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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.
Abstract:
Red cell indices were determined in 6 well trained runners before and after a 100 km race, and Coulter Counter (CC) determinations compared with calculated values derived from centrifuged hematocrit (ctrf), red cell count (CC) and hemoglobin measurements. The following changes were observed immediately after the race, as compared to values 3 days before: MCV(ctrf) decreased by 4.9% (p less than 0.001), MCV(CC) increased by 1.9% (p less than 0.05), MCHC(ctrf) increased by 4% and MCHC(CC) decreased by 3%. The increase in MCV(CC) suggests that intraerythrocyte osmolality was increased, this probably leading to swelling of the cells induced by a shift of water from the diluting Coulter Counter solution into the red cells prior to the MCV measurement. The decrease in MCV(ctrf) immediately after the race was not correlated with the increase in plasma osmolality. This suggests that plasma osmolality alone was not the key factor for regulation of red cell volume. The changes in MCV(ctrf), which contributed to a surprising stability of the hematocrit value and plasma volume, might represent a physiological principle for the maintenance of a favourable blood viscosity.
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