Skip to main content
SpringerLink
Log in

Hematologic Diseases

  • Chapter
Book cover Pediatric Sports Medicine for the Practitioner

Part of the book series: Comprehensive Manuals in Pediatrics ((CM PEDIATRICS))

  • 124 Accesses

Abstract

The O2-carrying capacity of blood and the blood flow to any tissue determine the capability of this tissue to raise its aerobic metabolism. The same principle applies to the body as a whole. Changes in hemoglobin (Hb) concentration, unless accompanied by a variation in blood volume or in an affinity of Hb to O2, closely reflect changes in the O2-carrying capacity of the blood. For practical purposes, therefore, we shall use the reduction of Hb concentration as an index of the severity of anemia and of a decrease in O2-carrying capacity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alpert BS, Gilman PA, Strong WB, et al: Hemodynamic and ECG responses to exercise in children with sickle cell anemia. Am J Dis Child 135:362–366, 1981.

    PubMed  CAS  Google Scholar 

  2. Attlee WHW: Haemoglobinuria following exertion. Lancet 1:1400, 1937.

    Article  Google Scholar 

  3. Austin PL, Stegink LD, Gisalfi CV: The effect of exercise on red blood cell 2,3-diphosphoglycerate in children. J Pediatr 83:41–45, 1973.

    Article  PubMed  CAS  Google Scholar 

  4. Chaplin H Jr, Perkoff GT, Frisbie JH, et al: March hemoglobinuria associated with asymptomatic congenital heart disease. JAMA 208:1700–1702, 1969.

    Article  PubMed  Google Scholar 

  5. Cropp GJA: Cardiovascular function in children with severe anemia. Circulation 39:775–784, 1969.

    PubMed  CAS  Google Scholar 

  6. Davidson RJL: Exertional hemoglobinuria: a report on three cases with studies on the haemolytic mechanism. J Clin Pathol 17:536–540, 1964.

    Article  PubMed  CAS  Google Scholar 

  7. Davidson RJL: March or exertional hemoglobinuria. Semin Haematol 6:150–161, 1969.

    CAS  Google Scholar 

  8. Davies CTM, Chukweumeka AC, Van Haaren JPM: Iron deficiency anemia—its effect on maximum aerobic power and responses to exercise in African males aged 17–40 years. Clin Sci 44:555–562, 1973.

    PubMed  CAS  Google Scholar 

  9. Dietrich S: Hemophilia: a total approach to treatment and rehabilitation. Los Angeles Orthopedic Hospital, 1968.

    Google Scholar 

  10. Ehlers KH, Levin R, Klein AA, et al: The cardiac manifestations in thalassemia major: natural history, non-invasive cardiac diagnosis studies and results of cardiac catheterization. In: Engle MA (ed.) Pediatric Cardiovascular Disease. Davis, Philadelphia, 1980, pp. 171–186.

    Google Scholar 

  11. Ehn L, Carlmark B, Hoglund S: Iron in young sportsmen. In: Eriksson B, Furberg B (eds.) Swimming Medicine IV. University Park Press, Baltimore, 1978, pp. 85–88.

    Google Scholar 

  12. Flatmark T: Studies on the hemolytic mechanism in March hemoglobinuria. Acta Med Scand 173:307–313, 1963.

    Article  PubMed  CAS  Google Scholar 

  13. Flood NL, Alpert BS, Strong WB, et al: Exercise in children with sickle cell trait (abstract). Med Sci Sports Exercise 14:123, 1982.

    Google Scholar 

  14. Gandini S, Panicucci F, Bastianini C: L’attivitá sportiva como fattore preventivo, terapeutico e riabilitativo delle artropatie negli emofilici. Med Sport 32:43–44, 1979.

    Google Scholar 

  15. Gandra YR, Bradfield RB: Energy expenditure and oxygen handling efficiency of anemic schoolchildren. Am J Clin Nutr 24:1451–1456, 1971.

    PubMed  CAS  Google Scholar 

  16. Gilligan DR, Altschule MD, Katersky EM: Physiological intravascular hemolysis of exercise. Hemoglobinemia and hemoglobinuria following crosscountry runs. J Clin Invest 22:859–869, 1943.

    Article  PubMed  CAS  Google Scholar 

  17. Hamilton W, Rosenthal A, Berwich D, Nadas AS: Angina pectoris in a child with sickle-cell anemia. Pediatrics 61:911–914, 1978.

    PubMed  CAS  Google Scholar 

  18. Ireland T: The role of exercise in the management of hemophilia (personal communication), 1978.

    Google Scholar 

  19. Levin AR, Klein AA, Ehlers KH, et al: Hemodynamic and left ventricular volume and function characteristics in thalassemia major. Pediatr Res 12:386, 1978.

    Google Scholar 

  20. Martin H, Kilian P: Marschhämoglobinurie. Folia Haemat 4:92–117, 1959.

    PubMed  CAS  Google Scholar 

  21. Ohno Y, Sato M, Kurokawa I, et al: Exertional hemoglobinuria. Tohuko J Exp Med 117:187–191, 1975.

    Article  CAS  Google Scholar 

  22. Pate RR: Sports anemia: a review of the current research literature. Physician Sportsmed 11:115–131, 1983.

    Google Scholar 

  23. Parsons EC, Wright FH: Circulatory function in the anemias of children. I. Effect of anemia on exercise tolerance and vital capacity. Am J Dis Child 57:15–28, 1939.

    Google Scholar 

  24. Russ K, Bartlett GS: Risk-taking behavior in hemophiliac and non-hemophiliac adolescent boys. Pediatr Res 12:366, 1978.

    Article  Google Scholar 

  25. Sproule BJ, Halden ER, Miller WF: A study of cardiopulmonary alterations in patients with sickle cell disease and its variants. J Clin Invest 37:486–495, 1958.

    Article  PubMed  CAS  Google Scholar 

  26. Sproule BJ, Mitchell JH, Miller WF: Cardiopulmonary physiological responses to heavy exercise in patients with anemia. J Clin Invest 39:378–388, 1960.

    Article  PubMed  CAS  Google Scholar 

  27. Ulmer HE, Griener H, Schuler HW, Scharer K: Cardiovascular impairment and physical working capacity in children with chronic renal failure. Acta Paediatr Scand 67:43–48, 1978.

    Article  PubMed  CAS  Google Scholar 

  28. Vellar OD: Studies on sweat losses of nutrients. I: Iron content of whole body sweat constituents, serum iron levels, hematological indices, body surface area, and sweat rate. Scand J Clin Lab Invest 21:157–167, 1968.

    Article  PubMed  CAS  Google Scholar 

  29. Viteri FE, Torun B: Anaemia and physical working capacity. Clin Haematol 3:609–626, 1974.

    Google Scholar 

  30. Weigel N, Carlson BR: Physical activity and the hemophiliac: yes or no? Am Correct Ther J 29:197–205, 1975.

    PubMed  CAS  Google Scholar 

  31. Yoshimura H: Anemia during physical training (sports anemia). Nutr Rev 28:251–253, 1970.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatrics, Children’s Therapeutic Exercise and Health Centre, Canada

    Oded Bar-Or (Professor of Pediatrics, Director)

  2. McMaster University, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada

    Oded Bar-Or (Professor of Pediatrics, Director)

Authors
  1. Oded Bar-Or
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Bar-Or, O. (1983). Hematologic Diseases. In: Pediatric Sports Medicine for the Practitioner. Comprehensive Manuals in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5593-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5593-2_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5595-6

  • Online ISBN: 978-1-4612-5593-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation