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国际竞技、非职业女性耐力运动员中缺铁的高发率——一项案例研究。

High Prevalence of Iron Deficiency Exhibited in Internationally Competitive, Non-Professional Female Endurance Athletes-A Case Study.

机构信息

WHISPA High Performance Sport New Zealand, Auckland 0632, New Zealand.

Te Huataki Waiora, Faculty of Health, Sport and Human Performance, University of Waikato, Hamilton 3216, New Zealand.

出版信息

Int J Environ Res Public Health. 2022 Dec 10;19(24):16606. doi: 10.3390/ijerph192416606.

DOI:10.3390/ijerph192416606
PMID:36554486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9778947/
Abstract

BACKGROUND

While iron deficiency is commonly discussed in populations of professional female athletes, less is known about highly trained, sub-elite female athletes (e.g., those winning international age-group competitions) who generally have less access to medical and allied health support.

METHODS

Thirteen non-professional highly trained female endurance athletes provided training diaries and completed a blood test, where iron markers of haemoglobin (Hb), haematocrit (Hct), C-reactive protein (Crp), serum iron, serum ferritin, and transferrin were assessed. Resting metabolic rate (RMR) and body composition using dual-energy X-ray absorptiometry (DXA) were also obtained. Participants were classified as iron deficient (ID) if serum ferritin was <30 ug/L serum ferritin.

RESULTS

Six of the 13 females were classified as ID. Serum iron, ferritin, Hb, Hct, and ferrin were greater in the ID group ( < 0.05). Crp resulted in to correlations with serum iron ( = -0.72), serum ferritin ( = -0.66), and transferrin ( = 0.70).

CONCLUSIONS

In this population of highly trained female athletes, 46% were diagnosed with sub-optimal iron levels, which could have lasting health effects and impair athletic performance. The need for more education and support in non-professional athletes regarding iron deficiency is strongly advised.

摘要

背景

铁缺乏在职业女性运动员群体中经常被讨论,但对于接受过高强度训练的亚精英女性运动员(例如,那些在国际年龄组比赛中获胜的运动员)了解较少,这些运动员通常较少获得医疗和相关健康支持。

方法

13 名非专业的高强度训练女性耐力运动员提供了训练日记,并完成了血液测试,评估了血红蛋白(Hb)、红细胞压积(Hct)、C 反应蛋白(Crp)、血清铁、血清铁蛋白和转铁蛋白等铁标志物。使用双能 X 射线吸收法(DXA)还获得了静息代谢率(RMR)和身体成分。如果血清铁蛋白 <30ug/L 血清铁蛋白,则将参与者分类为缺铁(ID)。

结果

13 名女性中有 6 名被分类为 ID。ID 组的血清铁、铁蛋白、Hb、Hct 和 ferrin 更高(<0.05)。Crp 与血清铁(= -0.72)、血清铁蛋白(= -0.66)和转铁蛋白(=0.70)呈至相关。

结论

在这群高强度训练的女性运动员中,46%被诊断出铁水平不足,这可能会对健康产生持久影响并损害运动表现。强烈建议为非专业运动员提供更多关于缺铁的教育和支持。

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