Korean Journal of Pediatrics 2004;47(10):1041-1046.
Published online October 15, 2004.
Iron Deficiency Anemia and Iron Nutrition in Adolescent Female Athletes
Yang Kyong Kim1, Bo Young Kang1, Young Jin Hong1, Byong Kwan Son1, Kwang Hoi Kim2, Soon Ki Kim1
1Department of Pediatrics, College of Medicine, College of Education, Inha University Incheon, Korea
2Department of Physical Education, College of Education, Inha University Incheon, Korea
청소년기 여성 육상 운동선수에서 철 결핍성 빈혈 및 철분 영양상태
김양경1, 강보영1, 홍영진1, 손병관1, 김광희2, 김순기1
1인하대학교 의과대학 소아과학교실,
2사범대학 체육교육과
Correspondence: 
Soon Ki Kim, Email: pedkim@inha.ar.kr
Abstract
Purpose
: Iron deficiency, particularly iron deficiency anemia(IDA) often not only decreases athletic performance but also impairs immune function and leads to other physiologic dysfunctions. This study was designed to assess and compare iron status and the IDA prevalence in female adolescent athletes with those of general adolescent students.
Methods
: Physical measurements and hematologic examinations were performed for adolescent female runners(n=32), non-runner athletes(n=78) and apparently healthy students(n=511). Iron deficiency was defined as a serum ferritin concentration <12 ng/mL. The diagnosis of IDA was established when hemoglobin level <12 g/dL was associated with ferritin <12 ng/mL and/or transferrin saturation <16%.
Results
: The prevalence of ID in the runners' group(40.6%) was significantly higher than that of the non-runner athletes' group(23.1%) and the control group(25.4%). The prevalence of IDA in the runners' group was 31.3%, which was significantly higher than that of the non-runners' group and the control group(7.7% and 16.4%, respectively).
Conclusion
: The prevalence of IDA of Korean adolescent females was relatively high, especially, in female adolescent runners. Screening for anemia and iron status is warranted. It is important to measure for iron nutrition and to enforce effective nutritional education in these groups.
Key Words: Anemia, Iron deficiency, Adolescents, Female athletes, Serum ferritin, Tansferrin saturation


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