Iron for the Young Athlete

Iron for the Young Athlete

Iron is a mineral that helps the body make red blood cells. These cells carry oxygen throughout the body.

How much iron do children and teens need?

There are daily recommended amounts of iron based on age and gender. Athletes and active individuals may need more than the recommended daily allowance.

What is iron deficiency?

Iron depletion or deficiency occurs when the body does not have enough iron because of:

  • poor iron absorption.
  • excessive iron losses.
  • low iron intake.

How can iron deficiency affect young athletes?

Low iron and iron deficiency both impair the blood’s ability to carry oxygen to body tissues, including the heart, lungs, and muscles. This can cause fatigue, shortness of breath, and many other symptoms. A young athlete with low iron will often feel tired and burn out early in practices, games, and meets, which can lead to decreased performance and possible injury.

”While risk of iron deficiency is higher in vegetarian athletes and female athletes, these are not the only individuals at risk,” says Taylor Morrison, M.S., R.D.N., CSSD, L.D. “Distance runners, those training at altitude, those going through rapid periods of growth, and those who are underfueling, or not consuming enough total calories and iron-rich foods, are most at risk for iron deficiency.”

What are the sources of iron in the diet?

There are two forms of iron.
Heme iron is found in animal sources and is more efficiently absorbed in the body than non-heme iron.
Non-heme iron is found in plants. Individuals that follow a vegetarian eating plan can still meet iron needs through non-heme food sources if they are intentional.

What affects iron absorption?

Factors That Reduce Iron Absorption

  • Compounds called phytates and oxalates are found in many plant-based foods.
  • Tannins found in tea and coffee
  • Calcium and excessive intake of zinc and manganese

Suggestions to Improve Iron Absorption

  • Add foods containing vitamin C to meals with non-heme sources.
    • Sources include citrus fruits, strawberries, kiwi, bell peppers, tomatoes, cauliflower, broccoli, melon, and mango.
  • Eating heme sources of iron with non-heme sources.
  • Drink tea or coffee separately from an iron-containing meal or snack.
  • Cooking in a cast-iron skillet.
  • Add allium plant herbs like onion and garlic to your iron sources.

Examples of Meals and Snacks That Improve Iron Absorption

  • Spinach salad topped with sliced strawberries.
  • Steamed broccoli with lemon juice squeezed on top.
  • Trail mix includes an iron-fortified cereal and raisins with a glass of orange juice.
  • Cooked whole-wheat spaghetti with marinara sauce and fresh tomatoes topped with grilled shrimp and broccoli.
  • Black bean, quinoa, and mango salad.
  • Raw bell pepper slices, cauliflower florets, and grape tomatoes with hummus.

If you are worried your athlete is struggling with iron depletion or deficiency, visit with your doctor and a registered sports dietitian to see if dietary changes or supplementation are needed. 

OCD Didn’t Keep This Lacrosse Player Off the Field Long

OCD Didn’t Keep This Lacrosse Player Off the Field Long

Seventeen-year-old Eli has been a leader on the lacrosse field since he started playing at the age of 8. He currently plays lacrosse with the Frisco Lacrosse Association and is an outside linebacker on Frisco ISD’s Lone Star High School football team. This multi-sport athlete from Frisco knows a lot about overcoming adversity, and he’ll be quick to tell you if you ask about one of his greatest victories.

Eli learned that he had osteochondritis dissecans (OCD) in his knee soon after an injury during a tournament in Philadelphia when he was 14-years-old. With hopes that this cartilage condition would improve with time, he continued playing. Several months later, an unfortunate move in a tie-breaking “braveheart” play at a Denver tournament forced him to try a different approach.

Looking for someone with experience treating young athletes with OCD, his family found pediatric orthopedic surgeon Philip L. Wilson, M.D. “Cartilage conditions like this are unique to young athletes, but we have a lot of clinical experience and research interests focused on understanding more about this condition,” Wilson says.
With OCD, early intervention and treatment recommendations, including rest or wearing an unloader brace, may allow the tissue to heal on its own. Unlike braces used for kneecap instability or after an ACL reconstruction, an unloader brace is designed to change the weight distribution in the knee joint.

