Szygula Z
Department of Sports Medicine, Academy of Physical Education, Krakow, Poland.
Sports Med. 1990 Sep;10(3):181-97. doi: 10.2165/00007256-199010030-00004.
It is obvious that physical performance, endurance capacity and resistance to fatigue in humans are dependent upon many different factors. One factor, the oxygen carrying capacity of blood, seems to be of particular importance. This factor is mainly determined by haemoglobin concentration, number of circulating erythrocytes and the efficiency of their functions. A single bout of physical effort and, even more, repeated exercise may change the morphological indices of blood and influence the erythropoietic processes in the bone marrow. That is why there is so great an interest now attached to the effects of physical exercise on the erythrocytic system. Although in recent years many papers have been published on the subjects their findings pertaining to the effects of single bouts of exercise and systematic training on the erythrocytic system are often contradictory. The haematological parameters in some top-class athletes, particularly those performing in endurance disciplines are lowered at rest. Anaemia has been described in sportsmen, even among the members of Olympic teams. This type of anaemia has been called 'sports anaemia', 'athletes' anaemia' or 'postexercise anaemia' in order to emphasise its character. Among many possible causes which may bring about the development of sports anaemia the most commonly recognised are: postexercise plasma expansion, intensified haemolysis during physical efforts, iron deficiency, losses of erythrocytes by the way of bleeding into the digestive and urinary systems and also some disturbances in erythropoiesis. However, there is evidence of the intensification of erythropoiesis by many factors occurring during physical exercise.
显而易见,人类的身体表现、耐力和抗疲劳能力取决于许多不同因素。其中一个因素,即血液的携氧能力,似乎尤为重要。这一因素主要由血红蛋白浓度、循环红细胞数量及其功能效率决定。单次体力活动,甚至反复运动,都可能改变血液的形态学指标,并影响骨髓中的红细胞生成过程。这就是为什么现在人们对体育锻炼对红细胞系统的影响如此感兴趣。尽管近年来已经发表了许多关于这个主题的论文,但他们关于单次运动和系统训练对红细胞系统影响的研究结果往往相互矛盾。一些顶级运动员,特别是那些从事耐力项目的运动员,在休息时血液学参数会降低。运动员中甚至包括奥运代表队成员中都出现过贫血现象。为了强调其特征,这种贫血被称为“运动性贫血”“运动员贫血”或“运动后贫血”。在可能导致运动性贫血发生的众多原因中,最常见的有:运动后血浆容量扩充、体力活动期间溶血加剧、缺铁、通过消化系统和泌尿系统出血导致红细胞流失,以及红细胞生成的一些紊乱。然而,有证据表明,体育锻炼期间出现的许多因素会增强红细胞生成。