Menstrual cycle affects iron homeostasis and hepcidin following interval running exercise in endurance-trained women

Purpose Menstrual cycle phase affects resting hepcidin levels, but such effects on the hepcidin response to exercise are still unclear. Thus, we investigated the hepcidin response to running during three different menstrual cycle phases. Methods Twenty-one endurance-trained eumenorrheic women perfor...

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Veröffentlicht in:European journal of applied physiology 2022-12, Vol.122 (12), p.2683-2694
Hauptverfasser: Alfaro-Magallanes, Víctor M., Barba-Moreno, Laura, Romero-Parra, Nuria, Rael, Beatriz, Benito, Pedro J., Swinkels, Dorine W., Laarakkers, Coby M., Díaz, Ángel E., Peinado, Ana B.
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container_issue 12
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container_title European journal of applied physiology
container_volume 122
creator Alfaro-Magallanes, Víctor M.
Barba-Moreno, Laura
Romero-Parra, Nuria
Rael, Beatriz
Benito, Pedro J.
Swinkels, Dorine W.
Laarakkers, Coby M.
Díaz, Ángel E.
Peinado, Ana B.
description Purpose Menstrual cycle phase affects resting hepcidin levels, but such effects on the hepcidin response to exercise are still unclear. Thus, we investigated the hepcidin response to running during three different menstrual cycle phases. Methods Twenty-one endurance-trained eumenorrheic women performed three identical interval running protocols during the early-follicular phase (EFP), late-follicular phase (LFP), and mid-luteal phase (MLP). The protocol consisted of 8 × 3 min bouts at 85% of the maximal aerobic speed, with 90-s recovery. Blood samples were collected pre-exercise and at 0 h, 3 h and 24 h post-exercise. Results Data presented as mean ± SD. Ferritin were lower in the EFP than the LFP (34.82 ± 16.44 vs 40.90 ± 23.91 ng/ml, p  = 0.003), while iron and transferrin saturation were lower during the EFP (58.04 ± 19.70 µg/dl, 14.71 ± 5.47%) compared to the LFP (88.67 ± 36.38 µg/dl, 22.22 ± 9.54%; p  
doi_str_mv 10.1007/s00421-022-05048-5
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Thus, we investigated the hepcidin response to running during three different menstrual cycle phases. Methods Twenty-one endurance-trained eumenorrheic women performed three identical interval running protocols during the early-follicular phase (EFP), late-follicular phase (LFP), and mid-luteal phase (MLP). The protocol consisted of 8 × 3 min bouts at 85% of the maximal aerobic speed, with 90-s recovery. Blood samples were collected pre-exercise and at 0 h, 3 h and 24 h post-exercise. Results Data presented as mean ± SD. Ferritin were lower in the EFP than the LFP (34.82 ± 16.44 vs 40.90 ± 23.91 ng/ml, p  = 0.003), while iron and transferrin saturation were lower during the EFP (58.04 ± 19.70 µg/dl, 14.71 ± 5.47%) compared to the LFP (88.67 ± 36.38 µg/dl, 22.22 ± 9.54%; p  &lt; 0.001) and the MLP (80.20 ± 42.05 µg/dl, 19.87 ± 10.37%; p  = 0.024 and p  = 0.045, respectively). Hepcidin was not affected by menstrual cycle ( p  = 0.052) or menstrual cycle*time interaction ( p  = 0.075). However, when comparing hepcidin at 3 h post-exercise, a moderate and meaningful effect size showed that hepcidin was higher in the LFP compared to the EFP (3.01 ± 4.16 vs 1.26 ± 1.25 nMol/l; d  = 0.57, CI = 0.07–1.08). No effect of time on hepcidin during the EFP was found either ( p  = 0.426). Conclusion The decrease in iron, ferritin and TSAT levels during the EFP may mislead the determination of iron status in eumenorrheic athletes. However, although the hepcidin response to exercise appears to be reduced in the EFP, it shows no clear differences between the phases of the menstrual cycle (clinicaltrials.gov: NCT04458662).</description><identifier>ISSN: 1439-6319</identifier><identifier>EISSN: 1439-6327</identifier><identifier>DOI: 10.1007/s00421-022-05048-5</identifier><identifier>PMID: 36129579</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Biomedical and Life Sciences ; Biomedicine ; Exercise ; Ferritin ; Hepcidin ; Homeostasis ; Human Physiology ; Iron ; Menstrual cycle ; Menstruation ; NCT ; NCT04458662 ; Occupational Medicine/Industrial Medicine ; Original ; Original Article ; Physical training ; Running ; Sports Medicine ; Transferrin</subject><ispartof>European journal of applied physiology, 2022-12, Vol.122 (12), p.2683-2694</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. 