Stage racing at altitude induces hemodilution despite an increase in hemoglobin mass.

Plasma volume (PV) can be modulated by altitude exposure (decrease) and periods of intense exercise (increase). Cycle racing at altitude combines both stimuli, although presently no data exist to document which is dominant. Hemoglobin mass (Hbmass), hemoglobin concentration ([Hb]), and percent reticulocytes (%Retics) of altitude (ALT; n = 9) and sea-level (SL; n = 9) residents were measured during a 14-day cycling race, held at 1,146-4120 m, as well as during a simulated tour near sea level (SIM; n = 12). Hbmass was assessed before and on days 9 and 14 of racing. Venous blood was collected on days 0, 3, 6, 10, and 14. PV was calculated from Hbmass and [Hb]. A repeated-measures ANOVA was used to assess the impact of racing at altitude over time, within and between groups. [Hb] decreased significantly in all groups over time (P < 0.0001) with decreases evident on the third day of racing. %Retics increased significantly in SL only (P < 0.0001), with SL values elevated at day 6 compared with prerace (P = 0.02), but were suppressed by the end of the race (P = 0.0002). Hbmass significantly increased in SL after 9 (P = 0.0001) and 14 (P = 0.008) days of racing and was lower at the end of the race than midrace (P = 0.018). PV increased in all groups (P < 0.0001). Multiday cycle racing at altitude induces hemodilution of a similar magnitude to that observed during SL racing and occurs in nonacclimatized SL residents, despite an altitude-induced increase in Hbmass. Osmotic regulatory mechanisms associated with intense exercise appear to supersede acute enhancement of oxygen delivery at altitude.

Validity and reliability of temperature measurement by heat flow thermistors, flexible thermocouple probes and thermistors in a stirred water bath.

We determined the validity and reliability of heat flow thermistors, flexible thermocouple probes and general purpose thermistors compared with a calibrated reference thermometer in a stirred water bath. Validity (bias) was defined as the difference between the observed and criterion values, and reliability as the repeatability (standard deviation or typical error) of measurement. Data were logged every 5 s for 10 min at water temperatures of 14, 26 and 38 °C for ten heat flow thermistors and 24 general purpose thermistors, and at 35, 38 and 41 °C for eight flexible thermocouple probes. Statistical analyses were conducted using spreadsheets for validity and reliability, where an acceptable bias was set at ±0.1 °C. None of the heat flow thermistors, 17% of the flexible thermocouple probes and 71% of the general purpose thermistors met the validity criterion for temperature. The inter-probe reliabilities were 0.03 °C for heat flow thermistors, 0.04 °C for flexible thermocouple probes and 0.09 °C for general purpose thermistors. The within trial intra-probe reliability of all three temperature probes was 0.01 °C. The results suggest that these temperature sensors should be calibrated individually before use at relevant temperatures and the raw data corrected using individual linear regression equations.