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Introduction
Most athletes are in excellent health with lifestyles
combining regular exercise with a nutritious diet
(1,2). However even the healthiest athletes are at risk
for iron deficiency and iron deficiency anemia.
Athletes subjecting themselves to prolonged strenuous
exercise, and daily endurance training risk developing
anemia. Iron deficiency can occur with or without the
development of anemia and may be symptomatic or
asymptomatic (3). The laboratory parameters of the
same are seen in table 1.
Anemia is present when red cell mass is reduced
below normal limits. Measuring red cell mass directly
is uncommon. Instead, the hemoglobin level and
hematocrit are commonly used (see table 1). The
clinical presentation and management of anemia
varies according to the mechanism of red cell mass
loss. The mechanism of anemia can be classified
Correspondence: Colleen Dodich, MD, Department of using three broad categories: hypoproliferation,
Pediatric and Adolescent Medicine, Western Michigan ineffective erythropoiesis, and blood loss or
University School of Medicine, 1000 Oakland Drive,
Kalamazoo, Michigan 49008, United States. E-mail:
hemolysis.
Colleen.dodich@med.wmich.edu