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Central European Journal of Sport Sciences and Medicine
Vol. 47, No. 3/2024
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For the whole journal, according to OpenAlex.

Citations
1 077
Publications
412
H-index
12
I10-index
22
Mean citedness (2 years)
0.43
Citations received by year
Journal citation chart. Exact values are available in the table below. 2017: 37 2018: 45 2019: 56 2020: 112 2021: 106 2022: 146 2023: 150 2024: 161 2025: 132 2026: 67 2017 2026
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Citations received by year
YearPublicationsCitations
20174237
20183345
20193556
202038112
202138106
202231146
202330150
202429161
202530132
20261667

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Publications and citations cover records linked to this journal in OpenAlex. H-index is the largest number h of publications with at least h citations each. I10-index counts publications cited at least 10 times. The chart shows citations received in each year; the current year is incomplete. Coverage may differ from WNUS and other services.

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Ferritin Level Analysis to Identify Iron Deficiency in Qualified Athletes

DOI: 10.18276/cej.2024.3-05
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Abstract

The world of elite sports is marked by intense physical and psychological strains, significantly augmenting the demands on athletes' bodies and rendering them susceptible to iron deficiency, and anemia, especially women athletes. Iron deficiency can have severe consequences, including heightened injury risks, delayed recovery following physical exertion, compromised immunity and diminished athletic performance. Notably, iron deficiency in athletes can persist without manifesting as anemia. Consequently, comprehensive research is crucial to identify iron deficiency states in athletes. Our study focused on researching the ferritin content and other indicators of iron metabolism in the blood of 159 qualified athletes (98 men and 61 women) who specialized in various sports. The research entailed the assessment of ferritin concentration, hemoglobin, iron content, red blood cell count, and hematocrit level. The findings revealed a considerable prevalence of hidden iron deficiency among female athletes, with 54% exhibiting prelatent iron deficiency and 16% presenting with latent iron deficiency. They require appropriate recommendations for treatment and prevention. The results of our research confirm the presence of the iron deficiency problem in athletes, especially women. Due to the above, identifying not only iron-deficiency anemia but also hidden iron deficiencies is crucial to ensure timely and effective treatment and prevention.
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Bibliography (27)
  1. Al-Naseem, A., Sallam, A., Choudhury, S., & Thachil, J. (2021). Iron deficiency without anaemia: a diagnosis that matters. Clinical Medicine, 21(2), 107–113. https://doi.org/10.7861/clinmed.2020-0582
  2. Alaunyte, I., Stojceska, V., & Plunkett, A. (2015). Iron and the female athlete: a review of dietary treatment methods for improving iron status and exercise performance. Journal of the International Society of Sports Nutrition, 12(1). https://doi.org/10.1186/s12970-015-0099-2
  3. Chatard, J.-C., Mujika, I., Guy, C., & Lacour, J.-R. (1999). Anaemia and iron deficiency in athletes. Sports Medicine, 27(4), 229–240. https://doi.org/10.2165/00007256-199927040-00003
  4. Clénin, G., Cordes, M., Huber, A., Schumacher, Y., Noack, P., Scales, J., & Kriemler, S. (2015). Iron deficiency in sports – definition, influence on performance and therapy. Swiss Medical Weekly. https://doi.org/10.4414/smw.2015.14196
  5. Coates, A., Mountjoy, M., & Burr, J. (2017). Incidence of Iron Deficiency and Iron Deficient Anemia in Elite Runners and Triathletes. Clinical Journal of Sport Medicine, 27(5), 493–498. https://doi.org/10.1097/jsm.0000000000000390
  6. Cook, J. D., Baynes, R. D., & Skikne, B. S. (1992). Iron Deficiency and the Measurement of Iron Status. Nutrition Research Reviews, 5(1), 198–202. https://doi.org/10.1079/nrr19920014
  7. Custer, E., Finch, C. A., Sobel, R. E., & Zettner, A. (1995). Population norms for serum ferritin. PubMed, 126(1), 88–94.
  8. Damian, M.-T., Vulturar, R., Login, C. C., Damian, L., Chis, A., & Bojan, A. (2021). Anemia in Sports: A Narrative Review. Life, 11(9), 987. https://doi.org/10.3390/life11090987
  9. DellaValle, D. M., & Haas, J. D. (2011). Impact of Iron Depletion Without Anemia on Performance in Trained Endurance Athletes at the Beginning of a Training Season: A Study of Female Collegiate Rowers. International Journal of Sport Nutrition and Exercise Metabolism, 21(6), 501–506. https://doi.org/10.1123/ijsnem.21.6.501
