Iron Nutrition and the Female Athlete: Countermeasures for the Prevention of Poor Iron Status

Journal of Evidence-Based Complementary & Alternative Medicine

Volumn 16, Issue 3, 2011, Pages 195-200

  Bass, Laura J ^a   Mcclung, James P ^a  

^a U S ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 80055117452     PISSN: 15332101     EISSN: 15523845     Source Type: Journal    
DOI: 10.1177/2156587211401747     Document Type: Review

References (39)

1. Davies KJ Maguire JJ Brooks GA Dallman PR Packer L. Muscle mitochondria bioenergetics, oxygen supply, and work capacity during dietary iron deficiency and repletion. Am J Physiol. 1982; 242: E418–E427.
2. DeMaeyer E Adiels-Tegman M. The prevalence of anemia in the world. World Health Stat Q. 1985; 38: 306–316.
3. Looker AC Cogswell ME Gunter MT. Iron deficiency—United States, 1999-2000. MMWR Morb Mortal Wkly Rep. 2002; 51: 897–899.
4. Yoshimura H. Anemia during physical training (sports anemia). Nutr Rev. 1970; 28: 251–253.
5. de Wijn JF de Jongste JC Mosterd W Willebrand D. Hemoglobin, packed cell volume, serum iron, and iron binding capacity of selected athletes during training. J Sports Med. 1971; 11: 42–51.
6. Radomski MW Sabiston BH Isoard P. Development of “sports anemia” in physically fit men after daily sustained submaximal exercise. Aviat Space Environ Med. 1980; 51: 41–45.
7. Magazanik A Weinstein Y Dlin RA Derin M Schwartzman S Allalouf D. Iron deficiency caused by 7 weeks of intensive physical exercise. Eur J Appl Physiol Occup Physiol. 1988; 57: 198–202.
8. McClung JP Marchitelli LJ Friedl KE Young AJ. Prevalence of iron deficiency and iron deficiency anemia among three populations of female military personnel in the US Army. J Am Coll Nutr. 2006; 25: 64–69.
9. McClung JP Karl JP Cable SJ Williams KW Young AJ Lieberman HR. Longitudinal decrements in iron status during military training in female soldiers. Br J Nutr. 2009; 102: 605–609.
10. McClung JP Karl JP Cable SJ, et al. Randomized, double-blind, placebo-controlled trial of iron supplementation in female soldiers during military training: effects on iron status, physical performance, and mood. Am J Clin Nutr. 2009; 90: 124–131.
11. Hinton PS Sinclair LM. Iron supplementation maintains ventilatory threshold and improves energetic efficiency in iron-deficient nonanemic athletes. Eur J Clin Nutr. 2007; 61: 30–39.
12. Yip R, Dallman PR. Iron. In: EE Ziegler, LJ Filer, (Eds.), Present Knowledge in Nutrition. 7th ed. Washington, DC: ILSI Press; 1996: 277–292.
13. Robertson JD Maughan RJ Davidson RJL. Faecal blood loss in response to exercise. BMJ. 1987; 295: 303–305.
14. Brune M Magnussun B Persson H Hallberg L. Iron losses in sweat. Am J Clin Nutr. 1986; 43: 438–443.
15. Harvey LJ Armah CN Dainty JR, et al. Impact of menstrual blood loss and diet on iron deficiency among women in the UK. Br J Nutr. 2005; 94: 557–564.
16. Ganz T Nemeth E. Iron imports. IV. Hepcidin and regulation of body iron metabolism. Am J Physiol Gastrointest Liver Physiol. 2006; 290: G199–G203.
17. Peeling P Dawson B Goodman C, et al. Training surface and intensity: inflammation, hemolysis, and hepcidin expression. Med Sci Sports Exerc. 2009; 41: 1138–1145.
18. Peeling P Dawson B Goodman C, et al. Cumulative effects of consecutive running sessions on hemolysis, inflammation and hepcidin activity. Eur J Appl Physiol. 2009; 106: 51–59.
