Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico

ilustraciones, diagramas

Autores:
Espitia Porras, Laura Fernanda
Tipo de recurso:
Fecha de publicación:
2023
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
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oai:repositorio.unal.edu.co:unal/84603
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https://repositorio.unal.edu.co/handle/unal/84603
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::612 - Fisiología humana
790 - Deportes, juegos y entretenimiento::796 - Deportes y juegos al aire libre y deportivos
Atletas
Athletes
Ciclistas
Deportistas
Cyclists
Athletes
Volumen plasmático
Ejercicio
Pasaporte Biológico del Atleta
PBA
Off-Score
Plasma volume
Exercise
Biological Passport of Athlete
BPA
Off-Score
Rights
openAccess
License
Atribución-CompartirIgual 4.0 Internacional
id UNACIONAL2_f4e561e4a3eba88cd75ff83ab414c21b
oai_identifier_str oai:repositorio.unal.edu.co:unal/84603
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
dc.title.translated.eng.fl_str_mv Variation in plasma volumene as a confounding factor in the haematological biological passport
title Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
spellingShingle Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
610 - Medicina y salud::612 - Fisiología humana
790 - Deportes, juegos y entretenimiento::796 - Deportes y juegos al aire libre y deportivos
Atletas
Athletes
Ciclistas
Deportistas
Cyclists
Athletes
Volumen plasmático
Ejercicio
Pasaporte Biológico del Atleta
PBA
Off-Score
Plasma volume
Exercise
Biological Passport of Athlete
BPA
Off-Score
title_short Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
title_full Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
title_fullStr Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
title_full_unstemmed Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
title_sort Variación del volumen plasmático como factor de confusión en el pasaporte biológico hematológico
dc.creator.fl_str_mv Espitia Porras, Laura Fernanda
dc.contributor.advisor.none.fl_str_mv Cristancho Mejía, Edgar
Mancera Soto, Erica
dc.contributor.author.none.fl_str_mv Espitia Porras, Laura Fernanda
dc.contributor.researchgroup.spa.fl_str_mv Grupo de Investigacion en Adaptaciones Al Ejercicio y A la Hipoxia
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::612 - Fisiología humana
790 - Deportes, juegos y entretenimiento::796 - Deportes y juegos al aire libre y deportivos
topic 610 - Medicina y salud::612 - Fisiología humana
790 - Deportes, juegos y entretenimiento::796 - Deportes y juegos al aire libre y deportivos
Atletas
Athletes
Ciclistas
Deportistas
Cyclists
Athletes
Volumen plasmático
Ejercicio
Pasaporte Biológico del Atleta
PBA
Off-Score
Plasma volume
Exercise
Biological Passport of Athlete
BPA
Off-Score
dc.subject.decs.spa.fl_str_mv Atletas
dc.subject.decs.eng.fl_str_mv Athletes
dc.subject.lemb.spa.fl_str_mv Ciclistas
Deportistas
dc.subject.lemb.eng.fl_str_mv Cyclists
Athletes
dc.subject.proposal.spa.fl_str_mv Volumen plasmático
Ejercicio
Pasaporte Biológico del Atleta
PBA
Off-Score
dc.subject.proposal.eng.fl_str_mv Plasma volume
Exercise
Biological Passport of Athlete
BPA
Off-Score
description ilustraciones, diagramas
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-08-28T14:53:09Z
dc.date.available.none.fl_str_mv 2023-08-28T14:53:09Z
dc.date.issued.none.fl_str_mv 2023
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/84603
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/84603