  10. DellaValle, D. M., & Haas, J. D. (2012). Iron Status Is Associated with Endurance Performance and Training in Female Rowers. Medicine & Science in Sports & Exercise, 44(8), 1552–1559. https://doi.org/10.1249/mss.0b013e3182517ceb
  11. DiSilvestro, R. A., Joseph, E., Diehl, J., & Swain, C. B. (2020). Ferritin readings in young adult, female university student recreational runners. Journal of Trace Elements in Medicine and Biology, 62, 126617. https://doi.org/10.1016/j.jtemb.2020.126617
  12. Govus, A. D., Garvican-Lewis, L. A., Abbiss, C. R., Peeling, P., & Gore, C. J. (2015). Pre-Altitude Serum Ferritin Levels and Daily Oral Iron Supplement Dose Mediate Iron Parameter and Hemoglobin Mass Responses to Altitude Exposure. PLOS ONE, 10(8), e0135120. https://doi.org/10.1371/journal.pone.0135120
  13. Hasan, M. M., Soares Magalhaes, R., Garnett, S., Fatima, Y., Tariqujjaman, M., Pervin, S., Ahmed, S., & Mamun, A. (2022). Anaemia in women of reproductive age in low- and middle-income countries: progress towards the 2025 global nutrition target. Bulletin of the World Health Organization, 100(03), 196–204.https://doi.org/10.2471/blt.20.280180
  14. Husarova, A. M., & Vdovenko, N. V. (2023a). Laboratory diagnostics of iron deficiency in track and field athletes. У Physical culture and sports in the european educational space. Baltija Publishing. https://doi.org/10.30525/978-9934-26-337-8-14
  15. Jack, M. L., Sumrall, K., Nasrallah, C., Stuckey, D. C., & Vijay Jotwani. (2023). Analysis of Serum Ferritin Levels in a Group of Elite Ballet Dancers. Journal of Dance Medicine & Science : Official Publication of the International Association for Dance Medicine & Science, 27(3), 160–166. https://doi.org/10.1177/1089313x231178089
  16. Kassebaum, N. J., Jasrasaria, R., Naghavi, M., Wulf, S. K., Johns, N., Lozano, R., Regan, M., Weatherall, D., Chou, D. P., Eisele, T. P., Flaxman, S. R., Pullan, R. L., Brooker, S. J., & Murray, C. J. L. (2014). A systematic analysis of global anemia burden from 1990 to 2010. Blood, 123(5), 615–624. https://doi.org/10.1182/blood-2013-06-508325
  17. Koehler, K., Braun, H., Achtzehn, S., Hildebrand, U., Predel, H.-G., Mester, J., & Schänzer, W. (2011). Iron status in elite young athletes: gender-dependent influences of diet and exercise. European Journal of Applied Physiology, 112(2), 513–523. https://doi.org/10.1007/s00421-011-2002-4
  18. Liberal, Â., Pinela, J., Vívar-Quintana, A. M., Ferreira, I. C. F. R., & Barros, L. (2020). Fighting iron-deficiency anemia: Innovations in food fortificants and biofortification strategies. Foods, 9(12), 1871. https://doi.org/10.3390/foods9121871
  19. Nabhan, D., Bielko, S., Sinex, J. A., Surhoff, K., Moreau, W. J., Schumacher, Y. O., Bahr, R., & Chapman, R. F. (2020). Serum ferritin distribution in elite athletes. Journal of Science and Medicine in Sport, 23(6), 554–558. https://doi.org/10.1016/j.jsams.2019.12.027
  20. Nielsen, P., & Nachtigall, D. (1998). Iron Supplementation in Athletes. Sports Medicine, 26(4), 207–216. https://doi.org/10.2165/00007256-199826040-00001
  21. Peeling, P., Blee, T., Goodman, C., Dawson, B., Claydon, G., Beilby, J., & Prins, A. (2007). Effect of iron injections on aerobic-exercise performance of iron-depleted female athletes. International Journal of Sport Nutrition and Exercise Metabolism, 17(3), 221–231. https://doi.org/10.1123/ijsnem.17.3.221
  22. Sim, M., Garvican-Lewis, L. A., Cox, G. R., Govus, A., McKay, A. K. A., Stellingwerff, T., & Peeling, P. (2019). Iron considerations for the athlete: a narrative review. European Journal of Applied Physiology, 119(7), 1463–1478. https://doi.org/10.1007/s00421-019-04157-y
  23. Snook, J., Bhala, N., Beales, I. L. P., Cannings, D., Kightley, C., Logan, R. P., Pritchard, D. M., Sidhu, R., Surgenor, S., Thomas, W., Verma, A. M., & Goddard, A. F. (2021). British Society of Gastroenterology guidelines for the management of iron deficiency anaemia in adults. Gut, gutjnl—2021–325210. https://doi.org/10.1136/gutjnl-2021-325210
  24. Solberg, A., & Reikvam, H. (2023). Iron Status and Physical Performance in Athletes. Life (Basel, Switzerland), 13(10), 2007. https://doi.org/10.3390/life13102007
  25. Tan, D., Dawson, B., & Peeling, P. (2012). Hemolytic Effects of a Football-Specific Training Session in Elite Female Players. International Journal of Sports Physiology and Performance, 7(3), 271–276. https://doi.org/10.1123/ijspp.7.3.271
  26. Vdovenko, N. V., Ivanova, A. M., & Loshkarova, I. A. (2015). Practical recommendations concerning prevention and correction of iron deficit in athletes. Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 19(1), 12–16. https://doi.org/10.15561/18189172.2015.0103
  27. World Health Organization. (2020). WHO guideline on use of ferritin concentrations to assess iron status in populations. World Health Organization.