I.R.C.C.S. Istituto Ortopedico Galeazzi, Milano, Italy.
Biochem Med (Zagreb). 2011;21(1):71-8. doi: 10.11613/bm.2011.014.
Winter swimming represents an intensive short-term exposure to cold, and thus it is considered a strong physical stress. Cold-based treatments, i.e. immersions in cold water, are spreading in sport medicine for improving recovery following muscle traumas, although a universal acceptance of that method is not still achieved.
Fifteen healthy subjects (13 males and 2 females) were recruited among the participants to a 150 meters long swimming race in cold water (6 degrees C). Blood samples were collected the day before and immediately after the race and a panel of haematological parameters was evaluated.
Swimming in cold water induced a significant variation in the blood cell fraction composition compared to the rest condition, as measured the day before the competition. Red blood cells, white blood cells and platelets count increased significantly (4.7%, P = 0.005; 40.6%, P < 0.001 and 25.0%, P < 0.001, respectively). While the relative number of leukocytes did not change significantly, apart from a strong decrease of the eosinophils population (-48.6%; P < 0.001), a strong increase in the total number of neutrophil granulocytes, lymphocytes and monocytes was recorded (42.6%, P = 0.002, 58.2%, P = 0.001 and 27.5%, P = 0.021, respectively). Following normalization on plasma volume change (-2.54%) the results were unchanged, demonstrating that the variations were not due to a mere haemoconcentration.
When represented by brief exposure to cold water, winter swimming induces strong non-pathological modifications of haematological homeostasis.
冬泳代表着对寒冷的短期剧烈暴露,因此被认为是一种强烈的身体应激。基于冷疗的治疗方法,即浸入冷水中,在运动医学中被广泛应用于肌肉创伤后的恢复,但该方法尚未得到普遍认可。
在一项 150 米长的冷水游泳比赛中,我们招募了 15 名健康受试者(13 名男性和 2 名女性)。在比赛前一天和比赛后立即采集血样,并评估一系列血液学参数。
与比赛前一天的休息状态相比,冬泳导致血液细胞分数组成发生显著变化。红细胞、白细胞和血小板计数显著增加(分别增加 4.7%,P = 0.005;40.6%,P < 0.001 和 25.0%,P < 0.001)。虽然白细胞的相对数量没有显著变化,但除了嗜酸性粒细胞数量强烈减少(-48.6%,P < 0.001)外,中性粒细胞、淋巴细胞和单核细胞的总数也显著增加(分别增加 42.6%,P = 0.002;58.2%,P = 0.001 和 27.5%,P = 0.021)。在对血浆容量变化(-2.54%)进行归一化后,结果保持不变,表明这些变化不是单纯的血液浓缩所致。
短暂暴露于冷水中的冬泳会引起强烈的非病理性血液生理平衡变化。