Iron status of female runners
Abstract
This study was designed to observe iron status and prevalence of iron deficient conditions in adult female habitual runners (n = 111) and inactive females of comparable age (n = 65). The runners were significantly lower (p < .05) than the reference group in mean serum ferritin (SF), total iron binding capacity, and red blood cell count, but significantly higher (p < .05) in mean corpuscular hemoglobin. The groups did not differ significantly in hemoglobin concentration, hematocrit, serum iron, percent saturation of transferrin, or red cell protoporphyrin. Chi square analysis indicated that iron depletion (SF < 20 ng.ml-1) was significantly more prevalent (p < .005) in the runners than in the controls. Anemia was extremely rare in both groups. A multiple regression analysis revealed significant negative associations between serum ferritin and coffee/tea intake (p < .001) and running activity (p < .05). These results indicate that habitual runners, as compared with inactive women, are at increased risk for iron deficient states but that full-blown anemia is a rare consequence of this deficient iron status.
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Iron deficiency is commonly observed in athletes, especially among endurance and female athletes, where the prevalence of iron depletion is up to 50%.
“Iron deficiency is commonly observed in athletes, especially among endurance and female athletes, where the prevalence of iron depletion is up to 50%”
From Nutritional Considerations for the Vegan Athlete (2023) · cites this paper as [247]
Cites
Drabkin, D. L., & Austin, J. H. (1935) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)74965-x · Cited by 1,018 · see citing works
The effect of tea on iron absorption.
Disler, P. B., Lynch, S. R., Charlton, R. W., Torrance, J. D., Bothwell, T. H., Walker, R. B., & Mayet, F. (1975) · Gut · doi:10.1136/gut.16.3.193 · Cited by 441 · see citing works
Inhibition of food iron absorption by coffee
Morck, T., Lynch, Sr., & Cook, J. (1983) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/37.3.416 · Cited by 207 · see citing works
Sassa, S., Granick, J. L., Granick, S., Kappas, A., & Levere, R. D. (1973) · Biochemical Medicine · doi:10.1016/0006-2944(73)90017-3 · Cited by 168 · see citing works
Iron status in athletes involved in intense physical activity
Ehn, L., CARLMARK, B. R., & GLUND, S. H. (1980) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198021000-00012 · Cited by 154 · see citing works
Determination of serum iron and Latent Iron-Binding Capacity (LIBC)
Persijn, J.-P., van der Slik, W., & Riethorst, A. (1971) · Clinica Chimica Acta · doi:10.1016/0009-8981(71)90298-1 · Cited by 148 · see citing works
Haematological Status of Middle- and Long-Distance Runners
Brotherhood, J. R., Brozović, B., & Pugh, L. G. C. E. (1975) · Clinical Science · doi:10.1042/cs0480139 · Cited by 139 · see citing works
Runner's Anemia and Iron Deficiency
Hunding, A., Jordal, R., & Paulev, P. (1981) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1981.tb11598.x · Cited by 119 · see citing works
Nutritional Intake and Hematological Parameters in Endurance Runners
Clement, D. B., & Asmundson, R. C. (1982) · The Physician and Sportsmedicine · doi:10.1080/00913847.1982.11947181 · Cited by 117 · see citing works
Newhouse, I., & Clement, D. B. (1988) · Sports Medicine · doi:10.2165/00007256-198805060-00001 · Cited by 112 · see citing works
Dufaux, B., Hoederath, A., Streitberger, I., Hollmann, W., & Assmann, G. (1981) · International Journal of Sports Medicine · doi:10.1055/s-2008-1034583 · Cited by 109 · see citing works
Schoene, R. B., Escourrou, P., Robertson, H. T., Nilson, K. L., Parsons, J. R., & Smith, N. J. (1983) · PubMed · Cited by 98 · see citing works
Work Capacity, Heart Rate and Blood Lactate Responses to Iron Treatment
Ohira, Y., Edgerton, V. R., Gardner, G. W., Senewiratne, B., Barnard, R. J., & Simpson, D. R. (1979) · British Journal of Haematology · doi:10.1111/j.1365-2141.1979.tb05869.x · Cited by 94 · see citing works
Influence of dietary iron source on measures of iron status among female runners
Snyder, A. C., Dvorak, L. L., & ROEPKE, J. B. (1989) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198902000-00002 · Cited by 90 · see citing works
Iron deficiency in female athletes
Risser, W. L., Lee, E. J., Poindexter, H. B. W., WEST, S. M., Pivarnik, J. M., RISSER, J. M. H., & Hickson, J. F. (1988) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198820020-00003 · Cited by 84 · see citing works
