Prevalence of iron-deficiency anemia in selected athletes from the Peruvian Institute of Sport during 2013: cross-sectional study

Authors

  • Alexandra Rivera Ameri Universidad Peruana de Ciencias Aplicadas.
  • Valeria Quiroz Acurio Universidad Peruana de Ciencias Aplicadas.
  • Kevyn Arias Montano Universidad Peruana de Ciencias Aplicadas.

DOI:

https://doi.org/10.14306/renhyd.21.2.280

Keywords:

Anemia, Iron-Deficiency, Hemoglobins, Sex, Athletes, Sports.

Abstract

Introduction: The aims of this study were to determine the iron-deficiency anemia prevalence per dynamic and static component and thus identify sports with the highest prevalence of iron-deficiency anemia, and to determine the association between sports, sex, age and iron-deficiency anemia.

Material and methods: Observational study and cross-sectional analytic. The database of the National Biomedical Services Directorate of the Peruvian Institute of Sport was used for the period from January to December 2013. Athletes aged 18 – 35 were selected from a total universe of 1833 athletes. Numerical variables were evaluated using the Student’s t- test or the Mann-Whitney U-test, depending on the normality of the variables. Categorical variables were evaluated using the χ2 test. Crude and adjusted Prevalence Ratios were calculated using the Poisson regression with robust error variance, to assess the association between sex and iron-deficiency anemia.

Results: 633 athletes were analyzed, being mostly male (68.4%). Variables included in the bivariate model were sex, sports age and iron supplementation, which were also included in the multivariate model, and an association between iron-deficiency anemia and sports age (p = 0.01) was found. No association between sex and iron-deficiency anemia was found (RPa= 0.96; 95%CI: 0.60-1.40; p=0.85). However, the prevalence of iron-deficiency anemia was above 15% (17.9% men and 16.8% women). The main result was that there is no significant difference when comparing the prevalence of iron-deficiency anemia between men and women (17.9% and 16.8%).

Conclusions: Higher prevalence of iron-deficiency anemia was found in sports with high static and dynamic component. There is not association between iron-deficiency anemia and sex in athletes from the Peruvian Institute of Sport in 2013.

References

(1) Organización Mundial de la Salud. Concentraciones de hemoglobina para diagnosticar la anemia y evaluar su gravedad. Ginebra, Suiza: Organización Mundial de la Salud; 2011.

(2) Farrús Palou M, Pérez Ocaña A, Mayer Pujadas MA, Piquer Gibert M, Mundet Tudurí X, Iglesias Rodal M. Anemias en atención primaria: etiología y características morfológicas. Aten Primaria. 2000;25(4):230-5.

(3) Instituto Nacional de Estadística e Informática. Perú: Encuesta Demográfica y de Salud Familiar - ENDES 2014. Lima, Perú: Instituto Nacional de Estadística e Informática; 2015.

(4) De Paz R, Hernández-Navarro F. Manejo, prevención y control de la anemia perniciosa. Nutr Hosp. 2005;20(6):433-5.

(5) Sacristán A, Estaca EG, Galinari HJ. Actividad física y salud en la mujer. Toko-Gin Pract. 2009;68(2):40-2.

(6) Urdampilleta A, Martínez-Sanz JM, Mielgo-Ayuso J. Anemia ferropénica en el deporte e intervenciones dietético-nutricionales preventivas. Rev Esp Nutr Hum Diet. 2013;17(4):155-64.

(7) Mouton G, Sluse FE, Bertrand A, Welter A, Cabay JL, Camus G. Iron status in runners of various running specialties. Arch Int Physiol Biochim. 1990;98(1):103-9.

(8) Dufaux B, Hoederath A, Hollmann W. Serumferritin bei Ruderinnen, Schwimmerinnen, Kurz, Mittel- und Langstrecklenläuferinnen. Dtsch Z Sportmed. 1988;39(7):260-4.

(9) Haymes EM, Spillman DM. Iron status of women distance runners, sprinters, and control women. Int J Sports Med. 1989;10(6):430-3.

(10) Pate RR. Sports Anemia: A Review of the Current Research Literature. Phys Sportsmed. 1983;11(2):115-31.

(11) Spodaryk K. Haematological and iron-related parameters of male endurance and strength trained athletes. Eur J Appl Physiol Occup Physiol. 1993;67(1):66-70.

(12) Telford RD, Cunningham RB. Sex, sport, and body-size dependency of hematology in highly trained athletes. Med Sci Sports Exerc. 1991;23(7):788-94.

(13) Mitchell JH, Haskell W, Snell P, Van Camp SP. Task Force 8: classification of sports. J Am Coll Cardiol. 2005;45(8):1364-7.

