The Iron Lowdown

Thanks again for all the great ideas on nutrition posts and questions! I love talking about this stuff, and it’s great to know you all find it interesting and useful :)

So we’ll start with iron, which is a popular topic among females – especially female athletes.

But let me preface this post with the fact that I’m not an RD yet, and all of the information I provide is based on my nutrition education thus far and reliable research.

HO-Kay.  So, according to recent research, iron deficiency has been reported to affect as many as 60% of female athletes.

(me, a female athlete)

Insane, right? We need iron to help our red blood cells carry oxygen to our hardworking muscles – especially those of us that are endurance athletes.

Females typically don’t get enough iron in their diets, and our monthly “friend” in addition to hard physical training can cause a gradual lowering of our iron stores if we’re not getting enough.

First, there’s a difference between iron deficiency and iron deficiency anemia

Iron deficiency is when the body is low in stored iron, and this depletion can occur over time. While it may not cause any recognizable symptoms, it can still effect athletic performance. Diet and supplementation (only by doctor recommendation) can fix this, but if the low iron level or its cause is not corrected, it can lead to muscle weakness and eventually iron deficiency anemia.

Iron deficiency anemia is when low iron levels persist and prevent the body from making enough healthy red blood cells, which often leads to symptoms of fatigue. Iron deficiency anemia should be treated, and can cause damage to the heart and other organs if it’s not.

Both iron deficiency and iron deficiency anemia can effect athletic performance, so if you have symptoms or are concerned – pay a visit to your doc!

If you want to prevent iron deficiency, here’s how you can make sure you get enough.

The low-down:

Females need 18 mg of iron per day. What does this mean?

Here’s the iron content in iron-rich foods:

  • Lean red meat – one serving of broiled sirloin (about 3 oz.) has about 1.5 mg
  • Chicken – 1/2 0f chicken breast has about 1 mg
  • Turkey – one serving (about 3 oz.) of light meat has about 1.1 mg iron, dark meat about 2 mg
  • Tuna – 1/2 can has about 1 mg
  • Oysters – one serving (about 3 oz.) has about 4 mg
  • Eggs (yolks) - one yolk has about 0.5 mg
  • Broccoli - 1/2 cup chopped raw has about 0.3 mg
  • Spinach 1/2 cup raw has about 0.4 mg
  • Kale - 1/2 cup raw has about 0.6 mg

Source

  • Lentils – 1/2 cup cooked has about 3 mg
  • Chickpeas – 1 cup canned has about 3 mg
  • Dried fruit - 1 small box of raisins has about 0.8 mg; 10 dried apricot halves has about 1 mg
  • Artichokes – 1 medium cooked has about 1.5 mg
  • Nuts - 1 oz. of mixed nuts has about 1 mg
  • Whole grains – various amounts – check out your labels!

Note that the “one serving” listed above for many meats is smaller than the typical American portion, even though it’s technically what a serving size should be (and that’s a whole ‘nother post!). I used this resource for the above standard amounts, although it may vary from product to product.

Animal sources of iron (called “heme” sources) are more easily absorbed by the body than plant sources (called “non heme”), and to help increase absorption of plant-based iron sources, eat them with animal sources (like broccoli with chicken or fish with spinach).

Vegetarian? Eat iron-rich foods along with foods high in vitamin C, which also enhances iron absorption. This could mean lentils, spinach and red bell peppers or some OJ along with your morning iron-fortified cereal.

Some foods inhibit iron absorption – most notably coffee, tea and calcium - so make sure to consume your iron rich foods sans your daily caffeine fix and/or calcium supplements.

I know iron deficiency and anemia is of particular concern to vegetarians, and you may need to pay particular attention to your diet. The good news is that a lot of vegetarian-friendly grains, like cereal and breads, are fortified with iron, and there are plenty of plant-based sources for you to focus on.

So to recap, if you want to make sure your body has enough of this important mineral:

  • Take a look at your diet – are you eating enough iron-rich sources regularly?
  • Consume iron-rich foods with meats and/or vitamin C and nix the coffee, tea and calcium to maximize absorption
  • Talk to your doctor if you’re experiencing symptoms of anemia or want to discuss supplementation

Question: Do you think you get enough iron? Was this post helpful?

