Randomised controlled trialindependent cross-checkabstract checked★ key study I-LEG-122 standard review

Phytate lowers iron absorption from beans

Phytic acid concentration influences iron bioavailability from biofortified beans in Rwandese women with low iron status.

Overview

Petry N et al.. J Nutr 2014 · PMID 25332466 · DOI 10.3945/jn.114.192989

Removing phytate from bean meals almost doubled the iron absorbed by women with low iron.

Does the study support the specific claim? Yes · Methodological quality: high

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Measure phytate effect on bean iron.

How was the study done?

Isotope crossover study.

How many people, animals or samples were studied?

22 women.

What was actually found?

Phytate reduces absorption.

How large was the observed effect?

406 -> 746 ug with dephytinisation.

What do the results mean in everyday life?

Phytate is a real inhibitor; soaking and fermentation help.

What are the study's limitations?

Small; short-term.

What does it say about Elawady's specific claim?

Supports C-LEG-08 mechanism.

Do the results apply to Germany and Europe?

Universal.

What can explicitly not be concluded from this study?

It does not show that eating beans causes anaemia.

Scientific in-depth review

1. Full reference

Authors
Petry N et al.
Journal
J Nutr
Year
2014
Identifier
PMID 25332466 DOI 10.3945/jn.114.192989
Verification
verified – PubMed efetch 2026-10-26 + Crossref works API
Retracted
no
Corrections

ErratumIn J Nutr. 2015 Aug;145(8):1973. doi: 10.3945/jn.115.214254.; Crossref updated-by: erratum

Extent checked
abstract only
Conflicts of interest and funding

Non-US government support (PubMed publication type).

2. Research question

How does phytic acid influence iron bioavailability from iron-biofortified beans?

3. Study design and population

Study design
Randomised controlled trial – Randomised crossover stable-isotope absorption study
Population

22 Rwandese women with low iron status

Country

Rwanda (study registered NCT01521273)

Period

Not stated in abstract

Sample size

22

Inclusion and exclusion criteria

Women with low iron status.

4. Methods and endpoints

Exposure / intervention

Bean meals with native, ~50% or >95% dephytinised beans

Comparator

Control (non-biofortified) beans

Endpoints

Iron absorption (erythrocyte isotope incorporation)

Statistical methods

Crossover comparisons

5. Actual results

Results

Fractional absorption from control-bean meals 9.2%, 30% higher than from biofortified meals; absolute iron absorbed from biofortified meals 406 ug, 19% more than control; after ~50% and >95% dephytinisation 599 and 746 ug.

Absolute risks

Not applicable

Authors' conclusion

Phytic acid strongly decreases iron bioavailability from biofortified beans.

6. Strengths

  • Gold-standard isotope method
  • Randomised crossover

7. Weaknesses

  • Small
  • Single-meal-series absorption, not iron status
  • Abstract only
  • An erratum exists (J Nutr 2015;145:1973, PMID 26239777); its content has no abstract and could not be read, so it is unknown whether any reported number was corrected

8. Risk of bias

Orienting tool
RoB 2
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
low
Rationale

Crossover with objective outcome.

9. Assessment of the statistical interpretation

Derived values: ~7.1% vs 9.2% fractional absorption; beans still delivered ~340-406 ug absorbed iron per meal series (stats/C-LEG-08_petry2014_absorption.py).

10. Relevance to the specific claim

Confirms the phytate mechanism of C-LEG-08.

11. Independent contrary findings

I-LEG-123 (iron-rich beans improved iron status).

12. Transferability to Germany and Europe

Mechanism universal.

13. Overall methodological judgement

Strong mechanistic support; does not imply that legumes worsen iron status overall.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualityhigh
Risk of biaslow
Precision of resultsmoderate
Directnessdirect
Reproducibilityreplicated
Consistency with the overall evidenceconsistent
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

Effect of Egyptian preparation (ful with lemon/tomato); content of the 2015 erratum.

15. Linked fact checks