“…14) Anemia is often observed in athletes, especially endurance athletes, and this is commonly called sports anemia. The possible causes of sports anemia range from simple ones, such as lack of sufficient nourishment (iron or protein), 15) to hemolysis due to the impact running or landing after a jump, breakdown of red blood cells due to increased blood flow during heavy exercise, the release of hemolytic factors (lysolecithin and so on) from the spleen, 16) increased red cell membrane fragility due to insufficient oxygen, 17) and loss of iron in sweat, 18) urine, and stools. 19) In particular, female long distance runners who are menstruating and controlling their weight strictly can easily develop sports anemia.…”