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Influence of blood donation on the incidence of plateau at \( \dot{V}{\text{O}} \) 2max

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Abstract

Purpose

The purpose of this study was to examine the effects of reductions in blood volume and associated oxygen-carrying capacity on the incidence of plateau at \(\dot{V}{\text{O}}\) 2max.

Methods

Fifteen well-trained athletes (age 23.3 ± 4.5; mass 77.4 ± 13.1 kg, height 180.1 ± 6.0 cm) completed three incremental cycle tests to volitional exhaustion, of which the first was defined as familiarisation, with the remaining two trials forming the experimental conditions of pre- (UBL) and post-(BLE) blood donation (~450 cm3). The work rate for the incremental tests commenced at 100 W for 60 s followed by a ramp of 0.42 W s−1, with cadence being held constant at 80 rpm. Throughout all trials, \(\dot{V}{\text{O}}\) 2 was determined on a breath-by-breath basis using a pre-calibrated metabolic cart. The criteria for plateau determination was a ∆\(\dot{V}{\text{O}}\) 2 ≤ 50 ml min−1 over the final two consecutive 30 s sampling periods.

Results

Despite a significant (P = 0.0028) 9.4 % reduction in haemoglobin concentration and 10.8 % (P = 0.016) reduction in erythrocyte count between UBL and BLE, there was no change in plateau incidence. However, significant differences were observed for both \(\dot{V}{\text{O}}\) 2max (P = 0.0059) 51.3 ± 7.6 (UBL) 48.4 ± 7.9 ml kg−1 min−1 (BLE) and gas exchange threshold arrival time 383.4 ± 85.2 s (UBL) 349.2 ± 71.4 s (BLE) (P = 0.0028).

Conclusion

These data suggest that plateau at \(\dot{V}{\text{O}}\) 2max is unaffected by O2 availability lending support to the notion of the plateau being dependent on the anaerobic capacity and the classically orientated concept of \(\dot{V}{\text{O}}\) 2max.

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References

  • Astorino TA (2009) Alterations in VO2max and the VO2 plateau with manipulation of sampling interval. Clin Physiol Funct Imaging 29:60–67

    Article  PubMed  Google Scholar 

  • Astorino T, White A (2010) Assessment of anaerobic power to verify VO2max attainment. Clin Physiol Funct Imaging 30:294–300

    Article  PubMed  Google Scholar 

  • Astorino TA, Robergs R, Ghiasvand F, Marks D, Burns S (2000) Incidence of the oxygen plateau at VO2max during exercise testing to volitional fatigue. J Exerc Physiol 3:1–12

    Google Scholar 

  • Burnley M, Roberts C, Thatcher R, Doust JH (2006) Influence of blood donation on O2 uptake on-kinetics, peak O2 uptake and time to exhaustion during severe-intensity exercise. Exp Physiol 91:499–509

    Article  PubMed  Google Scholar 

  • Chatard JC, Mujika I, Guy C, Lacour JR (1999) Anaemia and iron deficiency in athletes. Sports Med 27:229–240

    Article  CAS  PubMed  Google Scholar 

  • Doherty M, Nobbs L, Noakes T (2003) Low frequency of the “plateau phenomenon” during maximal exercise in elite British athletes. Eur J Appl Physiol 89:619–623

    Article  CAS  PubMed  Google Scholar 

  • Ekblom B, Goldberg AN, Gulbring B (1972) Response to exercise after blood loss and reinfusion. J Appl Physiol 33:175–180

    CAS  PubMed  Google Scholar 

  • Freedson PS (1981) The influence of haemoglobin (concentration) on exercise cardiac output. Int J Sports Med 2:81–86

    Article  CAS  PubMed  Google Scholar 

  • Freidmann B, Frese F, Menold E, Bartsch P (2007) Effects of acute moderate hypoxia on anaerobic capacity in endurance-trained runners. Eur J Appl Physiol 101:67–73

    Article  Google Scholar 

  • Gastin P (2001) Energy system interaction and relative contribution during maximal exercise. Sports Med 31:725–741

    Article  CAS  PubMed  Google Scholar 

  • Gledhill N (1982) Blood doping and related issues: a brief review. Med Sci Sports Exerc 14:183–189

    Article  CAS  PubMed  Google Scholar 

  • Gledhill N (1985) The influence of altered blood volume and oxygen transport capacity on aerobic performance. Exerc Sports Sci Rev 13:75–93

    Article  CAS  Google Scholar 

  • Gledhill N, Cox D, Jamnik R (1994) Endurance athletes’ stroke volume does not plateau: major advantage is diastolic function. Med Sci Sports Exerc 26:1116–1121

    Article  CAS  PubMed  Google Scholar 

  • Gordon D, Marshall K, Connell A, Barnes RJ (2010) Influence of blood donation on oxygen uptake kinetics during moderate and heavy intensity cycle exercise. Int J Sports Med 31:298–303

    Article  CAS  PubMed  Google Scholar 

  • Gordon D, Hopkins S, King C, Keiller D, Barnes R (2011) Incidence of the plateau at VO2max is dependent on the anaerobic capacity. Int J Sports Med 32:1–6

    Article  CAS  PubMed  Google Scholar 

  • Gordon D, Schaitel K, Pennefather A, Gernigon M, Keiller D, Barnes R (2012a) The incidence of plateau at VO2max is affected by a bout of prior-priming exercise. Clin Physiol Funct Imaging 32:39–44

