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Diet for Marathon Runners - Iron

Why do you need iron?

Iron deficiency and iron deficiency anaemia

How do I know if I have iron deficiency?

How can I prevent iron deficiency?

Recommended daily intake of iron

Which foods contain iron?

Haem iron and non-haem iron

Practical tips to improve iron absorption

Facts about iron supplementation

What could happen if you use iron supplements all the time?

The fallacies about iron supplementation


Why do you need iron?

Iron is an essential element with many roles in the body. You need iron to:


Iron deficiency and iron deficiency anaemia

Iron deficiency occurs when:

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How do I know if I have iron deficiency?

You may feel tired and lethargic, you won’t have the same amount of stamina to train and you may become ill often. Performance does not seem to be affected in earlier stages of iron deficiency. If the deficiency is not treated, it can lead to iron deficiency anaemia, which does impair performance. Once you have iron deficiency anaemia it may take months to get back to your normal health and fitness. Clearly prevention of iron deficiency and iron deficiency anaemia is the best goal. Ask your doctor to check your blood iron levels if you think you may have an iron deficiency. Your dietitian and doctor are the best people to work with to treat the iron deficiency.

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How can I prevent iron deficiency?

You can prevent iron deficiency by ensuring you get enough iron from the food you eat.

The recommended daily intake of iron is:

Marathon runners may have higher iron needs due to blood losses from bleeding in the gut and red cell destruction. Athletes, especially females, should aim for the upper range of the recommended daily iron intake, and have their blood iron levels checked regularly.

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Which foods contain iron?

Dietary iron occurs in two forms; haem iron and non-haem iron.

Haem iron is a rich source of iron easily absorbed by the body. Haem iron is found only in animal foods such as meat, fish, shellfish and poultry. The redder the meat the higher the iron content.

Non-haem iron is found in plant foods. Non-haem iron is not as readily absorbed as haem iron due to the following inhibiting factors:

The absorption of non-haem iron can be improved by the following enhancing factors:

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Practical tips to improve iron absorption:

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The facts about iron supplementation

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What could happen if you use iron supplements all the time?

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The fallacies about iron supplementation

Iron supplementation will not make up for an inadequate diet!

Iron supplementation will not improve your performance unless you have iron deficiency anaemia.

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