When Wilson met Eli, it was clear the bone and cartilage on the surface of the joint would need surgery. Wilson describes this condition using an analogy of a pothole. Though it’s unclear why, the bone on the surface of the thigh bone collapses, and the smooth cartilage surface can tear. There are several different surgical techniques that may be used depending on the condition of the surface.

“Dr. Wilson made me feel safe,” says Eli. “He cracked a lot of jokes, which helped me feel less nervous.”

Before returning to the lacrosse field, Eli needed to recover his strength and mobility in his leg. Getting his injured leg to the point where he felt safe on the field seemed like a long process, but his hard work in physical therapy paid off because he now has total confidence in his knee. “My knee feels 110% – better than my other knee, actually,” says Eli. “We are very thankful, and we owe a lot to Scottish Rite,” says his mother, Heather.

Eli believes his experience has given him a valuable perspective that helps him handle challenges and find the positive in any situation. “It always gets better,” he says. “I’ve been through a lot, so I know that I can get through other bad things that come up.”

Eli has advice for other young athletes who are injured and out of the game. He knows how it can not only affect them physically but mentally as well. “I was depressed because I couldn’t play for six months, but I overcame it,” he says. “You can get through anything if you have a good mindset.” Heather encouraged Eli to be active and connected with his friends and coaches throughout his recovery. His coaches recommended that he continue to study the sport to keep his mind ready for the game as he got his body ready. “It’s hard as a parent to watch your kid struggle through it,” says Heather. “You don’t realize how much sports mean to your child until it’s taken away, so staying connected and finding ways to help them stay positive is important.”

Eli has big dreams, and one of them is playing lacrosse in college. He knows that he can overcome adversity and that hard work and perseverance usually lead to something great. “I want to set the bar way too high so that if I meet it in the middle, I’ll be okay, but maybe I can go flying over the top,” he says.

OCD Didn’t Keep This Lacrosse Player Off the Field Long

OCD Didn’t Keep This Lacrosse Player Off the Field Long

Seventeen-year-old Eli has been a leader on the lacrosse field since he started playing at the age of 8. He currently plays lacrosse with the Frisco Lacrosse Association and is an outside linebacker on Frisco ISD’s Lone Star High School football team. This multi-sport athlete from Frisco knows a lot about overcoming adversity, and he’ll be quick to tell you if you ask about one of his greatest victories.

Eli learned that he had osteochondritis dissecans (OCD) in his knee soon after an injury during a tournament in Philadelphia when he was 14-years-old. With hopes that this cartilage condition would improve with time, he continued playing. Several months later, an unfortunate move in a tie-breaking “braveheart” play at a Denver tournament forced him to try a different approach.

Looking for someone with experience treating young athletes with OCD, his family found pediatric orthopedic surgeon Philip L. Wilson, M.D. “Cartilage conditions like this are unique to young athletes, but we have a lot of clinical experience and research interests focused on understanding more about this condition,” Wilson says.
With OCD, early intervention and treatment recommendations, including rest or wearing an unloader brace, may allow the tissue to heal on its own. Unlike braces used for kneecap instability or after an ACL reconstruction, an unloader brace is designed to change the weight distribution in the knee joint.

When Wilson met Eli, it was clear the bone and cartilage on the surface of the joint would need surgery. Wilson describes this condition using an analogy of a pothole. Though it’s unclear why, the bone on the surface of the thigh bone collapses, and the smooth cartilage surface can tear. There are several different surgical techniques that may be used depending on the condition of the surface.

“Dr. Wilson made me feel safe,” says Eli. “He cracked a lot of jokes, which helped me feel less nervous.”

Before returning to the lacrosse field, Eli needed to recover his strength and mobility in his leg. Getting his injured leg to the point where he felt safe on the field seemed like a long process, but his hard work in physical therapy paid off because he now has total confidence in his knee. “My knee feels 110% – better than my other knee, actually,” says Eli. “We are very thankful, and we owe a lot to Scottish Rite,” says his mother, Heather.

Eli believes his experience has given him a valuable perspective that helps him handle challenges and find the positive in any situation. “It always gets better,” he says. “I’ve been through a lot, so I know that I can get through other bad things that come up.”

