Abstract

Background and AimsExercise-induced iron deficiency is a common finding in endurance athletes. It has been suggested recently that hepcidin may be an important mediator in this process.ObjectiveTo determine hepcidin levels and markers of iron status during long-term exercise training in female runners with depleted and normal iron stores.MethodsFourteen runners were divided into two groups according to iron status. Blood samples were taken during a period of eight weeks at baseline, after training and after ten days’ recovery phase.ResultsOf 14 runners, 7 were iron deficient at baseline and 10 after training. Hepcidin was lower at recovery compared with baseline (p<0.05). The mean cell haemoglobin content, haemoglobin content per reticulocyte and total iron binding capacity all decreased, whereas soluble transferrin receptor and hypochromic red cells increased after training and recovery (p<0.05 for all).ConclusionThe prevalence of depleted iron stores was 71% at the end of the training phase. Hepcidin and iron stores decreased during long-term running training and did not recover after ten days, regardless of baseline iron status.

Highlights

  • Athletes, females and adolescents, are at increased risk of depleting their iron stores to the stage of functional or absolute iron deficiency (ID)

  • Hepcidin and iron stores decreased during long-term running training and did not recover after ten days, regardless of baseline iron status

  • We did not observe any significant differences in body composition between baseline and recovery

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Summary

Introduction

Females and adolescents, are at increased risk of depleting their iron stores to the stage of functional or absolute iron deficiency (ID). Sideropenic anaemia may eventually develop [1].The prevalence of ID in adolescent and adult females competing in a variety of sports was reported to range from 25% to 36% [2,3]. During the season this can change significantly and ranges from 14% to 70% [4]. The serum concentration of soluble transferrin receptor (sTfR) and the ratio of sTfR to serum ferritin (sTfR-F index) have been suggested as more sensitive indicators of functional ID or tissue iron depletion over serum ferritin alone [2,6]. It has been suggested recently that hepcidin may be an important mediator in this process

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