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Erythropoietin concentration and arterial haemoglobin saturation with supramaximal exercise

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CONTRIBUTORS:
  Author Roberts, D.
  Author Smith, D. J.
JOURNAL:
  Journal of Sports Sciences (JSS), 17(6), ?? - ??.
YEAR: 1999
PUB TYPE: Journal Article
SUBJECT(S): ERYTHROPOIETIN; ARTERY; HEMOGLOBIN; ATHLETE; ANOXEMIA; AEROBIC-CAPACITY; ANAEROBIC-CAPACITY
DISCIPLINE: No discipline assigned
HTTP:
LANGUAGE: English
PUB ID: 103-366-684 (Last edited on 2002/02/27 18:44:58 US/Mountain)
SPONSOR(S):
 
ABSTRACT:
The aim of this study was to determine if the hypoxaemic stimulus generated by intense exercise results in the physiological response of increased erythropoietin production. Twenty athletes exercised for 3 min at 109 plus/minus 2.8 % (mean plus/minus s) maximal oxygen consumption. Estimated oxyhaemoglobin saturation was measured by reflective probe pulse oximetry (Nellcor N200) and was validated against arterial oxyhaemoglobin saturation by CO-oximetry in eight athletes. Serum erythropoietin concentrations - as measured using the INCSTAR Epo-Trac radioimmunoassay - increased significantly by 28 plus/minus 9 % at 24 h post-exercise in 11 participants, who also had an arterial oxyhaemoglobin saturation less than or equal to 91 % (P < 0.05). Decrased ferritin levels and increased reticulocyte counts were observed at 96 h post-exercise. However, no significant changes in erythropoietin levels were observed in nine non-desaturating athletes and eight non-exercise controls. Good agreement was shown between arterial oxyhaemoglobin saturation and percent estimated oxyhaemoglobin saturation (limits of agreement = -3.9 to 3.7 %). In conclusion, short supramaximal exercise can induce both hypoxaemia and increased erythropoietin levels in well-trained individuals. The decline of arterial hypoxaemia levels below 91 % during exercise appears to be necessary for the exercise-induced elevation of serum erythropoietin levels. Furthermore, reflective probe pulse oximetry was found to be a valid predictor of percent arterial oxyhaemoglobin saturation during supramaximal exercise when percent estimated oxyhaemoglobin saturation greater than or equal to 86 %.
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