Eli has advice for other young athletes who are injured and out of the game. He knows how it can not only affect them physically but mentally as well. “I was depressed because I couldn’t play for six months, but I overcame it,” he says. “You can get through anything if you have a good mindset.” Heather encouraged Eli to be active and connected with his friends and coaches throughout his recovery. His coaches recommended that he continue to study the sport to keep his mind ready for the game as he got his body ready. “It’s hard as a parent to watch your kid struggle through it,” says Heather. “You don’t realize how much sports mean to your child until it’s taken away, so staying connected and finding ways to help them stay positive is important.”

Eli has big dreams, and one of them is playing lacrosse in college. He knows that he can overcome adversity and that hard work and perseverance usually lead to something great. “I want to set the bar way too high so that if I meet it in the middle, I’ll be okay, but maybe I can go flying over the top,” he says.

Community Impact: Scottish Rite for Children DreamCourt Groundbreaking Ceremony

Community Impact: Scottish Rite for Children DreamCourt Groundbreaking Ceremony

Nancy Lieberman Charities and The Adleta Corporation broke ground on an outdoor DreamCourt™ at Scottish Rite for Children in Frisco. The state-of-the-art basketball court will provide youth an opportunity to practice teamwork and build character, reflecting the commitment of local community partners. The Adleta Corporation and Scottish Rite for Children are celebrating their 100th year of business while Nancy Lieberman Charities is celebrating its 100th DreamCourt™ across the nation.

Read the full story. 

Get to Know our Staff: Veronica Meneses, M.D.

Get to Know our Staff: Veronica Meneses, M.D.

What is your job title/your role at Scottish Rite for Children?  
I am a developmental-behavioral pediatrician at Scottish Rite and direct the Developmental-Behavioral Clinic of the Pediatric Developmental Disabilities Department. Also, I care for children and adolescents in the Interdisciplinary Pediatric Spina Bifida Clinic. Another part of my job is being the program director for the University of Texas Southwestern/Scottish Rite for Children Developmental-Behavioral Pediatrics Fellowship.

Why did you want to become a doctor? Have you always wanted to work in pediatrics? 
I became drawn to being a doctor when I was about 15 years old. My parents subscribed to Maryknoll Magazine, and I was captivated by reading the stories of the medical service carried out by Catholic missionaries to people in need around the world. At the same time, I loved biology and decided that becoming a doctor would be the best way to combine my passion for helping other human beings with the study of science. I have always wanted to work in pediatrics!

What led you to Scottish Rite for Children? 
After completing medical school in New York City and residency and fellowships in Southern California, I conducted a national job search. I had an initial phone call with Dr. Richard Adams, and then visited Scottish Rite, which gave me the opportunity to meet him as well as his team and some of their patients. The comprehensive level of care they provided to children and families impressed me deeply. When something is “right” for me, I sense music around me. I felt like dancing from the very beginning and that melody has lasted for more than 10 years now.

What types of patients does your clinic see?
My clinic takes care of patients ranging from infants to young adults who have developmental and behavioral differences in addition to orthopedic conditions.

What are some of the common conditions seen in our PDD Clinics? 
Our Pediatric Developmental Disabilities Clinics see children and adolescents with diverse diagnoses, including cerebral palsy, myelomeningocele, autism spectrum disorder, intellectual disabilities, ADHD and genetic syndromes.

What makes our PDD Department unique?
Our department is unique in that it offers comprehensive, interdisciplinary care to children from infancy to young adulthood. We work as a team, and we collaborate with everyone who works at Scottish Rite for Children to best meet the needs of the children.

How do you help your patients feel comfortable and confident? 
I celebrate their strengths and the unique aspects of their personalities and their families. I share my knowledge with them and show them that I am human, too. I let them know that they and their families are experts about their conditions, as they are living with them 24 hours a day, 7 days a week. I invite them to teach me all that they know.

What is your favorite part of your job?
My favorite part of my job is meeting all the wonderful children, adolescents and their families and partnering with them to develop a long-term care plan that will help them reach their fullest potential. They are all different, and they all change me for the better.

What was your first job?
My first job was at Broadway, a Macy’s-like store, when I turned 16. I worked in the gift-wrapping department and really enjoyed helping to make people’s gifts look beautiful.

Tell us something that might surprise us about you:
It might surprise you that I have a true love for art history and can spend hours in museums.

What is your favorite thing to do when you’re not working?
When I am not working, I am happiest spending time with my family and pets, reading, looking at art and taking long, meditative walks.