Anemia do atleta (II): incidência e conduta terapêutica

Nuviala Mateo, Ramón José; Lapieza Laínez, María Gloria

doi:10.1590/S1517-86922000000400007

ARTIGO DE REVISÃO

ARCHIVOS DE MEDICINA DEL DEPORTE

Anemia do atleta (II): incidência e conduta terapêutica

Ramón José Nuviala Mateo^I; María Gloria Lapieza Laínez^II

^IServiço de Bioquímica Clínica, Hospital Clínico Universitário de Zaragoza

^IIDepartamento de Farmacologia e Fisiologia, Faculdade de Medicina de Zaragoza, Zaragoza, Espanha

^{Endereço para correspondência} Endereço para correspondência: Dr. Ramón J. Nuviala Servicio de Bioquímica Clínica Hospital Clínico Universitario Avda. San Juan Bosco, 15 50009 Zaragoza Espanha E-mail: glapieza@posta.unizar.es

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Full text available only in PDF format.

AGRADECIMENTOS

Ao Dr. Enric Gimferrer da Unidade de Ferropatologia do Hospital de la Santa Creu i Sant Pau de Barcelona pela revisão e pelas sugestões feitas sobre o manuscrito original.

Traduzido por:

José Kawazoe Lazzoli

Editor-Chefe da Revista Brasileira de Medicina do Esporte, Vice-Presidente da Sociedade de Medicina Desportiva do Rio de Janeiro, Professor do Depto. de Morfologia e da Disciplina de Medicina do Exercício e do Esporte, da Universidade Federal Fluminense, Niterói, RJ, Diretor do ERGOCENTER/Cor Diagnose, Petrópolis, RJ

1. Finch CA, Huebers H. Perspectives in iron metabolism. N Engl J Med 1982;306:1520-8.
2. De Mayer E, Adiels-Tegman M. The prevalence of anaemia in the world. World Health Stat Q 1985;38:302-16.
3. Hermosa V, Mazo E, Carril J, Cordovilla JJ, Luceño A, Zubizarreta A. Estudio prospectivo sobre la prevalencia de ferropenia en la población adulta de Cantabria. Med Clin 1986;87:135-40.
4. Viteri FE, Torun B. Anaemia and physical work capacity. Clin Haematol 1974;3:609-26.
5. Edgerton VR, Gardner GW, Ohira Y, Gunawardena KA, Senewiratne B. Iron deficiency anaemia and its effects on worker productivity and activity patterns. Br Med J 1979;2:1546-9.
6. Hallberg L. Iron nutrition and food iron fortification. Semin Hematol 1982;19:31-41.
7. Weaver CM, Rajaram S. Exercise and iron status. J Nutr 1992;122: 782- 7.
8. Clement DB, Sawchuk LL. Iron status and sport performance. Sports Med 1984;1:65-74.
9. Swearingen JV. Iron deficiency in athletes: consequence or adaption in strenous activity. J Orthop Sports Phys Ther 1986;7:192-5.
10. Dallman PR. Manifestations of iron deficiency. Semin Hematol 1982; 19:19-30.
11. Pate RR. Sports anemia: a review of the current research literature. Phys Sports Med 1983;11:115-31.
12. Yoshimura H. Anemia during physical training (sports anemia). Nutr Rev 1970;10:251-3.
13. Dallman PR. Biochemical basis for the manifestations of iron deficiency. Ann Rev Nutr 1986;6:13-40.
14. Linder MC. Nutrición, aspectos bioquímicos, metabólicos y clínicos. Pamplona: Ed. Eunsa, 1988:189-241.
15. Vives JL. Anemia ferropénica y otros transtornos del metabolismo del hierro. In: Sans-Sabrafen J. Hematología clínica. Barcelona: Ed. Doyma, 1988:177-93.
16. Haymes EM. Nutritional concerns: need for iron. Med Sports Exerc 1987;5(Suppl):S197-S200.
17. Anderson L, Dible MV, Turkki PR, Mitchell HS, Rynbergen HJ. Nutrición y dietética de Cooper. Mexico, D.C.: Ed. Interamericana, 1988: 75- 110.
18. Kutchai H. Gastrointestinal system. In: Berne RM, Levy MN. Principles of physiology. Missouri: Ed. Mosby-Year Book, 1996:437-501.
19. García JD, Crespo L, Guerra JM. Anemias ferropénicas. JANO 1990; 38:43-50.
20. Haymes EM, Lamanca JJ. Iron loss in runners during exercise: implications and recommendations. Sports Med 1989;7:277-85.
²¹
National Research Council Committee of Dietary Allowances. Recommended dietary allowances. 10th ed. Washington, D.C.: National Academy Press, 1989.
22. Hallberg L, Hogdahll AM, Nilsson L, Rybo R. Menstrual blood loss: a population study. Variation at different ages and attempts to define normality. Acta Obstet Gynecol Scand 1966;45:320-51.
23. Dallman PR. Changing iron needs from birth through adolescence. In: Fomon SJ, Zlotkin S, editors. Nutritional anemias. Nestlé Nutrition Workshop Series, Vol. 30. New York: Raven Press, 1992:29-38.
24. Watts E. Athletes' anaemia. A review of possible causes and guidelines on investigation. Br J Sports Med 1989;23:81-3.
25. Hallberg L. Bioavailability of dietary iron in man. Ann Rev Nutr 1981; 1:123-47.
26. Monsen ER, Hallberg L, Layrisse M, Hegsted DM, Cook JD, Mertz W, et al. Estimation of available dietary iron. Am J Clin Nutr 1978;31: 134- 41.
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28. McArdle WD, Katch FI, Kath VL. Exercise physiology. Philadelphia: Lea-Febiger, 1991.
29. Rasmussen EB, Hallberg L, Isaksson B, Arvidsson B. Food iron absorption in man. Applications of the two-pool extrinsic tag method to measure heme and nonheme iron absorption from the whole diet. J Clin Invest 1974;53:247-55.
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32. Newhouse LJ, Clement DB. Iron status in athletes. An update. Sports Med 1988;5:337-52.
33. Brotherhood J, Brozovic B, Pugh LGC. Haematological status of middle- and long-distance runners. Clin Sci Molec Med 1975;48:139-45.
34. Blum SM, Sherman AR, Boileau RA. The effects of fitness-type exercise on iron status in adult women. Am J Clin Nutr 1986;43:456-63.
35. Hunding A, Jordal R, Paulev PE. Runner's anemia and iron deficiency. Acta Med Scand 1981;209:315-8.
36. Telford RD, Cunningham RB, Deakin V, Kerr DA. Iron status and diet in athletes. Med Sci Sports Exerc 1993;25:796-800.
37. Clement DB, Asmundson RC. Nutritional intake and hematological parameters in endurance runners. Phys Sports Med 1982;10:37-43.
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Endereço para correspondência:

