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American Journal of Clinical Nutrition, Vol. 79, No. 3, 437-443, March 2004
© 2004 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

Tissue iron deficiency without anemia impairs adaptation in endurance capacity after aerobic training in previously untrained women1,2,3

Thomas Brownlie, IV, Virginia Utermohlen, Pamela S Hinton and Jere D Haas

1 From the Division of Nutritional Sciences, Cornell University, Ithaca, NY.

Background: We previously showed that iron supplementation significantly improves iron status and maximal work capacity in previously untrained, marginally iron-deficient women with a baseline serum transferrin receptor concentration > 8.0 mg/L. However, the effect of transferrin receptor status on adaptation in endurance capacity after aerobic training in these subjects has not been fully explored.

Objective: Our objective was to examine the effect of baseline serum transferrin receptor status on adaptations in endurance capacity.

Design: Forty-one untrained, iron-depleted, nonanemic women were randomly assigned to receive either 100 mg FeSO4 or a placebo for 6 wk in a double-blind trial. All subjects trained on cycle ergometers 5 d/wk for the last 4 wk of the study. Endurance capacity was assessed at baseline and after treatment by using a 15-km time trial conducted on a cycle ergometer.

Results: Significant treatment effects were observed for time to complete the 15-km time trial, work rate, and percentage of maximal oxygen uptake in subjects with a baseline serum transferrin receptor concentration > 8.0 mg/L. No significant treatment effects were observed in subjects with a normal baseline transferrin receptor concentration.

Conclusions: Our findings suggest that, in the presence of overt tissue iron deficiency, iron deficiency without anemia impairs adaptation in endurance capacity after aerobic training in previously untrained women. This impairment can be corrected with iron supplementation.

Key Words: Iron deficiency without anemia • iron depletion • aerobic training • serum transferrin receptors • serum ferritin • endurance capacity • women




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