(14) Coutinho LMS, Scazufca M, Menezes PR. Methods for estimating prevalence ratios in cross-sectional studies. Rev Saude Publica. 2008;42(6):992-8.

(15) Castillo M, Mora AI, Aldana L, Bermúdez MI, Piraneque A. Valoración del estado funcional del hierro en deportistas de alto rendimiento de las ligas de waterpolo y patinaje de Cali, Colombia. Nova. 2012;10(17):38-49.

(16) Dubnov G, Constantini NW. Prevalence of iron depletion and anemia in top-level basketball players. Int J Sport Nutr Exerc Metab. 2004;14(1):30-7.

(17) Legaz A. Atletismo español: Análisis básico de la psudoanemia, anemia ferropénica y anemia megaloblástica. Rev int med cienc act fís deporte. 2000;1(1):65-83.

(18) McClung JP. Iron status and the female athlete. J Trace Elem Med Biol. 2012;26(2-3):124-6.

(19) Diehl DM, Lohman TG, Smith SC, Kertzer R. Effects of physical training and competition on the iron status of female field hockey players. Int J Sports Med. 1986;7(5):264-70.

(20) Gandra YR. La anemia ferropénica en América Latina y el Caribe. Bol Oficina Sanit Panam. 1970;68(5):375-87.

(21) Marín GH, Rivadulla P, Negro L, Gelemur M, Etchegoyen G, GIS. Estudio poblacional de prevalencia de anemia en población adulta de Buenos Aires, Argentina. Aten Primaria. 2008;40(3):133-8.

(22) Carías D, Cioccia AM, Gutiérrez M, Hevia P, Pérez A. Indicadores bioquímicos del estado nutricional de adolescentes pre-universitarios de Caracas. An Venez Nutr. 2009;22(1):12-9.

(23) Shamah-Levy T, Cuevas-Nasu L, Mundo-Rosas V, Morales-Ruán C, Cervantes-Turrubiates L, Villalpando-Hernández S. Estado de salud y nutrición de los adultos mayores en México: resultados de una encuesta probabilística nacional. Salud Pública Méx. 2008;50(5):383-9.

(24) Oscai LB, Williams BT, Hertig BA. Effect of exercise on blood volume. J Appl Physiol. 1968;24(5):622-4.

(25) Clement D, Asmundson R. Nutritional intake and hematological parameters in endurance runners. Phys Sportsmed. 1982;10(3):37-43.

(26) Nuviala RJ, Abos D, González E, Giner A. Valoración de las deficiencias de hierro en corredores de fondo y ciclistas. Arch Med Deporte. 1988;5(17):11-6.

(27) Guerra T, Knackfuss M, da Silveira C. Avaliação da composição corporal, nível de hemoglobina e perfil nutricional de atletas de handebol. Fitness Perform J. 2006;5(5):277-81.

(28) Salive ME, Cornoni-Huntley J, Guralnik JM, Phillips CL, Wallace RB, Ostfeld AM, et al. Anemia and hemoglobin levels in older persons: relationship with age, gender, and health status. J Am Geriatr Soc. 1992;40(5):489-96.

(29) Smith DL. Anemia in the elderly. Am Fam Physician. 2000;62(7):1565-72.

(30) Mukhopadhyay D, Mohanaruban K. Iron deficiency anaemia in older people: investigation, management and treatment. Age Ageing. 2002;31(2):87-91.

(31) Heikkinen A, Alaranta A, Helenius I, Vasankari T. Use of dietary supplements in Olympic athletes is decreasing: a follow-up study between 2002 and 2009. J Int Soc Sports Nutr. 2011;8(1):1.

(32) Newhouse IJ, Clement DB, Taunton JE, McKenzie DC. The effects of prelatent/latent iron deficiency on physical work capacity. Med Sci Sports Exerc. 1989;21(3):263-8.

(33) González-Gross M, Gutiérrez A, Mesa JL, Ruiz-Ruiz J, Castillo MJ. La nutrición en la práctica deportiva: Adaptación de la pirámide nutricional a las características de la dieta del deportista. Arch Latinoam Nutr. 2001;51(4):321-31.

Published

2017-07-24

How to Cite

Rivera Ameri, A., Quiroz Acurio, V., & Arias Montano, K. (2017). Prevalence of iron-deficiency anemia in selected athletes from the Peruvian Institute of Sport during 2013: cross-sectional study. Spanish Journal of Human Nutrition and Dietetics, 21(2), 112–120. https://doi.org/10.14306/renhyd.21.2.280