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.relation.references.spa.fl_str_mv Ashenden, M., Gough, C. E., Garnham, A., Gore, C. J., & Sharpe, K. (2011). Current markers of the Athlete Blood Passport do not flag microdose EPO doping. European Journal of Applied Physiology, 111(9), 2307-2314. https://doi.org/10.1007/s00421-011-1867-6
Astolfi, T., Crettaz von Roten, F., Kayser, B., Saugy, M., & Faiss, R. (2021). The Influence of Training Load on Hematological Athlete Biological Passport Variables in Elite Cyclists. Frontiers in Sports and Active Living, 3, 618285. https://doi.org/10.3389/fspor.2021.618285
Beidleman, B. A., Staab, J. E., Muza, S. R., & Sawka, M. N. (2017). Quantitative model of hematologic and plasma volume responses after ascent and acclimation to moderate to high altitudes. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 312(2), R265-R272. https://doi.org/10.1152/ajpregu.00225.2016
Bejder, J., Hoffmann, M. F., Ashenden, M., Nordsborg, N. B., Karstoft, K., & Mørkeberg, J. (2016). Acute hyperhydration reduces athlete biological passport OFF-hr score: Hyperhydration and athlete biological passport. Scandinavian Journal of Medicine & Science in Sports, 26(3), 338-347. https://doi.org/10.1111/sms.12438
Böning, D. (2019). Der kolumbianische Tour de France-Sieger Egan Bernal: Sportphysiologische Hintergründe. Deutsche Zeitschrift für Sportmedizin, 70(9), 195-196. https://doi.org/10.5960/dzsm.2019.397
Böning, D., Rojas, J., Serrato, M., Ulloa, C., Coy, L., Mora, M., Gomez, J., & Hütler, M. (2001). Hemoglobin mass and peak oxygen uptake in untrained and trained residents of moderate altitude. International Journal of Sports Medicine, 22(8), 572-578. https://doi.org/10.1055/s-2001-18530
Buchheit, M., Laursen, P. B., Al Haddad, H., & Ahmaidi, S. (2009). Exercise-induced plasma volume expansion and post-exercise parasympathetic reactivation. European Journal of Applied Physiology, 105(3), 471-481. https://doi.org/10.1007/s00421-008-0925-1
Burge, C. M., & Skinner, S. L. (1995). Determination of hemoglobin mass and blood volume with CO: Evaluation and application of a method. Journal of Applied Physiology (Bethesda, Md.: 1985), 79(2), 623-631. https://doi.org/10.1152/jappl.1995.79.2.623
Convertino, V. A. (2007). Blood Volume Response to Physical Activity and Inactivity. The American Journal of the Medical Sciences, 334(1), 72-79. https://doi.org/10.1097/MAJ.0b013e318063c6e4
Davis, J. A., Rozenek, R., DeCicco, D. M., Carizzi, M. T., & Pham, P. H. (2007). Effect of Plasma Volume Loss during Graded Exercise Testing on Blood Lactate Concentration. The Journal of Physiological Sciences, 57(2), 95-99. https://doi.org/10.2170/physiolsci.RP014406
Eichner, E. R. (1992). Sports anemia, iron supplements, and blood doping. Medicine and Science in Sports and Exercise, 24(9 Suppl), S315-318.
Flouris, A. D., Poirier, M. P., Bravi, A., Wright-Beatty, H. E., Herry, C., Seely, A. J., & Kenny, G. P. (2014). Changes in heart rate variability during the induction and decay of heat acclimation. European Journal of Applied Physiology, 114(10), 2119-2128. https://doi.org/10.1007/s00421-014-2935-5
Fortney, S. M., Vroman, N. B., Beckett, W. S., Permutt, S., & LaFrance, N. D. (1988). Effect of exercise hemoconcentration and hyperosmolality on exercise responses. Journal of Applied Physiology, 65(2), 519-524. https://doi.org/10.1152/jappl.1988.65.2.519
Garvican, L. A., Eastwood, A., Martin, D. T., Ross, M. L. R., Gripper, A., & Gore, C. J. (2010). Stability of Hemoglobin Mass During a 6-Day UCI ProTour Cycling Race. Clinical Journal of Sport Medicine, 20(3), 200-204. https://doi.org/10.1097/JSM.0b013e3181ddcd5b
