Section (A)
Iron and the Effects of Exercise
Sports medicine experts have observed for years that endurance athletes, particularly females, frequently have iron deficiencies. Now a new study by a team of Purdue University researchers suggests that even moderate exercise may lead to reduced iron in the blood of women. "We found that women who were normally inactive and then started a program of moderate exercise showed evidence of iron loss," says Roseanne M. Lyle, associate professor at Purdue. Her study of 62 formerly inactive women who began exercising three times a week for six months was published in the journal Medicine & Science in Sports & Exercise. "Women who consumed additional meat or took iron supplements were able to bounce back," she notes. "But the new exercisers who followed their normal diet showed a decrease in iron levels."
Iron deficiency is very common among women in general, affecting one in four female teenagers and one in five women aged 18 to 45, respectively. But the ratio is even greater among active women, affecting up to 80 percent of female endurance athletes. This means, Lyle says, that "too many women ignore the amount of iron they take in";. Women of child-bearing age are at greatest risk, since their monthly bleeding is a major source of iron loss. Plus, many health-conscious women increase their risk by rejecting red meat, which contains the most easily absorbed form of iron. And because women often restrict their diet in an effort to control weight, they may not consume enough iron-rich food, and are liable to experience a deficiency. "The average woman takes in only two thirds of the recommended daily allowance for iron," notes another expert. "For a woman who already has a poor iron status, any additional iron loss from exercise may be enough to tip her over the edge into a more serious deficiency," notes the expert.
Exercise can result in iron loss through a variety of mechanisms. Some iron is lost in sweat, and, for unknown reasons, intense endurance exercise is sometimes associated with bleeding of the digestive system. Athletes in high-impact sports such as running may also lose iron through a phenomenon where small blood vessels in the feet leak blood. There are three stages of iron deficiency. The first and most common is having low iron reserves, a condition that typically has no symptoms. Fatigue and poor performance may begin to appear in the second stage of deficiency, when not enough iron is present to form the molecules of blood protein that transport oxygen to the working muscles. In the third and final stage, people often feel weak, tired, and out of breath — and exercise performance is severely compromised. "People think that if they're not at the third stage, nothing is wrong, but that's not true," says John L. Beard, who helped design the Purdue study. "You're not stage 3 until your iron reserves go to zero, and if you wait until that point, you're in trouble."
However, most people with low iron reserves don't know they have a deficiency, because traditional methods of calculating the amount of iron in blood (by checking levels of the blood protein that transports oxygen) are not sufficient, Beard states. Instead, it's important to check levels of a different compound, which indicates the amount of storage of iron in the blood. While active, child-bearing age women are most likely to have low iron stores, he notes, "Men are not safe, especially if they don't eat meat and have a high level of physical activity." (An estimated 15 percent of male long distance runners have low iron stores.) Beard and other experts say it's advisable for people in these groups to have a yearly blood test to check blood iron reserves.
If iron levels are low, talk with a physician to see if the deficiency should be corrected by modifying your diet or by taking supplements. In general, it's better to undo the problem by adding more iron-rich foods to the diet, because iron supplements can have serious shortcomings. Supplements may produce a feeling of wanting to throw up, and may be poisonous in some cases. The best sources of iron, and the only sources of the form of iron most readily absorbed by the body, are meat, chicken, and fish. Good sources of other forms of iron include dates, beans, and some leafy green vegetables. "Select breads and cereals with the words 'iron-added' on the label," writes sports diet expert Nancy Clark. "This added iron supplements the small amount that naturally occurs in grains. Eat these foods with plentiful Vitamin C (for example, drink orange juice with cereal or put a tomato on a sandwich) to enhance the amount of iron absorbed." Clark also recommends cooking in iron pans, as food can derive iron from the pan during the cooking process. "The iron content of tomato sauce cooked in an iron pot for three hours showed a striking increase, the level going up nearly 30 times," she writes. And people who are likely to have low iron should avoid drinking coffee or tea with meals, she says, since substances in these drinks can interfere with iron being absorbed into the body.
"Active women need to be a lot more careful about their food choices," sums up Purdue's Lyle. "If you pay attention to warning signs before iron reserves are gone, you can remedy the deficiency before it really becomes a problem."
