables and whole grains contain phytates and phytakes reduce iron absorption. These foods include wheat, oats, soy and soy milk. Green or black teas, chocolate, spinach (yes, spinach!) and carbonated soft drinks also interfere with iron absorption.

For this reason, these foods and beverages, which normally are healthy for the majority of the population, may lead to reduced iron absorption in vulnerable individuals. People at higher risk include women, especially pregnant woman and those with heavier menstrual bleeding than usual. Iron absorption is also increased in children during rapid growth periods. Parents might want to monitor their children's iron levels at these points or ask their doctors if they need to.

The reason why these foods and drinks interfere with iron absorption is because the phytates in whole grains and the oxalates found in spinach and chocolate keep iron from being absorbed through the digestive tract. Phosphates in sodas are the culprit there.

Takeaways
  • Whole grains, generally considered healthy, may be a problem for those with anemia or iron deficiency
  • Common drugs, including antacids, may also affect iron absorption
  • Being informed and consulting with their doctors can help patients maximize their treatment plan
Did You Know?
Whole grains are generally considered healthy but may actually cause problems for those low in iron or who have anemia.
Comments
Showing Comments 1 - 13 of 13
 
 
Oops. I do both of these. I eat only whole grain and I get terrible heartburn so I pop antiacids. Guess I'd better have a talk with my doctor.

Posted on 10/23/2007 at 6:10:00 PM

 
Never heard this- important to know.

Posted on 10/20/2007 at 9:10:00 AM

 
This is really interesting to me - I also have chronic anemia, although not to the point of requiring blood transfusions. I take iron with vitamin C, and not at meal times, but I hate the way it makes me feel. Like Irene, I thought spinach was a good source of food iron (and I know it is more easily absorbed and used by the body if it comes from food) so eat a lot of fresh baby spinach - and of course whole grains to help with cholesterol and weight! Oh no! I guess I'll be visiting both my doc and my dietician again! Thanks for some really great info - I learned a lot, but I'm not sure I'm happy about it! (no chocolate? How will I survive?)

Posted on 10/18/2007 at 9:10:00 AM

 
:^ )

Posted on 10/17/2007 at 3:10:00 PM

 
This is news to me and it could explain a lot! I have to get into the doc.....argh!

Posted on 10/17/2007 at 3:10:00 PM

 
Very interesting and well written.

Posted on 10/17/2007 at 12:10:00 PM

 
ok thanks..i just take some regular iron..but at least i'm aware of this now ..

Posted on 10/17/2007 at 11:10:00 AM

 
Interesting, I didn't know this.

Posted on 10/17/2007 at 10:10:00 AM

 
Bottom line, Irene - I'd consult your doctor or a trusted, certified nutritionist or medical specialist.

Posted on 10/17/2007 at 9:10:00 AM

 
Irene Being anemic, I consulted with my doctor as to timing my iron and my foods. I hesitate to give advice because I don't know if you take timed or slow release iron or regular kinds. I believe how you handle this could vary depending on that.

Posted on 10/17/2007 at 9:10:00 AM

 
you mention eating citrus to absorb the iron..now do you eat that first..then eat the iron within a period of time? thanks again

Posted on 10/17/2007 at 9:10:00 AM

 
Jcorn..i'm interested in this..it's very good...I drink soy milk in my coffee..i take an iron pill 2 hrs later..you think that is ok?...this is very useful..thank you..and so you know..i'll be in Dahlonega from tomorrow till Monday enjoying that Gold Fest, Oktoberfest in Helen, and Nora Mills..You are very good in writing..I enjoy it too. by the way, spinach has a lot of iron..that's really a contradiction then, right?..I"ve gone vegetarian..not strictly but i eat a lot of green including spinach thinking I'm taking in iron..

Posted on 10/17/2007 at 9:10:00 AM

 
Very interesting article. I've learned something new today! Thanks for sharing it.

Posted on 10/17/2007 at 9:10:00 AM

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