Microbiota Clinical Trial
Official title:
Iron Intake, Iron Status, Intestinal Health and Endurance Performance - Effects of Iron Supplementation in Young Female Football Players - a Pilot Study
The aim of the study is to characterize the diet and iron status of young female elite football players and examine the relationship between iron intake, iron status, hemoglobin levels, intestinal health and sports performance. In addition, the effects of low-dose iron supplements on iron stores will be investigated and whether such supplementation affects intestinal health, microbiota composition and biomarkers for oxidative stress.
Iron deficiency can lead to fatigue and anemia. Because iron is necessary for the formation
of new blood cells (hematopoiesis), it is an extensive practice internationally among
athletes to take iron supplements in the belief that this will improve endurance performance
and oxygen transport capacity by increasing red blood cell production. Although iron intake
in menstruating women has shown to reduce the prevalence of anemia and iron deficiency as
well as increasing hemoglobin values and iron stores. However iron supplementation increases
the risk of iron excess and can result in undesirable effects such as constipation and
abdominal pain as well as negative impact on intestinal epithelial permeability and increase
in oxidative stress. Because iron is important for the replication and survival of almost all
bacteria, with few exceptions, the intake of iron also affect the composition of the
intestinal bacteria. Not surprisingly, both high and low iron levels affect the composition
of the microbiota in the gut.
It is not known if young menstruating Norwegian female athletes cover their need for iron via
the diet or whether extra intake in the form of a low-dose supplement could be beneficial in
terms of hemoglobin levels and sports performance. Because iron preparations are not
prescription and are sold in pharmacies, health food stores and larger grocery stores, this
can lead to uncritical intake of iron. Since the use of iron preparations has been documented
to be widespread in foreign sports environments, it is important to both characterize the
iron status of Norwegian athletes and at the same time examine the beneficial value of iron
supplements on sports performance as well as monitoring effects on microbiota composition and
intestinal health.
The aim of the study is therefore to characterize the diet and iron status of young female
elite football players and examine the relationship between iron intake, iron status,
hemoglobin levels, intestinal health and sports performance. In addition, the effects of
low-dose iron supplements will be investigated in relation to iron stores, hemoglobin levels
and sports performance and whether such supplementation affects intestinal health, microbiota
composition and biomarkers for oxidative stress.
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