Background: Iron Deficiency Anemia (IDA) is a major public health problem worldwide.
Iron Bisglycinate Chelate (FeBC) and polymaltose iron (FeP) are used for the treatment of
IDA and exhibit good tolerability with a low incidence of adverse effects. However, these compounds
have important differences in their structures and bioavailability.
Objective: To compare the efficacy of oral supplementation with FeBC and FeP in anemic children.
Methods: In this double-blind study, children aged 1 to 13 years who were diagnosed with IDA
were randomly divided into two groups: i) FeBC, supplemented with iron bisglycinate chelate, and
ii) FeP, supplemented with polymaltose iron (3.0 mg iron/kg body weight/day for 45 days for both
Results: Both treatments resulted in significant increases in hemoglobin levels, Mean Corpuscular
Volume (MCV) and Cell Distribution Width (RDW) and in a reduction of transferrin levels, relative
to initial values. However, only FeBC treatment significantly increased ferritin and Mean Corpuscular
Hemoglobin (MCH) levels. A significant negative correlation was observed between the
increase in ferritin and initial hemoglobin levels in the FeBC group, indicating that the absorption
of FeBC is regulated by the body iron demand.
Conclusion: These results provide preliminary evidence to suggest a greater efficacy of FeBC than
FeP in increasing iron stores.