RAPID REVIEW
Donor iron depletion: beneficial or burdensome?
Correction added on 03rd April 2019, after first online publication: Conflict of interest statement updated.
KEY IDEAS
- Most purported benefits of blood donation have not been proven. While studies suggest individuals with type II diabetes have transiently improved postdonation glycemic control, the mechanism is unknown.
- Blood donors with nonanemic or mildly anemic iron deficiency can develop pica and undergo unnecessary diagnostic procedures. Lower infant birth weight has been documented in female blood donors. In other healthy populations, reversible fatigue and exercise capacity impairment occur with mild iron deficiency. The effects of donor iron depletion on cognition and neurocognitive outcomes after pregnancy continue to be studied.
- Blood collectors are beginning to implement enhanced educational and interventional measures to prevent iron depletion in at-risk donors.
CONFLICT OF INTEREST
Author has disclosed Scientific Advisory Board membership with HemaStrat.