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Effect of repeated whole blood donations on aerobic capacity and hemoglobin mass in moderately trained male subjects : a randomized controlled trial

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Abstract
Background: The aims of the present study were to investigate the impact of three whole blood donations on endurance capacity and hematological parameters and to determine the duration to fully recover initial endurance capacity and hematological parameters after each donation. Methods: Twenty-four moderately trained subjects were randomly divided in a donation (n = 16) and a placebo (n = 8) group. Each of the three donations was interspersed by 3 months, and the recovery of endurance capacity and hematological parameters was monitored up to 1 month after donation. Results: Maximal power output, peak oxygen consumption, and hemoglobin mass decreased (p < 0.001) up to 4 weeks after a single blood donation with a maximal decrease of 4, 10, and 7%, respectively. Hematocrit, hemoglobin concentration, ferritin, and red blood cell count (RBC), all key hematological parameters for oxygen transport, were lowered by a single donation (p < 0.001) and cumulatively further affected by the repetition of the donations (p < 0.001). The maximal decrease after a blood donation was 11% for hematocrit, 10% for hemoglobin concentration, 50% for ferritin, and 12% for RBC (p < 0.001). Maximal power output cumulatively increased in the placebo group as the maximal exercise tests were repeated (p < 0.001), which indicates positive training adaptations. This increase in maximal power output over the whole duration of the study was not observed in the donation group. Conclusions: Maximal, but not submaximal, endurance capacity was altered after blood donation in moderately trained people and the expected increase in capacity after multiple maximal exercise tests was not present when repeating whole blood donations.
Keywords
Iron, Erythropoietin, Ferritin, Maximal oxygen consumption, Lactate, Maximal power output

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MLA
Meurrens, Julie, et al. “Effect of Repeated Whole Blood Donations on Aerobic Capacity and Hemoglobin Mass in Moderately Trained Male Subjects : A Randomized Controlled Trial.” SPORTS MEDICINE-OPEN, vol. 2, 2016.
APA
Meurrens, J., Steiner, T., Ponette, J., Janssen, H. A., Ramaekers, M., Wehrlin, J. P., … Deldicque, L. (2016). Effect of repeated whole blood donations on aerobic capacity and hemoglobin mass in moderately trained male subjects : a randomized controlled trial. SPORTS MEDICINE-OPEN, 2.
Chicago author-date
Meurrens, Julie, Thomas Steiner, Jonathan Ponette, Hans Antonius Janssen, Monique Ramaekers, Jon Peter Wehrlin, Philippe Vandekerckhove, and Louise Deldicque. 2016. “Effect of Repeated Whole Blood Donations on Aerobic Capacity and Hemoglobin Mass in Moderately Trained Male Subjects : A Randomized Controlled Trial.” SPORTS MEDICINE-OPEN 2.
Chicago author-date (all authors)
Meurrens, Julie, Thomas Steiner, Jonathan Ponette, Hans Antonius Janssen, Monique Ramaekers, Jon Peter Wehrlin, Philippe Vandekerckhove, and Louise Deldicque. 2016. “Effect of Repeated Whole Blood Donations on Aerobic Capacity and Hemoglobin Mass in Moderately Trained Male Subjects : A Randomized Controlled Trial.” SPORTS MEDICINE-OPEN 2.
Vancouver
1.
Meurrens J, Steiner T, Ponette J, Janssen HA, Ramaekers M, Wehrlin JP, et al. Effect of repeated whole blood donations on aerobic capacity and hemoglobin mass in moderately trained male subjects : a randomized controlled trial. SPORTS MEDICINE-OPEN. 2016;2.
IEEE
[1]
J. Meurrens et al., “Effect of repeated whole blood donations on aerobic capacity and hemoglobin mass in moderately trained male subjects : a randomized controlled trial,” SPORTS MEDICINE-OPEN, vol. 2, 2016.
@article{8657632,
  abstract     = {{Background: The aims of the present study were to investigate the impact of three whole blood donations on endurance capacity and hematological parameters and to determine the duration to fully recover initial endurance capacity and hematological parameters after each donation. Methods: Twenty-four moderately trained subjects were randomly divided in a donation (n = 16) and a placebo (n = 8) group. Each of the three donations was interspersed by 3 months, and the recovery of endurance capacity and hematological parameters was monitored up to 1 month after donation. Results: Maximal power output, peak oxygen consumption, and hemoglobin mass decreased (p < 0.001) up to 4 weeks after a single blood donation with a maximal decrease of 4, 10, and 7%, respectively. Hematocrit, hemoglobin concentration, ferritin, and red blood cell count (RBC), all key hematological parameters for oxygen transport, were lowered by a single donation (p < 0.001) and cumulatively further affected by the repetition of the donations (p < 0.001). The maximal decrease after a blood donation was 11% for hematocrit, 10% for hemoglobin concentration, 50% for ferritin, and 12% for RBC (p < 0.001). Maximal power output cumulatively increased in the placebo group as the maximal exercise tests were repeated (p < 0.001), which indicates positive training adaptations. This increase in maximal power output over the whole duration of the study was not observed in the donation group. Conclusions: Maximal, but not submaximal, endurance capacity was altered after blood donation in moderately trained people and the expected increase in capacity after multiple maximal exercise tests was not present when repeating whole blood donations.}},
  articleno    = {{43}},
  author       = {{Meurrens, Julie and Steiner, Thomas and Ponette, Jonathan and Janssen, Hans Antonius and Ramaekers, Monique and Wehrlin, Jon Peter and Vandekerckhove, Philippe and Deldicque, Louise}},
  issn         = {{2199-1170}},
  journal      = {{SPORTS MEDICINE-OPEN}},
  keywords     = {{Iron,Erythropoietin,Ferritin,Maximal oxygen consumption,Lactate,Maximal power output}},
  language     = {{eng}},
  pages        = {{12}},
  title        = {{Effect of repeated whole blood donations on aerobic capacity and hemoglobin mass in moderately trained male subjects : a randomized controlled trial}},
  url          = {{http://dx.doi.org/10.1186/s40798-016-0067-7}},
  volume       = {{2}},
  year         = {{2016}},
}

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