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Clin J Sport Med. 2004 Nov;14(6):354-6.

Erythrocyte sickling during exercise and thermal stress.

Author information

1
Department of Physical Therapy, Medical College of Georgia, Augusta, GA 30912-0800, USA. mbergero@mcg.edu

Abstract

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.

PMID:
15523207
[Indexed for MEDLINE]

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