Dr. Ramón J. Nuviala

Servicio de Bioquímica Clínica

Hospital Clínico Universitario

Avda. San Juan Bosco, 15

50009 Zaragoza Espanha

E-mail:

glapieza@posta.unizar.es

Datas de Publicação

Publicação nesta coleção
11 Mar 2011
Data do Fascículo
Ago 2000

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Finch CA, Huebers H. Perspectives in iron metabolism. N Engl J Med 1982;306:1520-8.

[2] 2. De Mayer E, Adiels-Tegman M. The prevalence of anaemia in the world. World Health Stat Q 1985;38:302-16.

[3] 3. Hermosa V, Mazo E, Carril J, Cordovilla JJ, Luceño A, Zubizarreta A. Estudio prospectivo sobre la prevalencia de ferropenia en la población adulta de Cantabria. Med Clin 1986;87:135-40.

[4] 4. Viteri FE, Torun B. Anaemia and physical work capacity. Clin Haematol 1974;3:609-26.

[5] 5. Edgerton VR, Gardner GW, Ohira Y, Gunawardena KA, Senewiratne B. Iron deficiency anaemia and its effects on worker productivity and activity patterns. Br Med J 1979;2:1546-9.

[6] 6. Hallberg L. Iron nutrition and food iron fortification. Semin Hematol 1982;19:31-41.

[7] 7. Weaver CM, Rajaram S. Exercise and iron status. J Nutr 1992;122: 782- 7.

[8] 8. Clement DB, Sawchuk LL. Iron status and sport performance. Sports Med 1984;1:65-74.

[9] 9. Swearingen JV. Iron deficiency in athletes: consequence or adaption in strenous activity. J Orthop Sports Phys Ther 1986;7:192-5.

[10] 10. Dallman PR. Manifestations of iron deficiency. Semin Hematol 1982; 19:19-30.

[11] 11. Pate RR. Sports anemia: a review of the current research literature. Phys Sports Med 1983;11:115-31.

[12] 12. Yoshimura H. Anemia during physical training (sports anemia). Nutr Rev 1970;10:251-3.

[13] 13. Dallman PR. Biochemical basis for the manifestations of iron deficiency. Ann Rev Nutr 1986;6:13-40.

[14] 14. Linder MC. Nutrición, aspectos bioquímicos, metabólicos y clínicos. Pamplona: Ed. Eunsa, 1988:189-241.

[15] 15. Vives JL. Anemia ferropénica y otros transtornos del metabolismo del hierro. In: Sans-Sabrafen J. Hematología clínica. Barcelona: Ed. Doyma, 1988:177-93.

[16] 16. Haymes EM. Nutritional concerns: need for iron. Med Sports Exerc 1987;5(Suppl):S197-S200.

