Athletes' pseudoanaemia

Summary

To characterize the so-called pseudoanaemia of endurance-trained athletes, the plasma volume (PV), red cell volume (RCV) and total blood volume (TBV) of 12 male and 12 female athletes and 5 male and 5 female nonexercising controls were measured using¹²⁵I-la-belled human serum albumin and⁵¹Cr-labelled erythrocytes. The mean PV of the male athletes (52.8 ml·kg⁻¹) was 37.5% higher than that of the controls (38.4 ml·kg⁻¹), while the 18.1% increase measured in the female runners (51.5 ml·kg⁻¹) over the controls (43.6 ml·kg⁻¹) was a novel observation. Although the RCV was significantly greater (34.7%) in male athletes (32.6 ml·kg⁻¹ vs 24.2 ml·kg⁻¹ in the controls), a similar elevation (3.6%) was not found in the female athletes (25.9 ml·kg⁻¹) compared to the sedentary women (22.8 ml·kg⁻¹). This could have been due to iron-limited erythropoiesis because the RCV of the female athletes defined as clinically anaemic was markedly lower that of the nonanaemic women (P<0.05). The elevated plasma protein mass and concentration measured in the athletes partly accounted for their expanded PV. It was concluded that the decreased blood haemoglobin levels reported in the endurance athletes was largely a dilutional effect.