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Erythrocyte Reinfusion and Maximal Aerobic Power: Title and subTitle BreakAn Examination of Modifying Factors FREE

Michael N. Sawka, PhD; Andrew J. Young, PhD; Stephen R. Muza, PhD; Richard R. Gonzalez, PhD; Kent B. Pandolf, PhD
[+] Author Affiliations

The views, opinions, and/or findings contained in this report are those of the authors and should not be construed as an official Department of the Army position, policy, or decision, unless so designated by other official documentation. Approved for public release; distribution unlimited.

Reprint requests to US Army Research Institute of Environmental Medicine, Kansas Street, Natick, MA 01760-5007 (Dr Sawka).


JAMA. 1987;257(11):1496-1499. doi:10.1001/jama.1987.03390110072029
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Induced erythrocythemia is associated with a variable increase in maximal oxygen uptake. To examine the roles of the magnitude of change in hemoglobin concentration and the individual's initial aerobic fitness in this effect, we combined individual data from our own research and three other studies. In each study freeze-preserved erythrocytes from the product of 2 units of blood were reinfused, and maximal oxygen uptake was measured within 24 to 72 hours after reinfusion. The 30 subjects had an initial aerobic power of 36 to 88 mL of oxygen per kilogram per minute. The combined results from these studies indicate that after erythrocyte reinfusion (1) the increase in hemoglobin concentration is fairly homogeneous (mean ± SD, 1.36 ± 0.6 g/dL [13.6 ± 6 g/L]), (2) nearly all individuals demonstrate an increase in maximal oxygen uptake (0.357 ± 0.216 L/min), (3) the magnitude of increase in hemoglobin concentration is not related to the magnitude of increase in maximal oxygen uptake, and (4) the magnitude of increase in maximal oxygen uptake is related to the individual's initial aerobic fitness. Individuals with an initial aerobic fitness between 50 and 65 mL·kg-1·min-1 experience approximately twice the increase in maximal oxygen uptake after erythrocyte reinfusion of individuals with greater fitness and also of lesser fitness.

(JAMA 1987;257:1496-1499)

REFERENCES

Buick FJ, Gledhill N, Froese AB, et al:  Effect of induced erythrocythemia on aerobic work capacity . J Appl Physiol 1980;;48:636-642.
Kanstrup I, Ekblom B:  Blood volume and hemoglobin concentration as determinants of maximal aerobic power . Med Sci Sports Exerc 1984;;16: 256-262.
Robertson RJ, Gilcher R, Metz KF, et al:  Hemoglobin concentration and aerobic work capacity in women following induced erythrocythemia . J Appl Physiol 1984;;57:568-575.
Robertson RJ, Gilcher R, Metz KF, et al:  Effect of induced erythrocythemia on hypoxia tolerance during physical exercise . J Appl Physiol 1982;;53: 490-495.
Sawka MN, Dennis RC, Gonzalez RR, et al:  Influence of polycythemia on blood volume and thermoregulation during exercise-heat stress . J Appl Physiol , in press.
Thomson JM, Stone JA, Ginsburg AD, et al:  O2 transport during exercise following blood reinfusion . J Appl Physiol 1982;;53:1213-1219.
Williams MH, Wesseldine S, Somma T, et al:  The effect of induced erythrocythemia upon five-mile treadmill run time . Med Sci Sports Exerc 1981;;13: 169-175.
Gledhill N:  The influence of altered blood volume and oxygen transport capacity on aerobic performance . Exerc Sport Sci Rev 1985;;13:75-93.
Valeri CR: Blood Banking and the Use of Frozen Blood Products . Cleveland, CRC Press, 1976;.
Taylor HL, Buskirk ER, Henschel A:  Maximal oxygen intake as an objective measure of cardiorespiratory performance . J Appl Physiol 1955;;8: 73-80.
Rowell LB:  Circulation . Med Sci Sports 1969;;1: 15-22.
Holloszy JO:  Biochemical adaptations to exercise aerobic metabolism . Exerc Sport Sci Rev 1973;; 1:45-71.
Ekblom B, Wilson G, Astrand P-O:  Central circulation during exercise after venesection and reinfusion of red blood cells . J Appl Physiol 1976;; 40:379-383.
Clausen JP:  Circulatory adjustments to dynamic exercise and effects of physical training in normal subjects and in patients with coronary artery disease . Prog Cardiovasc Dis 1976;;18: 459-495.

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Buick FJ, Gledhill N, Froese AB, et al:  Effect of induced erythrocythemia on aerobic work capacity . J Appl Physiol 1980;;48:636-642.
Kanstrup I, Ekblom B:  Blood volume and hemoglobin concentration as determinants of maximal aerobic power . Med Sci Sports Exerc 1984;;16: 256-262.
Robertson RJ, Gilcher R, Metz KF, et al:  Hemoglobin concentration and aerobic work capacity in women following induced erythrocythemia . J Appl Physiol 1984;;57:568-575.
Robertson RJ, Gilcher R, Metz KF, et al:  Effect of induced erythrocythemia on hypoxia tolerance during physical exercise . J Appl Physiol 1982;;53: 490-495.
Sawka MN, Dennis RC, Gonzalez RR, et al:  Influence of polycythemia on blood volume and thermoregulation during exercise-heat stress . J Appl Physiol , in press.
Thomson JM, Stone JA, Ginsburg AD, et al:  O2 transport during exercise following blood reinfusion . J Appl Physiol 1982;;53:1213-1219.
Williams MH, Wesseldine S, Somma T, et al:  The effect of induced erythrocythemia upon five-mile treadmill run time . Med Sci Sports Exerc 1981;;13: 169-175.
Gledhill N:  The influence of altered blood volume and oxygen transport capacity on aerobic performance . Exerc Sport Sci Rev 1985;;13:75-93.
Valeri CR: Blood Banking and the Use of Frozen Blood Products . Cleveland, CRC Press, 1976;.
Taylor HL, Buskirk ER, Henschel A:  Maximal oxygen intake as an objective measure of cardiorespiratory performance . J Appl Physiol 1955;;8: 73-80.
Rowell LB:  Circulation . Med Sci Sports 1969;;1: 15-22.
Holloszy JO:  Biochemical adaptations to exercise aerobic metabolism . Exerc Sport Sci Rev 1973;; 1:45-71.
Ekblom B, Wilson G, Astrand P-O:  Central circulation during exercise after venesection and reinfusion of red blood cells . J Appl Physiol 1976;; 40:379-383.
Clausen JP:  Circulatory adjustments to dynamic exercise and effects of physical training in normal subjects and in patients with coronary artery disease . Prog Cardiovasc Dis 1976;;18: 459-495.
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