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  • Carina

    Super-helpful post! I’m probably getting less than half of my recommended amounts each day…

  • http://yourdailygrace.wordpress.com yourdailygrace

    From the sounds of it I may need to add some iron foods into my diet! Thanks for the advice!

  • http://movesnmunchies.wordpress.com movesnmunchies

    great post!! i def eat tons of those veggies and nuts.. so i hope i am!

  • http://secondcityrandomness.wordpress.com Amy @ Second City Randomness

    I think after all is said and done for the day, I get enough. However, totally thought I was getting more than that list predicts. Damn.

  • LD

    Just wanted to add to be aware that certain medications can inhibit iron absorption so you should avoid taking them around meal times. I was on an antibiotic regularly for several months for acne and didn’t realize I was anemic until my levels were severely low and I was unable to exercise at all. I went through a lot of doctor’s appts and testing before we figured out what was going on. Just heads up, because it was a pretty common antibiotic and most MDs don’t think about that when they prescribe it.

    • http://mealsformiles.wordpress.com mealsformiles

      I actually wasn’t aware of this, so THANK YOU for sharing – very useful information!

  • http://angryrunner.wordpress.com angryrunner

    One thing worth mentioning:

    Sometimes you have to be kind of pushy with doctors to make sure they actually test your iron.

    • http://angryrunner.wordpress.com angryrunner

      whoops, i didn’t mean to stop there:

      If there is something else to explain symptoms of an iron deficiency, sometimes they’re quick to blame that. A few years ago I had clumps of hair falling out and had to fight with the derm resident when he dismissed it as pattern baldness. You can also ask for an iron absorbency test (which it seems they NEVER do unless you request) which can be really helpful because some people have a hard time absorbing iron, which might mean you have to eat more of some things and less than others.

      Not that I’m a doctor, but I had to fight for months to get a deficiency tested/treated a few years ago and it was really frustrating since it’s something female endurance athletes need to be aware of, like you said! :)

      • http://mealsformiles.wordpress.com mealsformiles

        great point – sometimes getting a doc to listen to you and run all of the necessary tests is half the battle. Thanks!

  • Meghan

    Awesome post, very helpful – great tips for vegetarians like me :)

  • http://milesandmanhattan.wordpress.com Miles and Manhattan

    SO informative THANK YOU! I worry about my iron a lot since I used to be anemic, this is an amazing resource!
    xoxo
    s

  • http://jallen.blogspot.com/ Jess @ Blonde Ponytail

    Great post! I got turned away last month from donating blood b/c my iron was too low. Thank you for providing a list of foods to choose from! Plus, I love learning about the process!

  • http://www.runnerskitchen.com Megan (The Runner’s Kitchen)

    +1 to AR’s comment – back in college my circulating iron levels were in the normal range, but my ferritin (stored iron?) levels were super low. sometimes a complete blood workup is necessary for doctors to figure out the issue. so so common in lady runners!

    • http://mealsformiles.wordpress.com mealsformiles

      You’re right! Maybe I should have went into more detail on the testing/diagnostic stuff, though I’m not as up to speed on it, so thanks for mentioning!

  • http://leashieloo.wordpress.com leashieloo

    I’m sure that I need more iron in my life, great post!

  • http://Aspoonfulofsmash.wordpress.com Ashley

    I know that I am slightly anemic and Ive tried to eat more iron rich foods but it hasnt really helped! I tried to take iron supplememts but it was hard to find a meal that I dont have diary at so that I wasnt inhibiting the iron uptake and I know the supplements can make you constipated so most doctors prescribe a laxative with them. But then again laxatives are bad for you to take on a regular basis as well… So what does a girl do?? I eat iron forified cereals plain or cream of wheat with water and then always choose spinach as my green and eat red meat whenever possible but stilldont get nearly enough and I feel like my body isnt absorbing what I am. Help!!

    • http://mealsformiles.wordpress.com mealsformiles

      You may have a problem with absorption then (some people do). I would visit your doc and perhaps think about seeing an RD!