19. Peeling P Dawson B Goodman C, et al. Effects of exercise on hepcidin response and iron metabolism during recovery. Int J Sport Nutr Exerc Metab. 2009; 19: 583–587.
20. Institute of Medicine. Iron. Dietary Reference Intakes. Washington, DC: National Academies Press; 2001: 290–393.
21. Zimmermann M Hurrell R. Nutritional iron deficiency. Lancet. 2007; 370: 511–520.
22. Hallberg L Rossander L Brune M. Prevention of iron deficiency by diet. In: Fomon SJ, Zlotkin S, (Eds.), Nutritional Anemias. New York, NY: Raven Press; 1992: 169–181.
23. Hurrell R Egli I. Iron bioavailability and dietary reference values. Am J Clin Nutr. 2010; 91(suppl):S1461–S1467.
24. Mello RP Murphy MM Vogel JA. Relationship between a two mile run for time and maximal oxygen uptake. J Appl Sport Sci Res. 1988; 2: 9–12.
25. Cook JD Skikne BS Baynes RD. Screening strategies for nutritional iron deficiency. In: SJ Fomon, S Zlotkin, (Eds.), Nutritional Anemias. New York, NY: Raven Press; 1992: 159–168.
26. Gardner GW Edgerton VR Senewiratne B Barnard RJ Ohira Y. Physical work capacity and metabolic stress in subjects with iron deficiency anemia. Am J Clin Nutr. 1977; 30: 910–917.
27. LaManca JJ Haymes EM. Effects of iron repletion on VO2max, endurance, and blood lactate in women. Med Sci Sports Exerc. 1993; 25: 1386–1392.
28. Brownlie T IV Utermohlen V Hinton PS Giordano C Haas JD. Marginal iron deficiency without anemia impairs aerobic adaptation among previously untrained women. Am J Clin Nutr. 2002; 75: 734–742.
29. Brownlie T IV Utermohlen V Hinton PS Haas JD. Tissue iron deficiency without anemia impairs adaptation in endurance capacity after aerobic training in previously untrained women. Am J Clin Nutr. 2004; 79: 437–443.
30. Murray-Kolb LE Beard JL. Iron treatment normalizes cognitive functioning in young women. Am J Clin Nutr. 2007; 85: 778–787.
31. Beard J Tobin B. Iron status and exercise. Am J Clin Nutr. 2000; 72(suppl):S594–S597.
32. Muñoz M Villar I García-Erce JA. An update on iron physiology. World J Gastroenterol. 2009; 15: 4617–4626.
33. Allen L, de Benoist B, Dary O, Hurrell R, (Eds.), Guidelines on Food Fortification With Micronutrients. Geneva, Switzerland: World Health Organization, Food and Agriculture Organization; 2006.
34. Hertrampf E. Iron fortification in the Americas. Nutr Rev. 2002; 60(7 pt 2):S22–S25.
35. Neary MT Batterham RL. Gaining insights into food reward with functional neuroimaging. Forum Nutr. 2009; 63: 152–163.
36. Karl JP Lieberman HR Cable SJ Williams KW Young AJ McClung JP. Randomized, double-blind, placebo-controlled trial of an iron-fortified food product in female soldiers during military training: relations between iron status, serum hepcidin, and inflammation. Am J Clin Nutr. 2010; 92: 93–100.
37. Zimmermann MB Winichagoon P Gowachirapant S, et al. Comparison of the efficacy of wheat-based snacks fortified with ferrous sulfate, electrolytic iron, or hydrogen-reduced elemental iron: randomized, double-blind, controlled trial in Thai women. Am J Clin Nutr. 2005; 82: 1276–1282.
38. Lyle RM Weaver CM Sedlock DA Rajaram S Martin B Melby CL. et al. Iron status in exercising women: the effect of oral iron therapy vs. increased consumption of muscle foods. Am J Clin Nutr. 1992; 56: 1049–1055.
39. United States Department of Agriculture. Food guide pyramid. http://www.mypyramid.gov. Accessed December 2, 2010.