[17] 17. Anderson L, Dible MV, Turkki PR, Mitchell HS, Rynbergen HJ. Nutrición y dietética de Cooper. Mexico, D.C.: Ed. Interamericana, 1988: 75- 110.

[18] 18. Kutchai H. Gastrointestinal system. In: Berne RM, Levy MN. Principles of physiology. Missouri: Ed. Mosby-Year Book, 1996:437-501.

[19] 19. García JD, Crespo L, Guerra JM. Anemias ferropénicas. JANO 1990; 38:43-50.

[20] 20. Haymes EM, Lamanca JJ. Iron loss in runners during exercise: implications and recommendations. Sports Med 1989;7:277-85.

[21] ²¹
National Research Council Committee of Dietary Allowances. Recommended dietary allowances. 10th ed. Washington, D.C.: National Academy Press, 1989.

[22] 22. Hallberg L, Hogdahll AM, Nilsson L, Rybo R. Menstrual blood loss: a population study. Variation at different ages and attempts to define normality. Acta Obstet Gynecol Scand 1966;45:320-51.

[23] 23. Dallman PR. Changing iron needs from birth through adolescence. In: Fomon SJ, Zlotkin S, editors. Nutritional anemias. Nestlé Nutrition Workshop Series, Vol. 30. New York: Raven Press, 1992:29-38.

[24] 24. Watts E. Athletes' anaemia. A review of possible causes and guidelines on investigation. Br J Sports Med 1989;23:81-3.

[25] 25. Hallberg L. Bioavailability of dietary iron in man. Ann Rev Nutr 1981; 1:123-47.

[26] 26. Monsen ER, Hallberg L, Layrisse M, Hegsted DM, Cook JD, Mertz W, et al. Estimation of available dietary iron. Am J Clin Nutr 1978;31: 134- 41.

[27] 27. Raper NR, Rosenthal JC, Woteki CE. Estimates of available iron in diets of individuals 1 year old and older in the Nationwide Food Consumption Survey. J Am Diet Assoc 1984;84:783-7.

[28] 28. McArdle WD, Katch FI, Kath VL. Exercise physiology. Philadelphia: Lea-Febiger, 1991.

[29] 29. Rasmussen EB, Hallberg L, Isaksson B, Arvidsson B. Food iron absorption in man. Applications of the two-pool extrinsic tag method to measure heme and nonheme iron absorption from the whole diet. J Clin Invest 1974;53:247-55.

[30] 30. Bauer JD. Hemoglobina, porfiria y metabolismo del hierro. In: Kaplan LA, Pesce AJ. Química clínica. Buenos Aires: Ed. Panamericana, 1988: 721-73.

[31] 31. Macphail P, Bothwell TH. The prevalence and causes of nutritional iron deficiency anemia. In: Fomon SJ, Zlotkin S, editors. Nutritional anemias. Nestlé Nutrition Workshop Series, Vol. 30. New York: Raven Press, 1992:1-12.

[32] 32. Newhouse LJ, Clement DB. Iron status in athletes. An update. Sports Med 1988;5:337-52.

[33] 33. Brotherhood J, Brozovic B, Pugh LGC. Haematological status of middle- and long-distance runners. Clin Sci Molec Med 1975;48:139-45.

[34] 34. Blum SM, Sherman AR, Boileau RA. The effects of fitness-type exercise on iron status in adult women. Am J Clin Nutr 1986;43:456-63.

[35] 35. Hunding A, Jordal R, Paulev PE. Runner's anemia and iron deficiency. Acta Med Scand 1981;209:315-8.

[36] 36. Telford RD, Cunningham RB, Deakin V, Kerr DA. Iron status and diet in athletes. Med Sci Sports Exerc 1993;25:796-800.

[37] 37. Clement DB, Asmundson RC. Nutritional intake and hematological parameters in endurance runners. Phys Sports Med 1982;10:37-43.

[38] 38. Moffat RJ. Dietary status of elite female high school gymnasts. Inadequacy of vitamin and mineral intake. J Am Diet Assoc 1984;84: 1361-3.

[39] 39. Lopez MA, Nuviala RJ, Abós D, Giner A. Estado nutricional del hierro en gimnastas de rítmica y nadadoras premenárquicas. Arch Med Dep 1989;6:47-55.

[40] 40. Snyder AC, Dvorak LL, Roepke JB. Influence of dietary iron source on measures of iron status among female runners. Med Sci Sports Exerc 1989;21:7-10.

[41] 41. Selby GB, Eichner ER. Endurance swimming, intravascular hemolysis, anemia, and iron depletion. Am J Med 1986;81:791-4.

[42] 42. Szygula Z. Erythrocytic system under the influence of physical exercise and training. Sports Med 1990;10:181-97.

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