Skip to main content
Log in

The effect of Portulaca oleracea (purslane) seeds on hemoglobin levels in adolescent girls with iron deficiency anemia: a randomized comparative trial

  • Original Article
  • Published:
Comparative Clinical Pathology Aims and scope Submit manuscript

Abstract

Iron deficiency anemia (IDA) is the most severe and the latest stage of iron deficiency. Consumption of purslane seeds is a traditional medicine approach for the treatment of anemia. We aimed to compare the effect of purslane seeds and ferrous sulfate (FS) on the hemoglobin (Hb) level of adolescent girls suffering from IDA. In this single-blind randomized comparative clinical trial, the effect of purslane seeds was compared with a FS tablet in 53 adolescent girls. Included subjects were within the age range of 15–18 years; with Hb levels of 10–12 g/dL and serum ferritin levels lower than 12 ng/L. The experimental group received 0.3 g/kg of purslane seeds and control group received 3 mg/kg of elemental iron as a standard control per day for a period of 4 weeks. There were significant increases in hemoglobin (Hb), hematocrit (Hct), and mean corpuscular volume in both purslane and FS groups; however, the mean elevation was significantly greater with the latter. FS also caused a significantly greater increase in red cell distribution width compared with purslane. Purslane seed consumption increases Hb and Hct levels but is less effective than FS. Purslane seeds may be used for the prevention of IDA and treatment of its mild form.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Akramipour R, Rezaei M, Rahimi Z (2008) Prevalence of iron deficiency anemia among adolescent schoolgirls from Kermanshah, Western Iran. Hematology 13:352–355

    Article  CAS  PubMed  Google Scholar 

  • Aksu BY, Hasbal C, Himmetoglu S, Dincer Y, Koc EE, Hatipoglu S, Akcay T (2010) Leukocyte DNA damage in children with iron deficiency anemia: effect of iron supplementation. Eur J Pediatr 169:951–956

    Article  CAS  PubMed  Google Scholar 

  • Amirkhizi F, Siassi F, Minaie S, Djalali M, Rahimi A, Chamari M (2008) Assessment of lipid peroxidation and activities of erythrocyte cytoprotective enzymes in women with iron deficiency anemia. International Journal of Research in Medical Sciences 13:248–254

    CAS  Google Scholar 

  • Asadi HA, Hasan Dokht MR, Dashti F (2006) Comparison of fatty acids, oxalic acid, and minerals of seeds and leaves of Iranian purslane (Portula caoleracea L.) with external sample. Iranian J Food Sci 3:49–54

    Google Scholar 

  • Casey GJ, Phuc TQ, MacGregor L, Montresor A, Mihrshahi S, Thach TD, Tien NT, Biggs B-A (2009) A free weekly iron-folic acid supplementation and regular deworming program is associated with improved hemoglobin and iron status indicators in Vietnamese women. BMC Public Health 9:261

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen C-J, Wang W-Y, Wang X-L, Dong L-W, Yue Y-T, Xin H-L, Ling C-Q, Li M (2009) Anti-hypoxic activity of the ethanol extract from Portulaca oleracea in mice. J Ethnopharmacol 124:246–250

    Article  CAS  PubMed  Google Scholar 

  • Choi S-O, Cho Y-S, Kim H-L, Park J-W (2007) ROS mediate the hypoxic repression of the hepcidin gene by inhibiting C/EBPα and STAT-3. Biochem Biophys Res Commun 356:312–317

    Article  CAS  PubMed  Google Scholar 

  • Dong L, Wang W, Yue Y, Li M (2005) Effects of flavones extracted from Portulaca oleracea on ability of hypoxia tolerance in mice and its mechanism. Journal of Chinese Integrative Medicine 3:450–454

    Article  CAS  PubMed  Google Scholar 

  • Dweck AC (2001) Purslane (Portulaca oleracea): the Global Panacea. Personal Care Management. 7–15

  • Esiyok D, Otles S, Akcicek E (2004) Herbs as a food source in Turkey. Asian Pac J Cancer Prev 5:334–339

    PubMed  Google Scholar 

  • Fakeye TO, Adisa R, Musa IE (2009) Attitude and use of herbal medicines among pregnant women in Nigeria. BMC Complement Altern Med 9:53

    Article  PubMed  PubMed Central  Google Scholar 

  • Greer JP, Wintrobe MM (2009) Wintrobe’s clinical hematology, 12 edn. Lippincott Williams & Wilkins, China

    Google Scholar 

  • Heidari Kasmaee K (1992) Providing the methods for the extraction and diagnosis and determination of fatty acids (w3) in Purslane Portulacaoleracea. . PHD, Tehran University of Medical Sciences, Tehran

