How do we manage iron deficiency after blood donation?
Abstract
Summary: Blood donors and the RBCs and other components they willingly provide are essential in the delivery of healthcare in all parts of the world. Nearly 70% of donated blood comes from repeat or committed donors. The amount of iron removed in the 10 min or so it takes to withdraw a unit of blood (500 ml, plus 25 ml for testing) requires over 24 weeks to replace on a “standard” diet, i.e., without added iron in the form of supplements The cumulative effect of repeat blood donations without adequate iron replacement or a longer wait between donations results in iron deficiency (ID) in many donors, low haemoglobin deferral (~8% of donation attempts), and frank anaemia in some. Moreover, ID can be associated with side effects that can impact a blood donor's health, such as fatigue, cognitive changes and other neuromuscular symptoms. In an effort to better identify and prevent ID, blood collection agencies are recommending various strategies, including changes in the donation interval, donation frequency, testing of iron status and iron supplementation. In this review, we present the evidence basis for these strategies and suggest our own approaches to improving iron balance in blood donors.
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TMPRSS6 genetic variants modulate iron and hematologic traits in several genome-wide association studies, alter hepcidin levels in normal subjects and might confer susceptibility/resistance to iron deficiency, as observed in blood donors.
“TMPRSS6 genetic variants modulate iron and hematologic traits in several genome-wide association studies,58 alter hepcidin levels in normal subjects86 and might confer susceptibility/resistance to iron deficiency, as observed in blood donors.87”
From Iron metabolism and iron disorders revisited in the hepcidin era (2020) · cites this paper as [87]
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Self-citationLow ferritin levels appear to be associated with worsened health in male repeat blood donors
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To Fe, or not to Fe, that is the question
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Diffuse Hair Loss and Thinning: a Modern Perspective on the Problem and Approaches to Therapy
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Blood Donor Medical Assessment, Collection, and Complications
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Identification and analysis of genetic and chemical modulators of iron metabolism
Hawula, Z. J. (2021) · Queensland University of Technology · doi:10.5204/thesis.eprints.225904
Vhanda, D., Timire, C., Chitungo, I. J. B., Chinowaita, F., Nkomo, S. Z., Chagonda, S., Nherera, B., Dzinamarira, T., & Kouamou, V. (2023) · Vox Sanguinis · doi:10.1111/vox.13415
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Uncovering the Determinants of Birth Weight: An Investigation on Pregnant Women in Makassar City
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THE IMPACT OF WHOLE BLOOD DONATION ON ATHLETIC PERFORMANCE
Zięba, M., Rudawski, S., Elertowicz, M., Shtohryn, K., Gugulski, H., Morytko, M. Z., Moskwa, M., Herod, P., & Wójciak, A. (2025) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.4(48).2025.4357
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Principios básicos de patología para fisioterapia. Volumen III
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Hjulmand, K. G., Mikkelsen, C., Rigas, A. S., Kaspersen, K. A., Gladov, J., Aagaard, B., Ullum, H., Sørensen, E., Erikstrup, C., Pedersen, O. B., et al. (2026) · Transfusion · doi:10.1111/trf.70471
- Authors
- Kiss, J. E., & Vassallo, R. R.
- Affiliations
- Institute for Transfusion Medicine (US)
- Chief Medical and Scientific Officer Blood Systems, Inc. Scottsdale AZ USA
- Corresponding author
- Kiss, Joseph E.
- Venue
- British Journal of Haematology
- Publisher
- Wiley
- Published
- 2018-05-16
- Volume
- 181
- Issue
- 5
- Pages
- 590-603
- ISSN
- 0007-1048 (ISSN-L)
- 1365-2141
- OpenAlex
- W2803683681
- Cited by
- 92
- References
- 95
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 6 · 2023: 13 · 2022: 13 · 2021: 20 · 2020: 14 · 2019: 10 · 2018: 2
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Haematology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Social Sciences › Business, Management and Accounting › Management of Technology and Innovation › Blood donation and transfusion practices
- Health Sciences › Medicine › Biochemistry › Blood transfusion and management
- Keywords
- iron deficiency, blood donors, repeat blood donation, iron supplementation, anemia, iron balance, fatigue, neuromuscular symptoms
- MeSH terms
- Iron Deficiencies, Blood Donors, Female, Humans, Iron, Male
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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