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Background: No reports have evaluated the long-term trends of the prevalence of anemia in Universiade athletes using preparticipation medical examinations (PPMEs). We aimed to investigate the prevalence of anemia among Japanese Universiade athletes, using longitudinal PPMEs.

Methods: In this retrospective, observational study, athletes with published data from official reports of the Japanese delegation of the summer Universiade games between 1977 and 2011 were included, as were similar-aged nonathletes with published health data, extracted from official national reports from the Japanese Ministry of Health, Labour and Welfare.

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