  • http://whatkateiscooking.wordpress.com whatkateiscooking

    I’ve had problems with low iron, but last time I got my blood checked I was above the limit to give blood :)

  • http://lilveggiepatch.com Katie

    Great post, and one close to my heart! I consume a lot of iron, but it isn’t enough and I have to take supplements. Since high school, while I haven’t been anemic, I’ve struggled with really low energy and iron supplements + regular exercise + good sleep habits are really the only ways I’ve found to combat it.

  • http://marathonmaiden.wordpress.com/ marathonmaiden

    AWESOME post. i don’t think i get enough iron in my diet. lately i’ve been really craving beef in the worst way. I’ve gone through bouts of iron deficiency anemia before so i “know” what to do but it’s great to see it written out like you did :)

  • http://sweetoothrunner.wordpress.com Sweet Tooth Runner

    I was anaemic…I don’t think I still am, but I need to get it checked! This is a great post, and so so useful, so THANKS! :D

  • http://runnerscookie.com Corey @ the runner’s cookie

    Great, very helpful summary! Thank you! I am “mildly anemic” and need to get better about taking my supplement. I love that so many veggies are high in iron too. GrapeNuts is one of my favorite cereals, and I think 1 serving has 50% of daily iron.

  • http://www.thenchangeit.com Kace

    I used to be SEVERELY anemic, like 1/3 the iron a person should have ha. And I would crave red meat like crazy! I made my mom cook meatloaf at least once a week ha. It’s cool how the body tells you what it needs. And I did think this was helpful!

  • http://washingtonranhere.wordpress.com/ sarah

    I was severely anemic my senior year in college – before I knew how to feed myself, and basically the result of a horrible terrible no good very bad flu. Since then, I’ve probably oscillated between good and okay iron levels. As a vegetarian, it is NOT DIFFICULT to get enough iron. You basically just need a brain in your head.

    • http://mealsformiles.wordpress.com mealsformiles

      I somewhat agree – you need a brain that cares about getting enough iron. :)

  • http://goodeatsgirl.com Autumn @ Good Eats Girl

    I have to take a supplement because I am a bit anemic…I need to get better at integrating some of these things in my diet also!

  • http://runyogarepeat.wordpress.com runyogarepeat

    Great post & facts! I know that I have low iron because I get denied occasionally when I try to give blood. I am mostly vegetarian, which is probably why I have low iron, but I do eat a lot of plant based iron and occasionally some seafood. Plant heme is not as absorbable, so I need to eat more, and I’m considering taking iron pills because my iron stays low even though I eat right. Thanks for covering this topic!

  • Lauren

    Wow this really brought to my attention how iron deficient I might be – even if I am not anemic! What are your thoughts on dietary supplements? I used to take them but stopped for some reason. Any things I might be concerned w/ if I include iron on my own w out doc instructions?

    • http://mealsformiles.wordpress.com mealsformiles

      I wouldn’t start taking iron supplements without an ok from your doc and instructions on how much, when, etc. Iron is toxic if you take too much, and can be really dangerous. Overall, I prefer getting vitmains/minerals from food rather than supplements, but sometimes they are necessary (as in the case of some people with iron, calcium, folic acid, etc.).

  • http://www.foodtorunfor.blogspot.com Lizzy

    Love this post!!! I would be very interested in more posts like this. I think I get enough iron – I’m trying to limit my meat intake but I do eat a ton of vegetables- especially the veggies you mentioned.

  • http://runrepeat.blogspot.com/ Rebecca

    great post! I think I’m definitely not getting enough iron from my food. I’ll be working on it

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  • Mary

    Thanks, Kelly! This post was awesome :) I consume dairy with every meal and didn’t realize calcium inhibited iron absorption…I’m going to have to re-evaluate when I eat some of my favorite foods.

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  • http://www.irondeficiencyguide.com/ jessica

    i’ve been having reoccuring eating issues lately and apparently my calories are too low for someone my age, so my moms all scared and she tries so hard force me to eat but i’m not hungry

    so she comes out with all this voodoo and what not saying that she scheduled a doctors appointment to check my blood to make sure i’m not anemic (i’m a sick shade of yellow?) because if i am my blood starts to get watery and i’ll eventually get leukemia and i’m so fucking scared jfc