Finch, C. A., & Cook, J. D. (1984) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/39.3.471 · Cited by 63 · see citing works
Sweat Iron Loss of Male and Female Runners During Exercise
LaManca, J. J., Haymes, E. M., Daly, J., Moffatt, R. J., & Waller, M. (1988) · International Journal of Sports Medicine · doi:10.1055/s-2007-1024978 · Cited by 61 · see citing works
Sports Anemia: A Review of the Current Research Literature
Pate, R. R. (1983) · The Physician and Sportsmedicine · doi:10.1080/00913847.1983.11708460 · Cited by 60 · see citing works
Iron Loss in Runners During Exercise
Haymes, E. M., & LaManca, J. J. (1989) · Sports Medicine · doi:10.2165/00007256-198907050-00001 · Cited by 56 · see citing works
The frequency of anemia and iron deficiency in the runner
Balaban, E. P., Cox, J. V., Snell, P. G., VAUGHAN, R. H., & Frenkel, E. P. (1989) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198912000-00003 · Cited by 54 · see citing works
Poor Iron Status of Women Runners Training for a Marathon
Lampe, J. W., Slavin, J. L., & Apple, F. (1986) · International Journal of Sports Medicine · doi:10.1055/s-2008-1025744 · Cited by 50 · see citing works
Iron Deficiency in Female Athletes
Parr, R. B., Bachman, L. A., & Moss, R. A. (1984) · The Physician and Sportsmedicine · doi:10.1080/00913847.1984.11701824 · Cited by 50 · see citing works
Iron Status of Women Distance Runners, Sprinters, and Control Women
Haymes, E. M., & Spillman, D. (1989) · International Journal of Sports Medicine · doi:10.1055/s-2007-1024938 · Cited by 46 · see citing works
THE CLINICAL USE OF SERUM FERRITIN ESTIMATION
Jacobs, A. K., & Worwood, M. (1975) · British Journal of Haematology · doi:10.1111/j.1365-2141.1975.tb00825.x · Cited by 38 · see citing works
Effects of Physical Training and Competition on the Iron Status of Female Field Hockey Players
Diehl, D., Lohman, T., Smith, S., & Kertzer, R. (1986) · International Journal of Sports Medicine · doi:10.1055/s-2008-1025772 · Cited by 37 · see citing works
Dietary Iron Supplementation In Women Athletes
Pate, R. R., Maguire, M. S., & Wyk, J. V. (1979) · The Physician and Sportsmedicine · doi:10.1080/00913847.1979.11948486 · Cited by 33 · see citing works
Dietary Intake of Women Runners
Pate, R. R., Sargent, R. G., Baldwin, C., & Burgess, M. L. (1990) · International Journal of Sports Medicine · doi:10.1055/s-2007-1024838 · Cited by 29 · see citing works
Nutrient intakes and iron status in female long-distance runners during training
Manore, M. M., Besenfelder, P. D., Wells, C. L., Carroll, S. S., & Hooker, S. P. (1989) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)02107-6 · Cited by 25 · see citing works
Women at the Military Academies
(1979) · The Physician and Sportsmedicine · doi:10.1080/00913847.1979.11710841 · Cited by 5 · see citing works
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Lukaski, H. C. (2004) · Nutrition · doi:10.1016/j.nut.2004.04.001 · Cited by 587 · see citing works
Slentz, C. A., Bateman, L. A., Willis, L. H., Shields, A. T., Tanner, C. J., Piner, L. W., Hawk, V. H., Muehlbauer, M. J., Samsa, G. P., Nelson, R. C., et al. (2011) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00291.2011 · Cited by 235 · see citing works
Alaunyte, I., Stojceska, V., & Plunkett, A. (2015) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-015-0099-2 · Cited by 111 · see citing works
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Temme, E., & Hoydonck, P. G. A. V. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601309 · Cited by 110 · see citing works
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Beals, K. A., & Manore, M. M. (1998) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(98)00096-0 · Cited by 104 · see citing works
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Coates, A. M., Mountjoy, M. L., & Burr, J. F. (2016) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000390 · Cited by 78 · see citing works
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WALLER, M. F., & Haymes, E. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199602000-00007 · Cited by 65 · see citing works
Consumption of black, green and herbal tea and iron status in French adults
Mennen, L. I., Hirvonen, T., Arnault, N., Bertrais, S., Galan, P., & Herçberg, S. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602634 · Cited by 51 · see citing works
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Concentrations of Trace Elements in Sweat during Sauna Bathing.
