Haemoglobin mass in a female endurance athlete was measured via carbon monoxide rebreathing upon diagnosis of iron-deficiency anemia (haemoglobin concentration = 8.8 g/dL, ferritin = 9.9 ng/mL) and regularly during treatment thereafter. Haemoglobin mass increased by 49% in the 2 wk following an intramuscular iron injection and continued to increase with oral iron supplementation for 15 wk. The presented case illustrates that haemoglobin mass is readily responsive to iron supplementation in a severely iron-defcient anemic athlete and that changes can be tracked efficiently using the CO-rebreathing method.
Laura A. Garvican, Louisa Lobigs, Richard Telford, Kieran Fallon, and Christopher J. Gore
Kieran E. Fallon, Elizabeth Broad, Martin W. Thompson, and Patricia A. Reull
The fluid and food intakes of 7 male participants in a 100-km ultramarathon were recorded. The mean exercise time was 10 hr 29 min. Nutrient analysis revealed a mean inlrarace energy intake of 4.233 kJ. with 88.6% derived from carbohydrate. 6.7% from fat, and 4.7% from protein. Fluid intake varied widely. 3.3–1 1.1 L, with a mean of 5.7 L. The mean decrease in plasma volume at 100 km was 7.3%, accompanied by an estimated mean sweat rale of 0.86 L ⋅ hr−1. Blood glucose concentrations remained normal during the event, and free fatty acids and glycerol were elevated both during and at the conclusion of the event. No significant correlations were found between absolute amounts and rates of ingestion of carbohydrate and/or fluid and race performance.
Shona Halson, David T. Martin, Andrew S. Gardner, Kieran Fallon, and Jason Gulbin
Ben Desbrow, Joanna McCormack, Louise M. Burke, Gregory R. Cox, Kieran Fallon, Matthew Hislop, Ruth Logan, Nello Marino, Susan M. Sawyer, Greg Shaw, Anita Star, Helen Vidgen, and Michael Leveritt
It is the position of Sports Dietitians Australia (SDA) that adolescent athletes have unique nutritional requirements as a consequence of undertaking daily training and competition in addition to the demands of growth and development. As such, SDA established an expert multidisciplinary panel to undertake an independent review of the relevant scientific evidence and consulted with its professional members to develop sports nutrition recommendations for active and competitive adolescent athletes. The position of SDA is that dietary education and recommendations for these adolescent athletes should reinforce eating for long term health. More specifically, the adolescent athlete should be encouraged to moderate eating patterns to reflect daily exercise demands and provide a regular spread of high quality carbohydrate and protein sources over the day, especially in the period immediately after training. SDA recommends that consideration also be given to the dietary calcium, Vitamin D and iron intake of adolescent athletes due to the elevated risk of deficiency of these nutrients. To maintain optimal hydration, adolescent athletes should have access to fluids that are clean, cool and supplied in sufficient quantities before, during and after participation in sport. Finally, it is the position of SDA that nutrient needs should be met by core foods rather than supplements, as the recommendation of dietary supplements to developing athletes over-emphasizes their ability to manipulate performance in comparison with other training and dietary strategies.