Ziegler Andreas K, Grand Johannes, Stangerup Ida, Nielsen Hans J, Dela Flemming, Magnussen Karin, Helge Jørn W
Center of Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Transfusion. 2015 Apr;55(4):898-905. doi: 10.1111/trf.12926. Epub 2014 Dec 16.
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.
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.
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).
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.
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。
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。
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)。
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。