NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Haematological and iron metabolism parameters in professional cyclists during the Giro d'Italia 3-weeks stage race.

Author(s): Corsetti R, Lombardi G, Lanteri P, Colombini A, Graziani R, Banfi G

Publication: Clin Chem Lab Med, 2012, Vol. 50, Page 949-56

PubMed ID: 22628339 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of strenuous exercise on hematology and clinical chemistry analytes among specimens from professional cyclists competing in a 3 week stage race.

Conclusion of Paper

Compared to levels measured in specimens taken from professional cyclists the day before they began a 3 week stage race, plasma volume (PV), immature reticulocyte fraction (IRF), C reactive protein (CRP), and haptoglobin (Hp) levels generally increased during the race, but IRF returned to baseline by the end of the race. At the same time, hematocrit (Ht), hemoglobin (Hb), red blood cell (RBC) counts, iron (Fe), and transferrin (Tf) concentrations generally decreased during the race. The reticulocyte percentage (Ret%), platelet counts (PLT), white blood cell (WBC) counts, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), red cell distribution width (RDW), ferritin, and soluble transferrin receptor (sTfR) levels were not affected by the strenuous exercise.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of strenuous exercise on hematology and clinical chemistry analytes among specimens from professional cyclists competing in a 3 week stage race. Blood specimens were kept at 4 degrees C for up to 8 hours during transportation by train and car to the laboratory. K2EDTA-anticoagulated blood was homogenized and hematology analytes were measured. Blood collected in plain tubes was centrifuged, and serum was stored at -80 degrees C until clinical chemistry analysis.

    Summary of Findings:

    PV was significantly higher in specimens taken on day 12 or 22 of the race than on day -1. Ht, Hb and RBC counts were lower in specimens taken on day 12 than those from day -1, but they did not decrease further during the last half of the race. Ret% was not affected by the strenuous exercise. However, the IRF was higher in specimens taken on day 12 than those taken on day -1, but IRF returned to baseline levels in day 22 specimens. PLT, WBC counts, MCV, MCH, MCHC, and RDW were not significantly different between specimens taken on different days during the race. When serum levels were corrected for the changes observed in PV, significant decreases in Fe and Tf concentrations were observed between specimens taken on day -1 and day 12 or 22 of the race, but for both analytes, levels were lower on day 12 than on day 22. Ferritin and sTfR levels were not significantly different between specimens taken on different days of the race. Hp levels were significantly higher in specimens taken on day 12 or 22 compared to those taken on day -1 after one outlier was removed from the statistical analysis. CRP levels showed a non-significant increasing trend throughout the race when corrected for PV changes.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Cell count/volume Hematology/ auto analyzer
    Protein Hematology/ auto analyzer
    Electrolyte/Metal Clinical chemistry/auto analyzer
    Glycoprotein Clinical chemistry/auto analyzer
    Protein Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Time of biospecimen collection Day -1
    Day 12
    Day 22

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