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                  <mods:namePart>Quirós, José Ramón</mods:namePart>
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                  <mods:namePart>Amiano, Pilar</mods:namePart>
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                  <mods:namePart>Agudo, Antonio</mods:namePart>
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                  <mods:namePart>Jakszyn, Paula</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2025-05-15T19:19:35Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2021-07</mods:dateIssued>
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               <mods:identifier type="uri">http://hdl.handle.net/20.500.14342/3897</mods:identifier>
               <mods:identifier type="doi">https://doi.org/10.1007/s00394-021-02625-w</mods:identifier>
               <mods:abstract>Purpose Excess iron is involved in the development of non-communicable diseases such as cancer, type 2 diabetes and cardiovascular conditions. We aimed to describe the prevalence of excess iron and its determinants in healthy European adults.&#xd;
Methods Sociodemographic, lifestyle, iron status, dietary information, and HFE genotyping were obtained from controls&#xd;
from the nested case–control study EPIC-EurGast study. High sensitivity C-reactive protein (hsCRP) was measured to address&#xd;
possible systemic infammation. Descriptive and multivariate analyses were used to assess iron status and its determinants.&#xd;
Results Out of the 828 participants (median age: 58.7 years), 43% were females. Median serum ferritin and prevalence of&#xd;
excess iron were 143.7 µg/L and 35.2% in males, respectively, and 77 µg/L and 20% in females, both increasing with latitude&#xd;
across Europe. Prevalence of HFE C282Y mutation was signifcantly higher in Northern and Central Europe (~ 11%) than&#xd;
in the South (5%). Overweight/obesity, age, and daily alcohol and heme iron intake were independent determinants for iron&#xd;
status, with sex diferences even after excluding participants with hsCRP>5 mg/L. Obese males showed a greater consumption of alcohol, total and red meat, and heme iron, compared with those normal weight.&#xd;
Conclusion Obesity, higher alcohol and heme iron consumption were the main risk factors for excess iron in males while&#xd;
only age was associated with iron overload in females. Weight control and promoting healthy lifestyle may help prevent iron&#xd;
overload, especially in obese people. Further research is needed to clarify determinants of excess iron in the healthy adult&#xd;
population, helping to reduce the associated comorbidities.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:accessCondition type="useAndReproduction">© Springer Nature. Tots els drets reservats</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Ferritina</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Ferro en l'organisme</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Excès de ferro</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>EPIC</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Factors associated with serum ferritin levels and iron excess: results from the EPIC‑EurGast study</mods:title>
               </mods:titleInfo>
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