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Thus, we investigated the hepcidin response to running during three different menstrual cycle phases. Methods Twenty-one endurance-trained eumenorrheic women performed three identical interval running protocols during the early-follicular phase (EFP), late-follicular phase (LFP), and mid-luteal phase (MLP). The protocol consisted of 8 × 3 min bouts at 85% of the maximal aerobic speed, with 90-s recovery. Blood samples were collected pre-exercise and at 0 h, 3 h and 24 h post-exercise. Results Data presented as mean ± SD. Ferritin were lower in the EFP than the LFP (34.82 ± 16.44 vs 40.90 ± 23.91 ng/ml, p  = 0.003), while iron and transferrin saturation were lower during the EFP (58.04 ± 19.70 µg/dl, 14.71 ± 5.47%) compared to the LFP (88.67 ± 36.38 µg/dl, 22.22 ± 9.54%; p  &lt; 0.001) and the MLP (80.20 ± 42.05 µg/dl, 19.87 ± 10.37%; p  = 0.024 and p  = 0.045, respectively). Hepcidin was not affected by menstrual cycle ( p  = 0.052) or menstrual cycle*time interaction ( p  = 0.075). However, when comparing hepcidin at 3 h post-exercise, a moderate and meaningful effect size showed that hepcidin was higher in the LFP compared to the EFP (3.01 ± 4.16 vs 1.26 ± 1.25 nMol/l; d  = 0.57, CI = 0.07–1.08). No effect of time on hepcidin during the EFP was found either ( p  = 0.426). Conclusion The decrease in iron, ferritin and TSAT levels during the EFP may mislead the determination of iron status in eumenorrheic athletes. However, although the hepcidin response to exercise appears to be reduced in the EFP, it shows no clear differences between the phases of the menstrual cycle (clinicaltrials.gov: NCT04458662).</description><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Exercise</subject><subject>Ferritin</subject><subject>Hepcidin</subject><subject>Homeostasis</subject><subject>Human Physiology</subject><subject>Iron</subject><subject>Menstrual cycle</subject><subject>Menstruation</subject><subject>NCT</subject><subject>NCT04458662</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Original</subject><subject>Original Article</subject><subject>Physical training</subject><subject>Running</subject><subject>Sports Medicine</subject><subject>Transferrin</subject><issn>1439-6319</issn><issn>1439-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU9vFDEMxSMEoqXwBThF4sJlIHGSneSChKryRyriAucok_Hsppp1lmSmpd-elK2K4MApVvx7z7YeYy-leCOF6N9WITTITgB0wghtO_OInUqtXLdR0D9-qKU7Yc9qvRJCWJD2KTtRGwnO9O6ULV-Q6lLWMPN4G2fkYZowLpWnkonv8h5zXUJNlQca-Q4PMY2J-JTnOd8k2vJEC5brJi8r0d0H_sQSU8XW4UjjWgJF7JYSEuHIb5ojPWdPpjBXfHH_nrHvHy6-nX_qLr9-_Hz-_rKL2silM1pL4cwUdXQKjXYOwAZl9BBASZjGdqW2ysbBQBh6uQFtAwLEYKwYhqjO2Luj72Ed9jhGpLbG7A8l7UO59Tkk_3eH0s5v87V3G6l6Cc3g9b1ByT9WrIvfpxpxngNhXquHNtRAL5Rs6Kt_0Ku8FmrnNQocWOhV3yg4UrHkWgtOD8tI4e9C9cdQfQvV_w7VmyZSR1FtMG2x_LH-j-oX7telYQ</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Alfaro-Magallanes, Víctor M.</creator><creator>Barba-Moreno, Laura</creator><creator>Romero-Parra, Nuria</creator><creator>Rael, Beatriz</creator><creator>Benito, Pedro J.</creator><creator>Swinkels, Dorine W.</creator><creator>Laarakkers, Coby M.</creator><creator>Díaz, Ángel E.</creator><creator>Peinado, Ana B.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9754-5565</orcidid><orcidid>https://orcid.org/0000-0002-1631-8182</orcidid><orcidid>https://orcid.org/0000-0002-4871-8682</orcidid><orcidid>https://orcid.org/0000-0002-6215-0093</orcidid><orcidid>https://orcid.org/0000-0002-0456-1222</orcidid><orcidid>https://orcid.org/0000-0002-9331-4564</orcidid></search><sort><creationdate>20221201</creationdate><title>Menstrual cycle affects iron homeostasis and hepcidin following interval running exercise in endurance-trained women</title><author>Alfaro-Magallanes, Víctor M. ; Barba-Moreno, Laura ; Romero-Parra, Nuria ; Rael, Beatriz ; Benito, Pedro J. ; Swinkels, Dorine W. ; Laarakkers, Coby M. ; Díaz, Ángel E. ; Peinado, Ana B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-5441095fc4c93e5499228a354ba2312fd3274838cb52ab716248ae22ca580bbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Exercise</topic><topic>Ferritin</topic><topic>Hepcidin</topic><topic>Homeostasis</topic><topic>Human Physiology</topic><topic>Iron</topic><topic>Menstrual cycle</topic><topic>Menstruation</topic><topic>NCT</topic><topic>NCT04458662</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Original</topic><topic>Original Article</topic><topic>Physical training</topic><topic>Running</topic><topic>Sports Medicine</topic><topic>Transferrin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alfaro-Magallanes, Víctor M.