Words: 900
New Words
▲endurance n. 忍耐,忍耐力
moderate a. 1.中等的,適中的,適度的 2.中庸的,溫和的
evidence n. 根據(jù),證據(jù),證明
journal n. 1.日報(bào),雜志,期刊 2.日記
consume vt. 1.吃,喝 2.消耗,花費(fèi)(尤指大量地)
supplement n. 1.增補(bǔ)(物),補(bǔ)充(物) 2.(雜志或報(bào)紙的)副刊,增刊
vt. 增補(bǔ),補(bǔ)充
bounce v. (使)彈回,(使)反彈
n. 彈,彈力
respectively ad. 分別地,各自地
ratio n. 比率
plus conj. 并且,而且
prep. 加,加上
n. 1.加號,正號 2.有利因素
a. 正的
restrict vt. 限制,約束
liable a. 1.易于... ...的,有... ... 傾向的 2.有法律責(zé)任的,有義務(wù)的
allowance n. 1.限額,定量 2.津貼,補(bǔ)助,零用錢
digest vt. 1.消化 2.領(lǐng)會
digestive a. 消化的
phenomenon n. 現(xiàn)象
vessel n. 1.血管,脈管 2.容器,器皿 3.船,艦
typical a. 典型的,有代表性的
◆typically ad. 典型地,有代表性地
fatigue n. 疲勞,勞累
molecule n. 分子
protein n. 蛋白質(zhì)
calculate vt. 1.計(jì)算,估算 2.認(rèn)為,相信,推測
sufficient a. 足夠的,充分的
compound n. 復(fù)合物,混合物
indicate vt. 1.標(biāo)示,表明 2.指示方向
storage n. 儲存,儲藏
advisable a. 可取的,適當(dāng)?shù)?,明智?br />
yearly a. 每年的,一年一度的
physician n. 內(nèi)科醫(yī)生
modify vt. 修改,更改,改善
undo vt. 1.取消,消除 2.解開,松開
shortcoming n. 缺點(diǎn)
select vt. 選擇,挑選
▲cereal n. 谷類作物,谷類食物(如麥片等)
plentiful a. 大量的,豐富的
derive v. 1.得到,獲取 2.起源于
striking a. 1.顯著的,突出的,驚人的 2.(由于美貌而)引人注目的,吸引人的
interfere vi. 1.妨礙,干擾 2.干涉,干預(yù)
remedy vt. 補(bǔ)救,糾正
n. 治療方法,解決方法
Phrases and Expressions
lead to 導(dǎo)致
bounce back 恢復(fù)正常,恢復(fù)過來
in general 大體上;通常
up to 至多,多達(dá),直到
take in 吸入,吞入
at risk 處在危險(xiǎn)之中
tip over the edge 引起明顯變化;(使)進(jìn)入另一狀態(tài)
out of breath 呼吸急促,氣喘吁吁
add sth. to 加,增加,添加
throw up 惡心,嘔吐
go up (價(jià)格、水平等)升高,上升
sum up 概括,總結(jié)
Proper Names
Purdue University 珀杜大學(xué)
Roseanne M. Lyle 羅斯安妮·M.萊爾
Medicine & Science in Sports & Exercise 《體育運(yùn)動醫(yī)學(xué)與科學(xué)》(期刊名)
John L. Beard 約翰·L.比爾德
Nancy Clark 南希·克拉克
鐵質(zhì)與運(yùn)動的關(guān)系
運(yùn)動醫(yī)學(xué)專家經(jīng)過多年的觀察,發(fā)現(xiàn)耐力運(yùn)動員,特別是女性,經(jīng)常會缺鐵。 由珀杜大學(xué)一組研究人員進(jìn)行的一項(xiàng)新的研究表明:即使是適度的鍛煉,也可能會降低女性血液中鐵離子的含量。
"我們發(fā)現(xiàn),那些通常不運(yùn)動的女性一旦開始適度的鍛煉,就會出現(xiàn)鐵離子含量下降的跡象," 珀杜大學(xué)羅斯安妮·M.萊爾副教授說。 她對62名婦女進(jìn)行了研究,并將研究結(jié)果發(fā)表在《體育運(yùn)動醫(yī)學(xué)與科學(xué)》雜志上。這些婦女原先不怎么運(yùn)動,后來開始了為期六個月、每周三次的鍛煉。