  • Hongxing Z, Nancai Y, Guofu H, Jianbo S, Yanxia W, Hanju H, Qian L, Wei M, Yandong Y, Hao H (2007) Neuroprotective effects of purslane herb aquenous extracts against D-galactose induced neurotoxicity. Chem Biol Interact 170:145–152

    Article  PubMed  Google Scholar 

  • http://whqlibdoc.who.int/publications (2004) World Health Organization (WHO). Report of a “Lessons Learnt” workshop on the six ProTEST pilot projects in Malawi, South Africa and Zambia. Malawi

  • King SM, Donangelo CM, Knutson MD, Walter PB, Ames BN, Viteri FE, King JC (2008) Daily supplementation with iron increases lipid peroxidation in young women with low iron stores. Exp Biol Med 233:701–707

    Article  CAS  Google Scholar 

  • Longo D, Fauci A, Kasper D, Hauser S (2011) Harrison’s principles of internal medicine 8edn. McGraw-Hill Professional, New York

    Google Scholar 

  • Mahan LK, Escott-Stump S (2008) Krause’s food & nutrition therapy, 12 edn. Saunders/Elsevier, St. Louis

    Google Scholar 

  • Malek F, Boskabady M, Borushaki M, Tohidi M (2004) Bronchodilatory effect of Portulaca oleracea in airways of asthmatic patients. J Ethnopharmacol 93:57–62

    Article  CAS  PubMed  Google Scholar 

  • Mastrogiannaki M, Matak P, Keith B, Simon MC, Vaulont S, Peyssonnaux C (2009) HIF-2α, but not HIF-1α, promotes iron absorption in mice. J Clin Invest 119:1159

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nagababu E, Gulyani S, Earley CJ, Cutler RG, Mattson MP, Rifkind JM (2008) Iron-deficiency anaemia enhances red blood cell oxidative stress. J Clin Invest 42:824–829

    CAS  Google Scholar 

  • Organization WH (2004) Focusing on anaemia: towards an integrated approach for effective anaemia control. Joint statement by the World Health Organization and the United Nations Children’s Fund. WHO, Geneva, Switzerland

  • Peyssonnaux C, Zinkernagel AS, Schuepbach RA, Rankin E, Vaulont S, Haase VH, Nizet V, Johnson RS (2007) Regulation of iron homeostasis by the hypoxia-inducible transcription factors (HIFs). J Clin Invest 117:1926

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shobeiri S, Sharei S, Heidari A, Kianbakht S (2009) Portulaca oleracea L. in the treatment of patients with abnormal uterine bleeding: a pilot clinical trial. Phytother Res 23:1411–1414

    Article  CAS  PubMed  Google Scholar 

  • Teixeira M, Coelho N, Olsson ME, Brodelius PE, Carvalho IS, Brodelius M (2009) Molecular cloning and expression analysis of three omega-6 desaturase genes from purslane (Portulaca oleracea L.). Biotechnol Lett 31:1089–1101

    Article  CAS  PubMed  Google Scholar 

  • WangMB W, Gu L, Dong L, Wang X, Ling C, LiPhD M (2007) Protective effect of Portulaca oleracea extracts on hypoxic nerve tissue and its mechanism. Asia Pac J Clin Nutr 16:227–233

    Google Scholar 

  • Yang Z, Liu C, Xiang L, Zheng Y (2009) Phenolic alkaloids as a new class of antioxidants in Portulaca oleracea. Phytother Res 23:1032–1035

    Article  CAS  PubMed  Google Scholar 

  • Yen G, Chen H, Peng H (2001) Evaluation of the cytotoxicity, mutagenicity and antimutagenicity of emerging edible plants. Food Chem Toxicol 39:1045–1053

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank the Pharmacognosy Department of the Mashhad University of Medical Sciences as well as Dr. Mazloum and Dr. Nemati for their valuable support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fatemeh Asadi Zeydabadi.

Ethics declarations

Procedures were performed in accordance with the principles outlined in the Declaration of Helsinki.

Ethical approval

The study protocol was approved by the Ethics Committee at the Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

This study was funded by the Vice-Chancellery for Research at the Mashhad University of Medical Sciences (Mashhad, Iran) and Kerman University of Medical Sciences (Kerman, Iran).

Conflict of interests

The authors declare that they have no conflict of interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mokhtarifar, A., Zeydabadi, F.A., Asili, J. et al. The effect of Portulaca oleracea (purslane) seeds on hemoglobin levels in adolescent girls with iron deficiency anemia: a randomized comparative trial. Comp Clin Pathol 26, 11–16 (2017). https://doi.org/10.1007/s00580-016-2335-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00580-016-2335-9

Keywords

Navigation