Normal iron levels in adults
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Normal Iron Levels in Adults: Key Biomarkers and Reference Ranges
Iron is essential for many body functions, including oxygen transport and energy production. In adults, iron status is typically assessed using several blood markers, with reference ranges varying by sex and age group. The most common markers include serum iron, ferritin, hemoglobin, and transferrin saturation 156.
Serum Iron Reference Ranges
Normal serum iron levels differ between men and women:
- For women, normal plasma iron levels are generally between 37–145 µg/dL.
- For men, normal plasma iron levels are typically between 59–158 µg/dL .
Ferritin as an Indicator of Iron Stores
Ferritin reflects the body’s iron reserves:
- Normal ferritin levels are usually considered to be 30–200 ng/mL for women and 30–300 ng/mL for men.
- Low ferritin is defined as <30 ng/mL, while high ferritin is >200 ng/mL in women and >300 ng/mL in men 356.
- Ferritin levels can be influenced by age and inflammation, so interpretation should consider these factors 56.
Hemoglobin and Anemia Thresholds
Hemoglobin is a key marker for diagnosing anemia:
- Anemia is commonly defined as hemoglobin <12 g/dL for women and <13 g/dL for men .
- These thresholds help identify iron deficiency anemia, especially in older adults .
Other Iron Status Markers
Additional tests can provide more information:
- Transferrin saturation (TS) and soluble transferrin receptor (sTfR) are useful for distinguishing types of iron deficiency 56.
- In absolute iron deficiency, both ferritin and TS are low, while sTfR is high .
- In functional iron deficiency (often due to inflammation), ferritin may be normal or high, TS is low or normal, and sTfR is normal .
Importance of Maintaining Normal Iron Levels
Maintaining iron within the normal range is crucial for health:
- Both iron deficiency and iron overload can lead to health problems, including cognitive impairment and reduced physical activity, especially in older adults 135.
- Regular monitoring and following dietary guidelines help maintain balanced iron levels and reduce disease risk .
Conclusion
Normal iron levels in adults are defined by specific reference ranges for serum iron, ferritin, and hemoglobin, with slight differences between men and women. Accurate assessment using these markers is important for diagnosing iron-related disorders and ensuring overall health, particularly in older adults 13456.
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