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铁作为一种增强体能的辅助物质:确凿的证据?

Iron as an ergogenic aid: ironclad evidence?

作者信息

Rodenberg Richard E, Gustafson Shane

机构信息

Sports Medicine Fellowship, Grant Medical Center/Ohio Health, Columbus, OH 43215-4354, USA.

出版信息

Curr Sports Med Rep. 2007 Jul;6(4):258-64.

Abstract

Iron supplementation for the iron-depleted nonanemic athlete is a controversial issue. Athletes may be iron deficient due to poor dietary intake, significant or obligatory blood loss, or deficiency via increased need secondary to intense physical activity. Athletes who are found to be anemic secondary to iron deficiency do benefit and show improved performance with appropriate iron supplementation. There is contradictory evidence for iron supplementation and improving performance in the iron-depleted nonanemic athlete. An athlete's iron status is usually monitored via serum ferritin. Currently, there is no standardized ferritin level at which supplementation is recommended, nor is there a consensus as to the appropriate maintenance of ferritin. Screening endurance athletes or female athletes in general for iron deficiency and also educating these athletes regarding the importance of a balanced diet to maximize performance would seem prudent and beneficial. Based on the literature, supplementation for the iron-depleted nonanemic athlete does not appear to be justified to solely improve performance.

摘要

对缺铁但不贫血的运动员进行铁补充是一个有争议的问题。运动员可能由于饮食摄入不足、大量或必要的失血,或因高强度体育活动导致需求增加而缺铁。被发现因缺铁而贫血的运动员确实会从适当的铁补充中受益,并表现出成绩提高。对于缺铁但不贫血的运动员进行铁补充并提高成绩,存在相互矛盾的证据。运动员的铁状态通常通过血清铁蛋白来监测。目前,没有推荐补充铁的标准化铁蛋白水平,对于铁蛋白的适当维持也没有共识。对耐力运动员或一般女性运动员进行缺铁筛查,并让这些运动员了解均衡饮食对最大限度提高成绩的重要性,似乎是谨慎且有益的。根据文献,对缺铁但不贫血的运动员进行补充铁似乎不能仅为提高成绩而得到合理证明。

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