
According to the researchers, iron deficiency could not explain why some girls were more tired than others in the current study.
Photo Credit: Vitolda Klein
Scientific Frontline: Extended "At a Glance" Summary: Fatigue in Teenage Girls
The Core Concept: A recent study indicates that fatigue in teenage girls is strongly associated with heavy menstrual bleeding, skipping meals, and daily nicotine use, rather than iron deficiency.
Key Distinction/Mechanism: Contrary to the common medical assumption that iron deficiency is a primary driver of fatigue in this demographic, researchers found no significant difference in self-reported tiredness between girls with and without iron deficiency; instead, heavy periods themselves, lifestyle factors like skipping breakfast or school lunch, and daily smoking or snus use were the linked factors.
Origin/History: The findings, published in Acta Psychologica in September 2026 by researchers at Lund University, are based on a study of 485 girls aged 15-19 from upper secondary schools in Lund and Malmö, Sweden.
Major Frameworks/Components:
- Questionnaire Assessment: Participants answered questions regarding fatigue levels, quality of life, menstruation characteristics, eating habits, and nicotine consumption.
- Biomarker Analysis: Blood samples were analyzed to measure ferritin and hemoglobin levels, with almost four in ten participants exhibiting ferritin levels below the WHO threshold of 15 µg/L.
- Statistical Correlation: Researchers correlated self-reported fatigue on a 100-point scale against the presence of heavy periods (a 4-5 point difference was observed), dietary patterns (including vegetarianism, which did not correlate with increased fatigue despite a higher prevalence of iron deficiency), and nicotine use.




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