Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2004
Erythrocyte sickling during exercise and thermal stress.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Bergeron Michael F, Cannon Joseph G, Hall Elaina L, Kutlar Abdullah
Аннотация
OBJECTIVE: To examine effects of exercise in the heat and fluid intake on erythrocyte sickling and neutrophil activation in carriers of sickle cell trait (HbAS).
DESIGN, SETTING, AND PARTICIPANTS: Six African American men (2 HbAS; 42% HbS, 4 HbAA; 20.7 +/- 0.8 years; 87.4 +/- 9.6 kg) participated in 2 randomized sessions (separate days) each consisting of 45 minutes of brisk walking (treadmill) in a hot (33 degrees C) environment.
INTERVENTION: Subjects consumed no fluids or fluid for 3 hours prior to (ad libitum) and during (1.02 L) testing.
MAIN OUTCOME MEASUREMENTS: Core temperature, heart rate, and perceived exertion were measured. Forearm venous blood was analyzed for percent erythrocyte sickling and plasma myeloperoxidase.
RESULTS: Time-averaged heart rate (126.6 +/- 5.7 vs. 146.7 +/- 5.9 bpm; P = 0.02) and core temperature (37.6 +/- 0.1 vs. 38.1 +/- 0.1 degrees C; P < 0.05) responses were lower during fluid versus no fluid, with no statistically significant difference in perceived exertion (12.3 +/- 0.5 vs. 13.6 +/- 0.4; P = 0.06). Erythrocyte sickling progressively increased (to 3.5%-5.5%) for HbAS carriers during no fluid exercise only. No sickling was detected in HbAA subjects. Plasma myeloperoxidase responses to exercise were greater (P = 0.03) in HbAS versus HbAA.
CONCLUSIONS: Fluid ingestion at a rate sufficient to offset a body weight deficit can effectively reduce erythrocyte sickling during exercise in the heat.
DESIGN, SETTING, AND PARTICIPANTS: Six African American men (2 HbAS; 42% HbS, 4 HbAA; 20.7 +/- 0.8 years; 87.4 +/- 9.6 kg) participated in 2 randomized sessions (separate days) each consisting of 45 minutes of brisk walking (treadmill) in a hot (33 degrees C) environment.
INTERVENTION: Subjects consumed no fluids or fluid for 3 hours prior to (ad libitum) and during (1.02 L) testing.
MAIN OUTCOME MEASUREMENTS: Core temperature, heart rate, and perceived exertion were measured. Forearm venous blood was analyzed for percent erythrocyte sickling and plasma myeloperoxidase.
RESULTS: Time-averaged heart rate (126.6 +/- 5.7 vs. 146.7 +/- 5.9 bpm; P = 0.02) and core temperature (37.6 +/- 0.1 vs. 38.1 +/- 0.1 degrees C; P < 0.05) responses were lower during fluid versus no fluid, with no statistically significant difference in perceived exertion (12.3 +/- 0.5 vs. 13.6 +/- 0.4; P = 0.06). Erythrocyte sickling progressively increased (to 3.5%-5.5%) for HbAS carriers during no fluid exercise only. No sickling was detected in HbAA subjects. Plasma myeloperoxidase responses to exercise were greater (P = 0.03) in HbAS versus HbAA.
CONCLUSIONS: Fluid ingestion at a rate sufficient to offset a body weight deficit can effectively reduce erythrocyte sickling during exercise in the heat.
Предметные рубрики MeSH
AdultBlack or African AmericanBody Temperature RegulationCase-Control StudiesErythrocytes, AbnormalExerciseHeart RateHeterozygoteHot TemperatureHumansMaleOxygen ConsumptionPhysical EndurancePhysical ExertionReference ValuesRisk AssessmentSensitivity and SpecificitySickle Cell TraitStress, Physiological