    Article  CAS  PubMed  Google Scholar 

  • Gordon D, Mehter M, Gernigon M, Caddy O, Keiller D, Barnes R (2012b) The effects of exercise modality on the incidence of plateau at VO2max. Clin Physiol Funct Imaging. doi:10.1111/j.1475-097X.2012.01142

    Google Scholar 

  • Hawkins MN, Raven PB, Snell PG, Stray-Gunderson J, Levine BD (2007) Maximal oxygen uptake as a parametric measure of cardiorespiratory capacity. Med Sci Sports Exerc 39:103–107

    Article  PubMed  Google Scholar 

  • Hill AV, Lupton H (1923) Muscular exercise, lactic acid and the supply and utilisation of oxygen. Q J Med 16:135–171

    Article  CAS  Google Scholar 

  • Horstman DH, Gleser M, Wolfe D, Tryon T, Delehunt J (1974) Effects of haemoglobin reduction on VO2max and related heamodynamics in exercising dogs. J Appl Physiol 37:97–102

    CAS  PubMed  Google Scholar 

  • Howley ET, Bassett D, Welch HG (1995) Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc 27:1292–1301

    Article  CAS  PubMed  Google Scholar 

  • Jones A, Carter H (2000) The effect of endurance training on parameters of aerobic fitness. Sports Med 29:373–386

    Article  CAS  PubMed  Google Scholar 

  • Jones AM, Poole DC (2005) Oxygen uptake dynamics: from muscle to mouth—an introduction to the symposium. Med Sci Sports Exerc 37:1542–1550

    Article  CAS  PubMed  Google Scholar 

  • Krip B, Gledhill N, Jammik V, Warburton D (1997) Effect of alterations in blood volume on cardiac function during maximal exercise. Med Sci Sports Exerc 29:1469–1476

    Article  CAS  PubMed  Google Scholar 

  • Levine BD (2008) VO2max: What do we know, and what do we still need to know? J Physiol 586:25–34

    Article  CAS  PubMed  Google Scholar 

  • McCole SD, Davis AM, Fueger PT (2001) Is there a dissociation of maximal oxygen consumption and maximal cardiac output? Med Sci Sports Exerc 33:1265–1269

    Article  CAS  PubMed  Google Scholar 

  • Mitchell JH, Sproule BJ, Chapman CB (1958) The physiological meaning of the maximal oxygen intake test. J Clin Invest 37:538–547

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Poole DC, Barstow TJ, McDonough P, Jones AM (2008) Control of oxygen uptake during exercise. Med Sci Sports Exerc 40:462–474

    Article  CAS  PubMed  Google Scholar 

  • Schmidt W, Prommer N (2010) Impact of alterations in total haemoglobin mass on VO2max. Exerc Sports Sci Rev 38:68–76

    Article  Google Scholar 

  • Shephard RJ, Allen C, Benade AJS, Davies CTM, di Prampero PE, Hedman R, Merriman JE, Myhre K, Simmons R (1968) The maximum oxygen intake: an international reference standard of cardiorespiratory fitness. Bull World Health Organ 38:757–764

    CAS  PubMed Central  PubMed  Google Scholar 

  • Spriet LL, Gledhill N, Froese AB, Wilkes DL (1986) Effect of graded erythrocythemia on cardiovascular and metabolic responses to exercise. J Appl Physiol 61:1942–1948

    CAS  PubMed  Google Scholar 

  • Sproule B, Mitchell J, Miller W (1959) Cardiopulmonary physiological responses to heavy exercise in patients with anaemia. J Clin Invest 39:378–388

    Article  Google Scholar 

  • Taylor HL, Buskirk E, Henschell A (1955) Maximal oxygen intake as an objective measure of cardio-respiratory performance. J Appl Physiol 8:73–80

    CAS  PubMed  Google Scholar 

  • Volkov NIE, Shirkovets EA, Borilkevich VE (1975) Assessment of aerobic and anaerobic capacity of athletes in treadmill running tests. Eur J Appl Physiol Occup Physiol 34:121–130

    Article  CAS  PubMed  Google Scholar 

  • Wagner PD (2000) New ideas on limitations to VO2max. Exerc Sports Sci Rev 28:10–14

    CAS  Google Scholar 

  • Wang EV, Solli GS, Nyberg SK, Hoff J, Helgerud J (2012) Stroke volume does not plateau in female endurance athletes. Int J Sports Med 33:734–739

    Article  CAS  PubMed  Google Scholar 

  • Wasserman K (1997) Diagnosing cardiovascular and lung pathophysiology from exercise gas exchange. Chest 112:1091–1101

    Article  CAS  PubMed  Google Scholar 

  • Yip R, Johnson C, Dallman P (1984) Age-related changes in laboratory values used in the diagnosis of anaemia and iron deficiency. Am J Clin Nutr 39:427–436

    CAS  PubMed  Google Scholar 

  • Zhou B, Conlee RK, Jensen R, Fellingham GW, George JD, Fisher GA (2001) Stroke volume does not plateau during graded exercise in elite male distance runners. Med Sci Sports Exerc 33:1849–1854

    Article  CAS  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

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Correspondence to Dan Gordon.

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Communicated by Carsten Lundby.

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Gordon, D., Wood, M., Porter, A. et al. Influence of blood donation on the incidence of plateau at \( \dot{V}{\text{O}} \) 2max . Eur J Appl Physiol 114, 21–27 (2014). https://doi.org/10.1007/s00421-013-2743-3

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  • DOI: https://doi.org/10.1007/s00421-013-2743-3

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