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Iron and Health Scientific Advisory Committee on Nutrition 2010 London: TSO Published by TSO (The Stationery Office) and available from: Online www.tsoshop.co.uk Mail, Telephone, Fax & E-mail TSO PO Box 29, Norwich, NR3 1GN Telephone orders/General enquiries: 0870 600 5522 Fax orders: 0870 600 5533 E-mail: customer.services@tso.co.uk Textphone: 0870 240 3701 TSO@Blackwell and other Accredited Agents Customers can also order publications from: TSO Ireland 16 Arthur Street, Belfast BT1 4GD Tel: 028 9023 8451 Fax: 028 9023 5401 Further copies can be obtained from the SACN website at www.sacn.gov.uk © Crown copyright 2010 Published for the Department of Health under licence from the Controller of Her Majesty’s tationery ffice 0 11 02 Printed in the nited ingdom by he tationery ffice 002222 C 111 Preface n 1 the Committee on Medical spects of ood and utrition Policy CM in their report Nutritional Aspects of the Development of Cancer, recommended that high consumers of red and processed meat should consider reducing their intaes because of possible lins with a ris of colorectal cancer Howeer since red and processed meat are sources of iron in the diet CM recommended that the possible aderse nutritional implications of a reduction in red and processed meat intaes should be assessed he present report has been prepared in response to CM’s recommendation he report proides a comprehensie reiew of the role of iron in human nutrition which was drawn from an etensie body of literature he scope of the report was wideranging and included consideration of potential aderse effects both of iron deficiency and of iron ecess he cientific disory Committee on utrition C also assessed the adeuacy of iron intaes and status of the general and low income populations in the here are difficulties in maing these assessments because of uncertainties around the dietary recommendations for iron intae which are based on limited data and because the thresholds of biological marers used to define iron status are not related to functional conseuences he potential implications of a recommendation to reduce consumption of red and processed meat on intaes of iron were assessed by modelling data from the ational Diet and utrition urey 200001 or the general population C is recommending a public health approach to achieing adeuate iron status based on a healthy balanced diet that includes a ariety of foods containing iron his is a change to current dietary adice that ironrich foods should be consumed at the same time as foodsdrins which enhance iron absorption eg fruit meat but should not be consumed with those that inhibit iron absorption eg tea coffee mil roups identified as being at ris of iron deficiency anaemia include toddlers girls and women of reproductie age and some adult groups aged oer years he report recom mends that health professionals need to be aware of increased ris of iron deficiency anaemia in these groups and those with eidence suggestie of iron deficiency anaemia should receie appropriate clinical assessment and adice including dietary adice and the use of iron supplements if reuired fter detailed consideration of the epidemiological eidence on the relationship between red and processed meat intae and colorectal cancer ris the report concludes that red and processed meat is probably associated with an increased ris of colorectal cancer ince the eidence does not allow uantification of the amount of red and processed meat that may be lined with increased colorectal cancer ris C is adising high consumers of red and processed meat to consider reducing their intaes he modelling eercise suggests that reducing red and processed meat intae to the population aerage for adult consumers estimated to be about 0 gday cooed weight in 200001 would hae little effect on the proportion of the population with iron intaes below the lower limit of recommended intae for iron iii Completion of this report has been a lengthy process and has taen longer than originally enisaged n part this is because wor on the report which commenced in 2002 was suspended from 200 to 200 due to other C priorities but also because of the innate compleity of the topic he draft report was made aailable for comment and would lie to than all those who responded ll the comments were carefully considered before the report was finalised would also lie to than the members of the ron oring roup for their commitment and continued wor on the report oer the years particularly the Chair Professor Peter ggett and the scientific secretariat Professor Alan Jackson Chair of the cientific disory Committee on utrition i
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