Negative Iron Balance: Risk Among Female Vegetarian College Students

Abstract

Iron deficiency anemia is the most common nutrient deficiency, impacting up to 6% of Americans. Given that 5 to 14% of women in the United States between ages 15 and 44 have impaired iron status, depletion may be most prevalent in younger women. Of particular concern is the health impact of iron deficiency anemia among vegetarian women of child bearing age. The objective of this study was to determine if iron deficiency anemia is widespread among college age vegetarian women. A cross sectional analysis of 39 female students at California Polytechnic State University in San Luis Obispo, CA was conducted. Anthropometric data including height, weight and BMI was collected. Three day dietary records were maintained by participants to determine dietary iron intake. A fasting blood sample was obtained and analyzed for white blood cells, red blood cells, hemoglobin, hematocrit, serum iron, serum ferritin, transferrin saturation and total iron binding capacity. Vegetarians tended to eat less iron daily than non vegetarians. Of interest was the tendency for lower serum ferritin status and a greater expression of stage 1V negative iron balance compared to non vegetarians as evidenced by low serum iron, high total iron binding capacity, low transferrin saturation and low serum ferritin. Thus, vegetarian college age women appear to be at higher risk than non vegetarians for developing negative iron balance. Funded by California Polytechnic State University Faculty Support Grant.