The iron deficiency that occurs in young female athletes can cause a decrease in bone
density in three mechanisms, through the process of hydrolysis of procollagen formation,
metabolism along with vitamin D and hypoxia. The aimed of this study is to analyze the
relationship of iron deficiency with bone density in young female athletes. A crosssectional study design with 70 athletes aged 12-21 years conducted at the BPPLOP
Central Java, Salatiga Athletics Club and Athletics and Swimming Club Semarang State
University. Iron deficiency was determined by levels of ferritin serum, bone density
measured by Bone Densitometer Quantitative Ultrasound, body fat percentage and muscle
mass measured by Body Composition Analyzer. Bone-specific Physical Activity
Questionnaire was used for physical activity data. Nutrition intakes such as protein,
calcium, vitamin D, phosphorus, iron, potassium, magnesium, and sodium was collected
by Semi Quantitative-Food Frequency Questionnaire. This study used bivariate analysis
with Pearson and Rank-Spearman Correlation Tests and multivariate analysis with
Multiple Linear Regression Test. A young female athlete who suffers from iron deficiency
is approximately 14.3%. All subjects had normal bone density. Significant relationships
were observed between iron deficiency based on serum ferritin (p = 0.044) and muscle
mass (p = 0.002) with bone density on young female athletes. The muscle mass variable
had the strongest influence on bone density (p = 0.002; adjusted R2 = 0.117). This study
showed that iron deficiency and muscle mass are related to bone density, but the other
factors that might have an impact on bone density must be considered.