Hoshi, A., Watanabe, H., Kobayashi, M., Chiba, M., Inaba, Y., Kimura, N., & Ito, T. (2001) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.195.163 · Cited by 19 · see citing works
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Berning, J. R. (2000) · Wiley eBooks · doi:10.1002/9780470693766.ch33 · Cited by 12 · see citing works
Cichoń-Woźniak, J., Ostapiuk–Karolczuk, J., Cieślicka, M., Dziewiecka, H., Marcinkiewicz, A., Tafil‐Klawe, M., Basta, P., Maciejewski, D., & Skarpańska-Stejnborn, A. (2022) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/s13102-022-00465-7 · Cited by 13 · see citing works
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Urdampilleta, A., Martínez-Sanz, J. M., & Mielgo‐Ayuso, J. (2013) · Revista Española de Nutrición Humana y Dietética · doi:10.14306/renhyd.17.4.16 · Cited by 8 · see citing works
Iron and zinc homeostases in female rats with physically active and sedentary lifestyles
Ghio, A. J., Soukup, J. M., Ghio, C., Gordon, C. J., Richards, J. H., Schladweiler, M. C. J., Snow, S. J., & Kodavanti, U. P. (2020) · BioMetals · doi:10.1007/s10534-020-00266-w · Cited by 8 · see citing works
Iron deficiency and aerobic endurance performance in a female club runner
Denis, R., & Conway, J. (2018) · Science & Sports · doi:10.1016/j.scispo.2018.04.012 · Cited by 6 · see citing works
Eichner, E. R. (2000) · doi:10.1002/9780470693766.ch24 · Cited by 5 · see citing works
Metal binding agents: possible role in exercise
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Are the health effects of exercise related to changes in iron metabolism?
Ziółkowski, W., Ziemann, E., Hermann-Antosiewicz, A., Borkowska, A., Laskowski, R., & Antosiewicz, J. (2014) · Mediterranean Journal of Nutrition and Metabolism · doi:10.3233/mnm-140006 · Cited by 2 · see citing works
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Erpenbach, K., Erpenbach, M. C., Mayer, W., Hoffmann, U., & Mücke, S. (2020) · Advances in Orthopedics and Sports Medicine · doi:10.37722/aoasm.20203 · Cited by 1 · see citing works
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Chalcarz, W., Merkiel, S., POORTMANS, J. R., & Szajek, G. (2012) · Science & Sports · doi:10.1016/j.scispo.2012.07.004 · Cited by 1 · see citing works
Haymes, E. M. (2009) · CRC Press eBooks · doi:10.1201/9781420066029.ch9 · Cited by 1 · see citing works
Callahan, & Edward, J. (2015) · ScholarWorks (Central Washington University)
Biodisponibilidad mineral de menús escolares
Martos, F. C. (2006) · Dialnet (Universidad de la Rioja)
Gabel, K. A. (2000) · doi:10.1002/9780470693766.ch31
Dietary-nutritional intervention in the prevention of iron deficiency.
Otegui, A. U., Sanz, J. M. M., & González-Muniesa, P. (2010) · Nutrición clínica y dietética hospitalaria/Nutrición clínica, dietética hospitalaria
The effects of exercise and dietary iron on iron status in 19 month old adult female rats
Chitale, C. M. (1995) · VTechWorks (Virginia Tech)
Haymes, E. M. (2005) · Nutrition in exercise and sport · doi:10.1201/9781420037913.ch14
Anemia ferropenikoa: prebalentzia, etiologia eta ondorioak
Gómez‐Zorita, S., Sanz, J. M. M., & Otegui, A. U. (2010)
- Authors
- Pate, R. R., Miller, B. J., Davis, J. M., Slentz, C. A., & Klingshirn, L. A.
- Affiliations
- University of South Carolina (US)
- ORCID
- Pate, Russell R.
- Venue
- International Journal of Sport Nutrition
- Publisher
- Human Kinetics
- Published
- 1993-06
- Volume
- 3
- Issue
- 2
- Pages
- 222-231
- ISSN
- 1050-1606 (ISSN-L)
- OpenAlex
- W2406420885
- Cited by
- 44
- References
- 29
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2018: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Sport Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- iron status, female runners, iron deficiency, serum ferritin, iron depletion, anemia, physical activity behavior, iron deficiency anemia
- MeSH terms
- Adult, Anemia, Hypochromic, Female, Ferritins, Hemodynamics, Humans, Iron, Risk Factors, Running, Prevalence
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