The mean red cell volume in long distance runners

Insights

Endurance running alters red blood cell indices. Red cell volume regulation after a 100 km race may involve factors beyond plasma osmolality, potentially maintaining blood viscosity.

Area of Science:

  • Exercise Physiology
  • Hematology
  • Sports Medicine

Background:

  • Red blood cell (RBC) indices are crucial for oxygen transport and blood viscosity.
  • Endurance running, particularly ultra-marathons, can induce significant physiological stress.
  • Understanding RBC volume regulation during and after prolonged exercise is important for athlete health and performance.

Purpose of the Study:

  • To investigate changes in red cell indices in trained runners after a 100 km race.
  • To compare Coulter Counter (CC) derived indices with calculated values from centrifuged hematocrit (ctrf).
  • To explore the role of plasma osmolality in regulating red cell volume post-exercise.

Main Methods:

  • Determination of red cell indices in 6 trained runners before and after a 100 km race.
  • Comparison of Coulter Counter (CC) measurements with calculated values from centrifuged hematocrit (ctrf), RBC count, and hemoglobin.
  • Analysis of changes in mean corpuscular volume (MCV) and mean corpuscular hemoglobin concentration (MCHC).

Main Results:

  • Mean corpuscular volume (MCV) determined by centrifugation (MCV(ctrf)) decreased by 4.9% (p<0.001).
  • Mean corpuscular volume (MCV) determined by Coulter Counter (MCV(CC)) increased by 1.9% (p<0.05).
  • Mean corpuscular hemoglobin concentration (MCHC) showed opposing trends: MCHC(ctrf) increased by 4%, while MCHC(CC) decreased by 3%.

Conclusions:

  • The increase in MCV(CC) suggests increased intraerythrocyte osmolality and cell swelling due to water shift into RBCs.
  • The decrease in MCV(ctrf) was not directly correlated with plasma osmolality, indicating other regulatory factors.
  • RBC volume changes post-race may be a physiological mechanism to maintain favorable blood viscosity and hematocrit.

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