Kuwabara Anne M, Tenforde Adam S, Finnoff Jonathan T, Fredericson Michael
Department of Physical Medicine and Rehabilitation, Stanford University, Redwood City, California, USA.
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
PM R. 2022 May;14(5):620-642. doi: 10.1002/pmrj.12779. Epub 2022 Mar 17.
Iron deficiency is a concern for athletes due to potential for performance impairments attributed to lower iron status with, or without, accompanying anemia. Despite the high interest in the topic for endurance athletes and medical providers who care for this population, the evaluation and management of athletes with iron deficiency is still evolving, particularly in relation to iron deficiency non-anemia (IDNA). This narrative review presents causes of iron deficiency in the athlete, clinical presentation, differential diagnoses, diagnostic evaluation, and proposed strategies for treatment.
缺铁是运动员关注的问题，因为无论是否伴有贫血，较低的铁状态都可能导致运动能力受损。尽管耐力运动员以及照料这一人群的医疗服务提供者对该话题高度关注，但缺铁运动员的评估和管理仍在不断发展，尤其是在缺铁性非贫血（IDNA）方面。这篇叙述性综述介绍了运动员缺铁的原因、临床表现、鉴别诊断、诊断评估以及建议的治疗策略。
