The aim of the study was to assess the effect of physical exercise on the changes
in concentrations of ferritin and soluble transferrin receptor (sTfR) in plasma in
course of 10 consecutive days of a training camp. Ten female elite judoists, aged
17 - 23 years, participated in the study. Mean concentration of ferritin for the 10
day period was 62.8 × 1.633±1 μg/l, the within-subject, day-to-day variability being very high (13 - 75 %). Ferritin
concentrations were significantly correlated with the training load on the preceding
day (r = 0.397; p < 0.001). Mean level of sTfR was 2.56 × 1.291±1mg/l and its within-subject variability was much lower (4 - 16 %). Although the training
loads had an effect on the intravascular hemolysis as indicated by a significant,
negative correlation between load scores and haptoglobin concentration (r = - 0.282;
p < 0.01), the latter was not correlated significantly with sTfR levels. It was concluded
that the soluble transferrin receptor is a more stable indicator of iron status under
high training loads since, unlike ferritin, it does not respond to the workload on
the preceding day. Moreover, the intravascular hemolysis observed in athletes does
not affect the sTfR levels in plasma.
Key words:
Exercise, soluble transferrin receptor, ferritin, haptoglobin.
References
- 01
Ahluwalia N, Lammi-Keefe C J, Haley N R, Beard J L.
Day-to-day variation in iron status indexes in early women.
Am J Clin Nutr.
1993;
57
414-419
- 02
Ahluwalia N.
Diagnostic utility of serum transferrin receptor measurement in assessing iron status.
Nutr Rev.
1998;
56
133-141
- 03
Baynes R D.
Assesment of iron status.
Clin Biochem.
1996;
29
209-215
- 04
Cazzola M, Beguin Y.
New tools for clinical evaluation of erythron function in man.
Br J Haemat.
1992;
80
278-284
- 05
Cook J D, Skikne B S, Lynch S R, Reusser M E.
Estimates of iron insufficiency in the US population.
Blood.
1986;
68
726-731
- 06
Cooper J M, Zlotkin S H.
Day-to-day variation of transferrin receptor and ferritin in healthy men and women.
Am J Clin Nutr.
1996;
64
738-742
- 07
Ferguson B J, Skikne B S, Simpson K M, Baynes R D, Cook J D.
Serum transferrin receptor distinguishes the anemia of chronic disease from iron deficiency
anemia.
J Lab Clin Med.
1992;
19
385-390
- 08
Guglielmini C, Casoni I, Patracchini M, Manfredini F, Grazzi G, Ferrari M, Conconi F.
Reduction of Hb levels during the racing season in nonsideropenic professional cyclists.
Int J Sports Med.
1989;
10
352-356
- 09
Hallberg L, Bengtsson C, Lapidus L, Lindstedt G, Landberg P-A, Hulten L.
Screening for iron deficiency: an analysis based on bone-marrow examinations and serum
ferritin determination in population sample of women.
B J Heamatol.
1993;
85
787-798
- 10
Hallberg L, Rossander-Hulten L.
Iron requirements in menstruating women.
Am J Clin Nutr.
1991;
54
1047-1058
- 11
Hulthen L, Lindstedt G, Lundberg P-A, Hallberg L.
Effect of a mild infection on serum ferritin concentration - clinical and epidemiological
implications.
Eur J Clin Nutr.
1998;
52
376-379
- 12
Lampe J W, Slavin J L, Apple F S.
Poor iron status of women runners training for a marathon.
Int J Sports Med.
1986;
7
111-114
- 13
Malczewska J, Raczyńska B, Siwińska D, Szczepańska B.
Ferritin - a diagnostic index of iron status in athletes.
Biol Sport.
1996;
13
21-30
- 14
Milman N, Clausen J O, Jordal R.
Iron status in young Danish men and women: a population survey comprising 548 individuals.
Ann Hematol.
1995;
70
215-221
- 15
Nagel D, Seiler D, Franz H.
Biochemical and endocrinological parameters during repeated intense short-term running
in comparison to ultra-long-distance running.
Int J Sport Med.
1992;
13
337-343
- 16
Nielsen P, Nachtigall D.
Iron supplementation in athletes. Current recommendations.
Sports Med.
1998;
26
207-216
- 17
Pattini A, Schena F, Guidi G C.
Serum ferritin and serum iron changes after cross-country and roller ski endurance
races.
Eur J Appl Physiol.
1990;
61
55-60
- 18
Punnonen K, Irjala K, Rajamaki A.
Iron deficiency anemia is associated with high concentrations of transferrin receptor
in serum.
Clin Chem.
1994;
40
774-776
- 19
Punnonen K, Irjala K, Rajamaki A.
Serum transferrin receptor and its ratio to serum ferritin in the diagnosis of iron
deficiency.
Blood.
1997;
89
1052-1057
- 20
Raczyńska B.
Ferritin as a diagnostic index of iron status in athletes.
Med Sport.
1996;
56
2-5 (in Polish)
- 21
Rafalski R, Řwitoniak T.
Prevalence and causes of iron deficiency in menstruating women. Part I. Prevalence
of iron deficiency.
Polish J Human Nutr Metab.
1994;
21 (Suppl.)
9-26
- 22
Rauniker R A, Sabio H.
Anemia in adolescent athlete.
A J D C.
1992;
146
1201-1205
- 23
Seiler D, Nagel D, Franz H, Hellstern P, Leitzmann C, Jung K.
Effects of long-distance running on iron metabolism and hematological parameters.
Int J Sports Med.
1989;
10
357-362
- 24
Skikne B J, Flowers C H, Cook J D.
Serum transferrin receptor: a quantitative measure of tissue iron deficiency.
Blood.
1990;
75
1870-1876
- 25
Skikne B S.
Circulating transferrin receptor assay-coming of age.
Clin Chem.
1998;
44
7-9
- 26
Suominen P, Punnonen K, Rajamäki A, Irjala K.
Evaluation of new immunoenzymometric assay for measuring soluble transferrin receptor
to detect iron deficiency in anemic patients.
Clin Chem.
1997;
43
1641-1646
- 27
Taylor C, Rogers G, Goodman C, Baynes R D, Bothwell T H, Bazwoda W R, Kramer F, Hattingh J.
Hematologic, iron-related, and acute-phase protein responses to sustained strenuous
exercise.
J Appl Physiol.
1987;
62
464-469
- 28
Thorstensen K, Romslo I.
The transferrin receptor: its diagnostic value and its potential as therapeutic target.
Scand J Clin Lab Invest.
1993;
53 (Suppl. 215)
113-120
- 29
Weight L M, Alexander D, Jacobs P.
Strenuous exercise: analogous to the acute-phase response?.
Clin Sci.
1991;
81
677-683
- 30 Wintrobe M M, Lee G R, Bithel T C, Foerster J, Athens J W, Lukens J N. Wintrobe's
Clinical Hematology. 9th Ed. Philadelphia, London; Lea & Febiger 1993:
Dr. J. Malczewska
Institute of Sport
Trylogii 2 01-982 Warsaw 45 Poland
Phone: Tel.+ 48 (22) 8352848
Fax: Fax.+ 48 (22) 8350977
Email: E-mail:insp@insp.waw.pl