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Iron in the Diet

What is iron?

Iron is a mineral that is important to all body cells. Blood cells especially need iron to make hemoglobin. The hemoglobin in blood cells brings oxygen to the body cells.

You can get iron deficiency anemia if you don’t get enough iron. This means that your blood has less hemoglobin than normal. People who have iron deficiency anemia are often tired and don’t have much energy.

Iron deficiency anemia may result from:

  • not getting enough iron from your diet (older adults with poor appetites or people on a very tight food budget are at especially high risk)
  • losing a lot of blood
  • changes during pregnancy.

How much iron do I need?

How much iron you need depends on your age and whether you are a man or a woman. The recommendations are:


GROUP                          MILLIGRAMS (mg) IRON PER DAY
------------------------------------------------------
Children 7 to 12 months old                      11 mg
Children 1 to 3 years old                         7 mg
Children 4 to 8 years old                        10 mg
Children 9 to 13 years old                        8 mg
Females 14 to 18 years old                       15 mg
Males 14 to 18 years old                         11 mg
Males over 18 years old                           8 mg
Females 19 to 50 years old                       18 mg
Females over 50 years old                         8 mg
Pregnant females                                 27 mg
Breast-feeding females 14 to 18 years old        10 mg
Breast-feeding females 19 to 50 years old         9 mg
------------------------------------------------------

What foods are good sources of iron?

The best way to get enough iron is to eat a healthy, well-balanced diet. Iron is found in a variety of foods.

There are 2 types of iron: heme and nonheme.

  • Heme iron is found in meat, poultry, and fish.
  • Nonheme iron is found in fruits, vegetables, grains, nuts, legumes, eggs, dairy products, and iron-enriched foods.

FOOD               SERVING SIZE   MG IRON (APPROXIMATE)
-------------------------------------------------------
Sources of heme iron
liver, chicken         3 oz                7.2
liver, beef            3 oz                5.8
beef                   3 oz                3.0
shrimp                 3 oz                2.8
turkey, dark           3 oz                2.0
ground beef            3 oz                1.8
lamb                   3 oz                1.5
chicken, dark          3 oz                1.3
chicken, white         3 oz                1.1
turkey, white          3 oz                1.1
fish                   3 oz                1.1
pork, shoulder         3 oz                1.0
pork, loin             3 oz                0.8
tuna, white,
  water packed         3 oz                0.8

Sources of nonheme iron
fortified breakfast
  cereals*             1 cup       4.5 to 18
soy beans, cooked      1/2 cup             4.7
pumpkin seeds          1 oz                4.2
molasses,
  blackstrap           1 tablespoon        3.5
lentils                1/2 cup             3.3
spinach, cooked        1/2 cup             3.2
bagel                  1 bagel             3.2
tofu, extra firm       3 oz                2.7
prune juice            8 oz                2.7
potato, baked
  with skin            1 potato            2.7
red kidney beans       1/2 cup             2.6
green peas             1 cup               2.5
navy beans             1/2 cup             2.3
garbanzo beans         1/2 cup             2.3
black-eyed peas        1/2 cup             2.2
asparagus, cooked      1 cup               2.2
avocado                1 avocado           2.0
macaroni, enriched,
  cooked               1 cup               2.0
green beans, cooked    1 cup               1.6
enriched rice,
  cooked               1/2 cup             1.4
apricots, dried        6 apricots          1.2
dates                  10 dates            1.0
wheat germ, toasted    2 tablespoons       1.0
whole wheat bread      1 slice             0.9
raisins                1/4 cup             0.8
--------------------------------------------------------
* Many cereals and breads are fortified with extra iron.
  Check the labels.

Heme foods that are very high in iron, such as beef and chicken liver, are also very high in cholesterol. Eat these foods in limited amounts.

Do I need an iron supplement?

If you get enough iron in your diet you don't need a supplement. Taking supplements you don’t need may be harmful. Too much iron in the body can damage organs like the heart and liver.

If you have anemia, your healthcare provider may recommend an iron supplement. Iron pills can have side effects such as cramps, nausea, and constipation. To lessen side effects, your healthcare provider may start you on a low dosage of iron and slowly increase your dosage. Your provider may suggest taking vitamin C with the iron pills to help your body absorb the iron. Taking the iron at mealtimes can help prevent stomach upset. To help prevent constipation, make sure you drink enough fluid and have enough fiber in your diet.

Extra iron may increase nausea during the first 3 months of pregnancy. If your blood count is normal, you may not need the extra iron during this time. If you are taking supplements and feel nauseated after taking the pills in the morning, try taking the pills at night before bedtime.

If you are thinking of taking a supplement that contains iron, ask your healthcare provider about it first. With your provider’s approval, take the recommended amount for your age.

What foods affect the way the body absorbs iron?

The body absorbs heme iron better than nonheme iron. Heme iron can be absorbed readily regardless of other foods or supplements taken at the meal.

Vitamin C helps the body absorb nonheme iron. There is a lot of vitamin C in citrus fruits, tomatoes, and bell peppers. High-acid foods, such as tomato sauce, can also make it easier for the body to absorb iron. To help your body absorb nonheme iron, try combinations like spinach salad with mandarin oranges or a glass of grapefruit juice with your cereal. Also, eating heme iron with nonheme iron rich foods helps increase absorption. It is especially important to include foods that improve nonheme iron absorption if:

  • You have a condition that makes you lose iron (for example, women who have heavy menstrual periods).
  • You need more iron (for example, during pregnancy).
  • You have a condition that causes poor absorption, such as Crohn’s and celiac disease.
  • You eat a vegetarian diet that includes only vegetarian nonheme sources of iron.

Some foods, supplements, and medicines can make it harder for your body to absorb nonheme iron, such as:

  • coffee, tea, and carbonated colas (even decaffeinated)
  • foods with a lot of fiber
  • milk and other dairy products
  • calcium supplements
  • antacids.

Your body will better absorb nonheme iron in food or iron supplements if you don’t consume these foods, drinks, or medicines at the same time you eat nonheme iron rich food or take an iron supplement.


Written by Pierre Rouzier, MD, for RelayHealth.
Adult Advisor 2012.1 published by RelayHealth.
Last modified: 2011-04-20
Last reviewed: 2011-04-18
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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