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献血后身体机能、血液血红蛋白和铁蛋白含量恢复的时间进程。

Time course for the recovery of physical performance, blood hemoglobin, and ferritin content after blood donation.

作者信息

Ziegler Andreas K, Grand Johannes, Stangerup Ida, Nielsen Hans J, Dela Flemming, Magnussen Karin, Helge Jørn W

机构信息

Center of Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.

Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

出版信息

Transfusion. 2015 Apr;55(4):898-905. doi: 10.1111/trf.12926. Epub 2014 Dec 16.

Abstract

BACKGROUND

It is widely accepted that blood donation negatively affects endurance performance, but data on physical recovery after a standard blood donation are scarce. This study aimed to elucidate the temporary impact of blood donation on endurance performance, measured as peak oxygen uptake (VO2peak ) and time trial (TT) performance.

STUDY DESIGN AND METHODS

VO2peak , TT performance, blood, iron, and anthropometric variables were determined before (baseline) and 3, 7, 14, and 28 days after blood donation in 19 healthy men.

RESULTS

VO2peak was reduced by 6.5% from 49.7 ± 2 mL/kg/min at baseline to 46.3 ± 2 mL/kg/min on Day 3 (p < 0.001), and TT performance was reduced by 5.2% from 13:31 ± 00:42 to 14:13 ± 00:50 min:sec (p < 0.001). Both VO2peak and TT performance were back to baseline 14 days after blood donation. Blood hemoglobin (Hb) concentration declined 7.9% from 9.3 ± 0.11 mmol/L at baseline to 8.6 ± 0.1 mmol/L on Day 3 (p < 0.001) and was not different from baseline 28 days after blood donation. The hematocrit (Hct) was reduced from 43.8 ± 0.5% at baseline to 40.6 ± 0.6% on Day 3 (p < 0.001). On Day 28 Hct was 42.8 ± 0.5% and still reduced below baseline (p = 0.028). Ferritin concentration was reduced 46% from 113 ± 23 μg/L at baseline to a minimum of 61 ± 14 μg/L on Day 14 (p = 0.008).

CONCLUSION

The individual recovery was variable, but physical performance was recovered 14 days after a standard blood donation, despite blood Hb concentration remaining lower than at baseline.

摘要

背景

献血会对耐力表现产生负面影响,这一点已被广泛认可,但关于标准献血后身体恢复的数据却很稀少。本研究旨在阐明献血对耐力表现的短期影响,以峰值摄氧量(VO2peak)和计时赛(TT)成绩来衡量。

研究设计与方法

对19名健康男性在献血前(基线)以及献血后3天、7天、14天和28天测定VO2peak、TT成绩、血液、铁和人体测量学变量。

结果

VO2peak从基线时的49.7±2毫升/千克/分钟降至第3天的46.3±2毫升/千克/分钟,降幅为6.5%(p<0.001);TT成绩从13:31±00:42降至14:13±00:50分钟:秒,降幅为5.2%(p<0.001)。献血后14天,VO2peak和TT成绩均恢复至基线水平。血液血红蛋白(Hb)浓度从基线时的9.3±0.11毫摩尔/升降至第3天的8.6±0.1毫摩尔/升,降幅为7.9%(p<0.001),献血后28天与基线无差异。血细胞比容(Hct)从基线时的43.8±0.5%降至第3天的40.6±0.6%(p<0.001)。在第28天,Hct为42.8±0.5%,仍低于基线水平(p=0.028)。铁蛋白浓度从基线时的113±23微克/升降至第14天的最低值61±14微克/升,降幅为46%(p=0.008)。

结论

个体恢复情况存在差异,但标准献血14天后身体机能恢复,尽管血液Hb浓度仍低于基线水平。

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