萊爾注意到,"那些增食肉類食品或服用鐵離子補(bǔ)劑的女性,能夠恢復(fù)到健康狀態(tài)。 但突然參加鍛煉卻仍沿用原來的食譜的人,則顯示出鐵離子含量的降低。"
缺鐵在多數(shù)女性中是很常見的,十多歲的少女四人中有一人缺鐵,18至45歲的女性五人中有一人缺鐵。 而這一比例在積極鍛煉的婦女中數(shù)值更高,女耐力運(yùn)動員中缺鐵的則高達(dá)80%。 萊爾說,這意味著 "太多女性忽視了自己攝入的鐵離子的含量。" 育齡女性危險(xiǎn)最大,因?yàn)樵陆?jīng)是鐵流失的重要原因之一。 此外,許多保健意識太強(qiáng)的女性也很危險(xiǎn),因?yàn)樗齻兙芙^食用牛肉或羊肉,而這些肉中含有的鐵質(zhì)最易被吸收。 而且,由于女性常常為了控制體重而節(jié)食,而未能攝取足夠的含鐵豐富的食物,結(jié)果可能導(dǎo)致缺鐵。
另一名專家注意到,"普通女性只攝入了日需鐵含量的三分之一。" 他提醒說,"對于那些已經(jīng)缺鐵的女性,任何因鍛煉而產(chǎn)生的更多鐵離子流失都足以導(dǎo)致體內(nèi)缺鐵狀況的惡化。"
運(yùn)動可能通過多種機(jī)制導(dǎo)致鐵離子流失。 有些鐵離子隨汗液流失。另外,由于某些未知的原因,高強(qiáng)度的耐力運(yùn)動有時是與消化系統(tǒng)內(nèi)出血聯(lián)系在一起的。 運(yùn)動員從事高度劇烈的運(yùn)動,比如跑步時,也可能會因?yàn)樽悴考?xì)血管失血的現(xiàn)象而使鐵質(zhì)流失。
缺鐵分為三個階段: 第一也即最常見的階段,是鐵離子儲量不足。這一階段沒有典型癥狀。 到了缺鐵的第二階段,就會出現(xiàn)疲倦和力不從心,此時體內(nèi)已沒有足夠的鐵來形成血蛋白分子,將氧輸至運(yùn)動著的肌肉。 在第三也即最后階段,人常常感到虛弱,疲乏無力,喘不過氣,運(yùn)動成績大打折扣。
"人們認(rèn)為,只要不到第三階段就不會有什么問題。這種看法是不對的。" 幫助策劃珀杜研究的約翰·L.比爾德說。 "只有當(dāng)你的鐵離子儲量為零時,你才會進(jìn)入第三階段。而你若坐等到這個時候,你的麻煩就大了。"
然而,比爾德指出,大多數(shù)鐵離子儲量低的人并未意識到自己缺鐵,因?yàn)閭鹘y(tǒng)的檢測血液中鐵離子儲量的方法——只檢驗(yàn)血液中輸送氧氣的血蛋白的含量——是不夠的。 其實(shí),有必要檢查血液中另一種混合成分的含量,它顯示了血液中鐵離子的儲量。 他還指出,雖然積極鍛煉的育齡婦女最有可能鐵離子儲量低,"但男性也并非不缺鐵,尤其是在他們不吃肉類而又從事高強(qiáng)度的體力活動的情況下。" (估計(jì)有15%的男性長跑運(yùn)動員鐵離子儲量低。) 比爾德和其他專家都說,對這些人而言,最好每年驗(yàn)一次血,以測定血液中鐵離子的儲量。
如果鐵離子含量低,就要去看醫(yī)生,以確定是否該通過調(diào)整飲食或服用鐵離子補(bǔ)劑來校正不足。 一般說來,解決問題的最好方法是在食譜中增加含鐵豐富的食物,因?yàn)殍F離子補(bǔ)劑可能存在嚴(yán)重缺陷。" 服用鐵離子補(bǔ)劑可能使人想嘔吐,有時甚至還會引起中毒。 最好的鐵離子來源,以及惟一最易為身體所吸收的鐵離子來源,是肉、雞和魚。 其他較好的鐵離子來源包括棗、豆類和一些帶葉子的綠色蔬菜。"
"選擇那些標(biāo)有'加鐵'字樣的面包和麥片," 運(yùn)動營養(yǎng)專家南希·克拉克寫道, "這些增加的鐵補(bǔ)充了谷物中自然含鐵量的不足。 攝取含有大量維生素C的食物——比如吃麥片時喝橘子汁,或在三明治內(nèi)夾上番茄——可以促進(jìn)鐵離子的吸收。" 克拉克還建議用鐵鍋烹食,因?yàn)榕胝{(diào)過程中食物能從鐵鍋中吸收鐵離子。 她寫道,"在鐵鍋內(nèi)烹煮了三個小時的番茄汁,其鐵離子含量大大提高,增加到原來的30倍左右。" 她說,鐵離子含量可能低的人,吃飯時應(yīng)避免喝咖啡或飲茶,因?yàn)檫@些飲料中所含的物質(zhì)會妨礙身體對鐵離子的吸收。
"運(yùn)動女性應(yīng)特別注意選擇飲食。"珀杜的萊爾總結(jié)說, "如果你在鐵離子儲量流失之前就注意到了警告信號,你就可以在它真正成為問題之前彌補(bǔ)鐵離子的不足。"