</creatorcontrib><creatorcontrib>Barba-Moreno, Laura</creatorcontrib><creatorcontrib>Romero-Parra, Nuria</creatorcontrib><creatorcontrib>Rael, Beatriz</creatorcontrib><creatorcontrib>Benito, Pedro J.</creatorcontrib><creatorcontrib>Swinkels, Dorine W.</creatorcontrib><creatorcontrib>Laarakkers, Coby M.</creatorcontrib><creatorcontrib>Díaz, Ángel E.</creatorcontrib><creatorcontrib>Peinado, Ana B.</creatorcontrib><creatorcontrib>the IronFEMME Study Group</creatorcontrib><collection>Springer Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of applied physiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alfaro-Magallanes, Víctor M.</au><au>Barba-Moreno, Laura</au><au>Romero-Parra, Nuria</au><au>Rael, Beatriz</au><au>Benito, Pedro J.</au><au>Swinkels, Dorine W.</au><au>Laarakkers, Coby M.</au><au>Díaz, Ángel E.</au><au>Peinado, Ana B.</au><aucorp>the IronFEMME Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Menstrual cycle affects iron homeostasis and hepcidin following interval running exercise in endurance-trained women</atitle><jtitle>European journal of applied physiology</jtitle><stitle>Eur J Appl Physiol</stitle><date>2022-12-01</date><risdate>2022</risdate><volume>122</volume><issue>12</issue><spage>2683</spage><epage>2694</epage><pages>2683-2694</pages><issn>1439-6319</issn><eissn>1439-6327</eissn><abstract>Purpose Menstrual cycle phase affects resting hepcidin levels, but such effects on the hepcidin response to exercise are still unclear. Thus, we investigated the hepcidin response to running during three different menstrual cycle phases. Methods Twenty-one endurance-trained eumenorrheic women performed three identical interval running protocols during the early-follicular phase (EFP), late-follicular phase (LFP), and mid-luteal phase (MLP). The protocol consisted of 8 × 3 min bouts at 85% of the maximal aerobic speed, with 90-s recovery. Blood samples were collected pre-exercise and at 0 h, 3 h and 24 h post-exercise. Results Data presented as mean ± SD. Ferritin were lower in the EFP than the LFP (34.82 ± 16.44 vs 40.90 ± 23.91 ng/ml, p  = 0.003), while iron and transferrin saturation were lower during the EFP (58.04 ± 19.70 µg/dl, 14.71 ± 5.47%) compared to the LFP (88.67 ± 36.38 µg/dl, 22.22 ± 9.54%; p  &lt; 0.001) and the MLP (80.20 ± 42.05 µg/dl, 19.87 ± 10.37%; p  = 0.024 and p  = 0.045, respectively). Hepcidin was not affected by menstrual cycle ( p  = 0.052) or menstrual cycle*time interaction ( p  = 0.075). However, when comparing hepcidin at 3 h post-exercise, a moderate and meaningful effect size showed that hepcidin was higher in the LFP compared to the EFP (3.01 ± 4.16 vs 1.26 ± 1.25 nMol/l; d  = 0.57, CI = 0.07–1.08). No effect of time on hepcidin during the EFP was found either ( p  = 0.426). Conclusion The decrease in iron, ferritin and TSAT levels during the EFP may mislead the determination of iron status in eumenorrheic athletes. However, although the hepcidin response to exercise appears to be reduced in the EFP, it shows no clear differences between the phases of the menstrual cycle (clinicaltrials.gov: NCT04458662).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36129579</pmid><doi>10.1007/s00421-022-05048-5</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-9754-5565</orcidid><orcidid>https://orcid.org/0000-0002-1631-8182</orcidid><orcidid>https://orcid.org/0000-0002-4871-8682</orcidid><orcidid>https://orcid.org/0000-0002-6215-0093</orcidid><orcidid>https://orcid.org/0000-0002-0456-1222</orcidid><orcidid>https://orcid.org/0000-0002-9331-4564</orcidid><oa>free_for_read</oa></addata></record>
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subjects Biomedical and Life Sciences
Biomedicine
Exercise
Ferritin
Hepcidin
Homeostasis
Human Physiology
Iron
Menstrual cycle
Menstruation
NCT
NCT04458662
Occupational Medicine/Industrial Medicine
Original
Original Article
Physical training
Running
Sports Medicine
Transferrin
title Menstrual cycle affects iron homeostasis and hepcidin following interval running exercise in endurance-trained women
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