Iron status is associated with endurance performance and training in female rowers
Abstract
PURPOSE: Studies in animals and humans show a link between iron depletion without anemia (IDNA) and physical performance. Consequences of IDNA relevant to athletes include reduced endurance and energetic efficiency. We conducted this cross-sectional study to investigate the relationships between iron status, performance, and training in nonanemic female rowers. METHODS: Iron status (hemoglobin, serum ferritin, soluble transferrin receptor) of 165 rowers was assessed at the beginning of a training season; 27% (n = 44) of rowers were identified as IDNA (serum ferritin < 20.0 μg·L) and 10% as anemic (n = 16, hemoglobin < 12.0 g·dL). Physical performance of 48 nonanemic rowers (n = 24 normal, n = 24 depleted) was assessed (V˙O(2peak), 4-km time, gross energetic efficiency), and training was recorded. Daily training load was calculated using the session RPE method (training duration × intensity rating). RESULTS: There were no significant differences between the two groups of iron status in any of the potential confounders of the association between iron status and performance that were tested. Compared with rowers with normal iron status, rowers with depleted iron trained ∼10 min less per day (P = 0.02) and had a 0.3-L·min lower V˙O(2peak) (P = 0.03). Both serum ferritin and training group (high vs low based on a session RPE of 3200) were positively related to V˙O(2peak). Less highly trained rowers with poor iron status had a lower V˙O(2peak) (-0.32 L·min, P = 0.02) and were less energetically efficient (-1.7%, P = 0.09) compared with more highly trained rowers with poor iron status. CONCLUSIONS: Impaired iron status is a prevalent problem among female endurance athletes. The relationship between rowers' iron status and endurance performance varied depending on training load. IDNA may prevent rowers from training as hard, directly affecting their performance.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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 [249]
Cites
New methods for calculating metabolic rate with special reference to protein metabolism
Weir, J. B. D. V. (1949) · The Journal of Physiology · doi:10.1113/jphysiol.1949.sp004363 · Cited by 5,608 · see citing works
Generalized equations for predicting body density of women
Jackson, A. S., Pollock, M. L., & Ward, A. (1980) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198023000-00009 · Cited by 1,853 · see citing works
Haas, J. D., & Brownlie, T. (2001) · The Journal of Nutrition · doi:10.1093/jn/131.2.676s · Cited by 1,186 · see citing works
Self-citationThe quantitative assessment of body iron
Cook, J. D., Flowers, C. H., & Skikne, B. (2003) · Blood · doi:10.1182/blood-2002-10-3071 · Cited by 771 · see citing works
Design and analysis of research on sport performance enhancement
HOPKINS, W. G., HAWLEY, J. A., & BURKE, L. M. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199903000-00018 · Cited by 708 · see citing works
Muscular efficiency during steady-rate exercise: effects of speed and work rate
Gaesser, G. A., & Brooks, G. A. (1975) · Journal of Applied Physiology · doi:10.1152/jappl.1975.38.6.1132 · Cited by 577 · see citing works
Thurnham, D. I., McCabe, L. D., Haldar, S., Wieringa, F. T., Northrop‐Clewes, C. A., & McCabe, G. P. (2010) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29284 · Cited by 555 · see citing works
Sensitivity and accuracy of the visual analogue scale: a psycho‐ physical classroom experiment.
Maxwell, C. (1978) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1978.tb01676.x · Cited by 466 · see citing works
Evaluation of the Lactate Pro blood lactate analyser
Pyne, D. B., Boston, T., Martin, D. T., & Logan, A. J. (2000) · European Journal of Applied Physiology · doi:10.1007/s004210050659 · Cited by 314 · see citing works
Hepcidin and Its Role in Regulating Systemic Iron Metabolism
Ganz, T. (2006) · Hematology · doi:10.1182/asheducation-2006.1.29 · Cited by 260 · see citing works
Monitoring of Performance and Training in Rowing
M�estu, J., Jürimäe, J., & J??rim??e, T. (2005) · Sports Medicine · doi:10.2165/00007256-200535070-00005 · Cited by 257 · see citing works
Marginal iron deficiency without anemia impairs aerobic adaptation among previously untrained women
Brownlie, T., Utermohlen, V., Hinton, P. S., Giordano, C., & Haas, J. D. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/75.4.734 · Cited by 233 · see citing works
Self-citationIron supplementation improves endurance after training in iron-depleted, nonanemic women
Hinton, P. S., Giordano, C., Brownlie, T., & Haas, J. D. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.88.3.1103 · Cited by 228 · see citing works
Self-citationHematological indices and iron status in athletes of various sports and performances
Schumacher, Y. O., Schmid, A., Grathwohl, D., LTERMANN, D. B., & Berg, A. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200205000-00022 · Cited by 227 · see citing works
Hepcidin Regulation of Iron Transport
Collins, J. F., Wessling‐Resnick, M., & Knutson, M. D. (2008) · Journal of Nutrition · doi:10.3945/jn.108.096347 · Cited by 199 · see citing works
Prevalence of Iron Deficiency with and without Anemia in Recreationally Active Men and Women
Sinclair, L. M., & Hinton, P. S. (2005) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2005.03.005 · Cited by 140 · see citing works
Iron-regulatory protein hepcidin is increased in female athletes after a marathon
