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最大强度测力计划船运动期间维持血浆pH值所需的碳酸氢盐剂量及其对血浆容量的影响

Dose of Bicarbonate to Maintain Plasma pH During Maximal Ergometer Rowing and Consequence for Plasma Volume.

作者信息

Nielsen Henning Bay, Volianitis Stefanos, Secher Niels H

机构信息

Department of Anaesthesia and Intensive Care, Zealand University Hospital Roskilde, Institute for Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.

出版信息

Front Physiol. 2022 Apr 11;13:828708. doi: 10.3389/fphys.2022.828708. eCollection 2022.

Abstract

Rowing performance may be enhanced by attenuated metabolic acidosis following bicarbonate (BIC) supplementation. This study evaluated the dose of BIC needed to eliminate the decrease in plasma pH during maximal ergometer rowing and assessed the consequence for change in plasma volume. Six oarsmen performed "2,000-m" maximal ergometer rowing trials with BIC (1 M; 100-325 ml) and control (CON; the same volume of isotonic saline). During CON, pH decreased from 7.42 ± 0.01 to 7.17 ± 0.04 (mean and SD; < 0.05), while during BIC, pH was maintained until the sixth minute where it dropped to 7.32 ± 0.08 and was thus higher than during CON ( < 0.05). The buffering effect of BIC on metabolic acidosis was dose dependent and 300-325 mmol required to maintain plasma pH. Compared to CON, BIC increased plasma sodium by 4 mmol/L, bicarbonate was maintained, and lactate increased to 25 ± 7 vs. 18 ± 3 mmol/L ( < 0.05). Plasma volume was estimated to decrease by 24 ± 4% in CON, while with BIC the estimate was by only 7 ± 6% ( < 0.05) and yet BIC had no significant effect on performance [median 6 min 27 s (range 6 min 09 s to 6 min 57 s) vs. 6 min 33 s (6 min 14 s to 6 min 55 s)]. Bicarbonate administration attenuates acidosis during maximal rowing in a dose-dependent manner and the reduction in plasma volume is attenuated with little consequence for performance.

摘要

补充碳酸氢盐(BIC)后,代谢性酸中毒减轻,划船成绩可能会提高。本研究评估了在最大测力计划船过程中消除血浆pH值下降所需的BIC剂量,并评估了血浆容量变化的后果。六名划桨运动员进行了“2000米”最大测力计划船试验,分别补充BIC(1M;100 - 325毫升)和对照组(CON;相同体积的等渗盐水)。在CON组中,pH值从7.42±0.01降至7.17±0.04(平均值和标准差;P<0.05),而在BIC组中,pH值维持到第六分钟,然后降至7.32±0.08,因此高于CON组(P<0.05)。BIC对代谢性酸中毒的缓冲作用呈剂量依赖性,维持血浆pH值需要300 - 325毫摩尔。与CON组相比,BIC使血浆钠增加4毫摩尔/升,碳酸氢盐维持不变,乳酸增加至25±7毫摩尔/升,而CON组为18±3毫摩尔/升(P<0.05)。估计CON组血浆容量减少24±4%,而BIC组仅为7±6%(P<0.05),但BIC对成绩无显著影响[中位数6分27秒(范围6分09秒至6分57秒)对6分33秒(6分14秒至6分55秒)]。补充碳酸氢盐以剂量依赖的方式减轻最大划船过程中的酸中毒,血浆容量的减少也有所减轻,对成绩影响不大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b5/9045408/c71f693c1b61/fphys-13-828708-g001.jpg

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