Sex differences in iron stores and associations of body iron with cardiovascular risk factors in the middle-aged general population - Report - MDSpire

Sex differences in iron stores and associations of body iron with cardiovascular risk factors in the middle-aged general population

  • By

  • Wei Li

  • Mats Fredriksson

  • Dženeta Nezirević Dernroth

  • Hevi Mahmod

  • Xiao-Mei Mai

  • Carl Johan Östgren

  • Xi-Ming Yuan

  • May 15, 2026

  • 0 min

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Clinical Report: Gender Variations in Iron Reserves and Cardiovascular Risk

Overview

This study reveals significant sex differences in iron reserves and cardiovascular risk factors among middle-aged individuals. Men exhibited higher total body iron and a more adverse cardiovascular profile compared to women, highlighting the importance of sex-specific assessments in cardiovascular risk management.

Background

Understanding the relationship between iron metabolism and cardiovascular risk factors is crucial, as it may inform personalized approaches to prevention and treatment. The study addresses a gap in research regarding sex differences in iron stores and their implications for cardiovascular health, particularly in middle-aged populations.

Data Highlights

ParameterMenWomen
Hyperferritinemia Prevalence21.6%12.0%
Metabolic Syndrome Prevalence34.5%24.6%

Key Findings

  • Men had higher total body iron (TBI) and ferritin levels compared to both premenopausal and postmenopausal women.
  • Men showed a higher prevalence of hypertension, hyperlipidemia, diabetes, and prior myocardial infarction.
  • Ferritin levels were associated with BMI, alcohol consumption, LDL cholesterol, and triglycerides in both sexes.
  • In women, age and hypertension were significantly associated with ferritin levels, unlike in men.
  • Hyperferritinemia and TBI were linked to metabolic syndrome in both sexes.

Clinical Implications

Clinicians should consider sex-specific differences in iron metabolism when evaluating cardiovascular risk. Monitoring ferritin and total body iron levels may enhance risk assessment and inform tailored management strategies for middle-aged patients.

Conclusion

The findings underscore the need for a nuanced understanding of iron metabolism's role in cardiovascular health, particularly across different sexes. This knowledge can aid in developing targeted interventions for cardiovascular risk reduction.

Related Resources & Content

  1. European Journal of Preventive Cardiology, 2023 -- Association of Genetically Inferred Iron Levels with Cardiovascular Structure and Function: Insights from a Mendelian Randomization Analysis
  2. Clinical Research in Cardiology, 2020 -- Prevalence of Iron Deficiency in the General Population and Its Independent Association with All-Cause Mortality: Findings from the Gutenberg Health Study
  3. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Elevated Fracture Risk in Individuals with Iron Overload: A Matched Cohort Analysis from a Population-Based Study
  4. European Journal of Preventive Cardiology, 2021 -- Hepcidin Levels and Their Relationship with New-Onset Heart Failure and Cardiac Dysfunction in Elderly Individuals: Insights from the ARIC Study
  5. Use of ferritin concentrations to assess iron status in individuals and populations
  6. Iron Deficiency in Heart Failure and Pulmonary Hypertension - PMC
  7. Accelerated increase in ferritin levels during menopausal transition as a marker of metabolic health

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