Röcker, L., Meier-Buttermilch, R., Brechtel, L. M., Nemeth, E., & Ganz, T. (2005) · European Journal of Applied Physiology · doi:10.1007/s00421-005-0055-y · Cited by 134 · see citing works
Effects of iron repletion on blood volume and performance capacity in young athletes
FRIEDMANN, B., WELLER, E., URL, H. M., & rtsch, P. B. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200105000-00010 · Cited by 114 · see citing works
Effect of iron supplementation on endurance capacity in iron-depleted female runners
KLINGSHIRN, L. A., PATE, R. R., BOURQUE, S. P., DAVIS, J. M., & SARGENT, R. G. (1992) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199207000-00013 · Cited by 104 · see citing works
Effects of exercise on soluble transferrin receptor and other variables of the iron status
Schumacher, Y. O., Schmid, A., König, D., & Berg, A. (2002) · British Journal of Sports Medicine · doi:10.1136/bjsm.36.3.195 · Cited by 99 · see citing works
Soluble transferrin receptor: a discriminating assay for iron deficiency
Baillie, F. J., Morrison, A. E., & Fergus, I. (2003) · Clinical & Laboratory Haematology · doi:10.1046/j.0141-9854.2003.00548.x · Cited by 95 · see citing works
Effect of a mild infection on serum ferritin concentration—clinical and epidemiological implications
Hulthén, L., Lindstedt, G., Lundberg, P., & Hallberg, L. (1998) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600573 · Cited by 95 · see citing works
DellaValle, D. M., & Haas, J. D. (2011) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.21.6.501 · Cited by 94 · see citing works
Self-citationMood and self-motivation in successful and unsuccessful female rowers
Raglin, J. S., Morgan, W. P., & LUCHSINGER, A. E. (1990) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199012000-00018 · Cited by 79 · see citing works
Exercise as a mediator of hepcidin activity in athletes
Peeling, P. (2010) · European Journal of Applied Physiology · doi:10.1007/s00421-010-1594-4 · Cited by 73 · see citing works
Severe or marginal iron deficiency affects spontaneous physical activity in rats
Hunt, J., Zito, C. A., Erjavec, J., & Johnson, L. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.2.413 · Cited by 69 · see citing works
Effects of iron deficiency and training on mitochondrial enzymes in skeletal muscle
Willis, W. T., Brooks, G. A., Henderson, S., & Dallman, P. R. (1987) · Journal of Applied Physiology · doi:10.1152/jappl.1987.62.6.2442 · Cited by 57 · 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
Serum Ferritin and Anemia in Trained Female Athletes
Ashenden, M. J., Martin, D. T., Dobson, G. P., Mackintosh, C. G., & Hahn, A. G. (1998) · International Journal of Sport Nutrition · doi:10.1123/ijsn.8.3.223 · Cited by 25 · see citing works
Work performance in the iron-deficient rat: improved endurance with exercise training
Perkkiö, M. V., Jansson, L., Henderson, S., Refino, C. J., Brooks, G. A., & Dallman, P. R. (1985) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1985.249.3.e306 · Cited by 23 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Iron and the endurance athlete
Hinton, P. S. (2014) · Applied Physiology Nutrition and Metabolism · doi:10.1139/apnm-2014-0147 · Cited by 135 · see citing works
Burden, R. J., Morton, K., Richards, T., Whyte, G. P., & Pedlar, C. R. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093624 · Cited by 125 · see citing works
Iron balance and iron supplementation for the female athlete: A practical approach
Pedlar, C. R., Brugnara, C., Bruinvels, G., & Burden, R. (2018) · European Journal of Sport Science · doi:10.1080/17461391.2017.1416178 · Cited by 111 · see citing works
Iron supplementation improves energetic efficiency in iron-depleted female rowers
DELLAVALLE, D. M., & HAAS, J. D. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000208 · Cited by 93 · see citing works
Self-citationIron Supplementation for Female Athletes: Effects on Iron Status and Performance Outcomes
DellaValle, D. M. (2013) · Current Sports Medicine Reports · doi:10.1249/jsr.0b013e31829a6f6b · Cited by 92 · see citing works
Self-citationNutritional Considerations for the Vegan Athlete
West, S., Monteyne, A. J., van der Heijden, I., Stephens, F. B., & Wall, B. T. (2023) · Advances in Nutrition · doi:10.1016/j.advnut.2023.04.012 · Cited by 42 · see citing works
Jordan, S. L., Albracht-Schulte, K., & Robert-McComb, J. J. (2020) · PharmaNutrition · doi:10.1016/j.phanu.2020.100229 · Cited by 28 · see citing works
Pompano, L. M., & Haas, J. D. (2019) · The Journal of Nutrition · doi:10.1093/jn/nxy271 · Cited by 14 · see citing works
- Authors
- DELLAVALLE, D. M., & HAAS, J. D.
- Affiliations
- Cornell University (US)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2012-08
- Volume
- 44
- Issue
- 8
- Pages
- 1552-1559
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2044136931
- Cited by
- 69
- References
- 30
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 10 · 2023: 5 · 2022: 6 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 2
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- iron status, iron deficiency without anemia, female rowers, endurance performance, training load, serum ferritin, soluble transferrin receptor, peak oxygen uptake, female endurance athletes, session rating of perceived exertion
- MeSH terms
- Cross-Sectional Studies, Female, Ferritins, Hemoglobins, Humans, Oxygen Consumption, Physical Endurance, Receptors, Transferrin, Sports, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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 ›
Are you an author, or do you see a problem with this page? Request a review