Garvican, L., Martin, D., Quod, M., Stephens, B., Sassi, A., & Gore, C. (2012). Time course of the hemoglobin mass response to natural altitude training in elite endurance cyclists: Altitude training and hemoglobin mass. Scandinavian Journal of Medicine & Science in Sports, 22(1), 95-103. https://doi.org/10.1111/j.1600-0838.2010.01145.x
Garvican‐Lewis, L. A., Lobigs, L. M., Equey, T., Goebel, C., Agon, V., McCowan, A., Speers, N., & Schumacher, Y. O. (2020). A multi‐parametric approach to remove the influence of plasma volume on the athlete biological passport during a Union Cycliste Internationale cycling stage race. Drug Testing and Analysis, 12(9), 1252-1263. https://doi.org/10.1002/dta.2878
Garvican-Lewis, L. A., Schumacher, Y. O., Clark, S. A., Christian, R., Menaspà, P., Plowman, J., Stephens, B., Qi, J., Fan, R., He, Y., Martin, D. T., Thompson, K. G., Gore, C. J., & Ma, F. (2014). Stage racing at altitude induces hemodilution despite an increase in hemoglobin mass. Journal of Applied Physiology, 117(5), 463-472. https://doi.org/10.1152/japplphysiol.00242.2014
González-Alonso, J., Crandall, C. G., & Johnson, J. M. (2008). The cardiovascular challenge of exercising in the heat: Hyperthermia challenge to cardiovascular regulation and homeostasis. The Journal of Physiology, 586(1), 45-53. https://doi.org/10.1113/jphysiol.2007.142158
Green, H. J., Sutton, J. R., Coates, G., Ali, M., & Jones, S. (1991). Response of red cell and plasma volume to prolonged training in humans. Journal of Applied Physiology, 70(4), 1810-1815. https://doi.org/10.1152/jappl.1991.70.4.1810
Gregersen, M. I., & Rawson, R. A. (1959). Blood volume. Physiological Reviews, 39(2), 307-342. https://doi.org/10.1152/physrev.1959.39.2.307
Hütler, M., Beneke, R., & Böning, D. (2000). Determination of circulating hemoglobin mass and related quantities by using capillary blood. Medicine and Science in Sports and Exercise, 32(5), 1024-1027. https://doi.org/10.1097/00005768-200005000-00022
Kargotich, S., Goodman, C., Keast, D., Fry, R. W., Garcia-Webb, P., Crawford, P. M., & Morton, A. R. (1997). Influence of exercise-induced plasma volume changes on the interpretation of biochemical data following high-intensity exercise. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 7(3), 185-191. https://doi.org/10.1097/00042752-199707000- 00006
Krumm, B., & Faiss, R. (2021). Factors Confounding the Athlete Biological Passport: A Systematic Narrative Review. Sports Medicine - Open, 7(1), 65. https://doi.org/10.1186/s40798-021-00356-0
Lobigs, L. M., Sottas, P.-E., Bourdon, P. C., Nikolovski, Z., El-Gingo, M., Varamenti, E., Peeling, P., Dawson, B., & Schumacher, Y. O. (2018). A step towards removing plasma volume variance from the Athlete’s Biological Passport: The use of biomarkers to describe vascular volumes from a simple blood test. Drug Testing and Analysis, 10(2), 294-300. https://doi.org/10.1002/dta.2219
Mancera-Soto, E. M., Ramos-Caballero, D. M., Rojas J., J. A., Duque, L., Chaves-Gomez, S., Cristancho-Mejía, E., & Schmidt, W. F.-J. (2022). Hemoglobin Mass, Blood Volume and VO2max of Trained and Untrained Children and Adolescents Living at Different Altitudes. Frontiers in Physiology, 13, 892247. https://doi.org/10.3389/fphys.2022.892247
Mier, C. M., Domenick, M. A., Turner, N. S., & Wilmore, J. H. (1996). Changes in stroke volume and maximal aerobic capacity with increased blood volume in men women. Journal of Applied Physiology, 80(4), 1180-1186. https://doi.org/10.1152/jappl.1996.80.4.1180
Montero, D., & Lundby, C. (2018). Regulation of Red Blood Cell Volume with Exercise Training. En R. Terjung (Ed.), Comprehensive Physiology (1.a ed., pp. 149-164). Wiley. https://doi.org/10.1002/cphy.c180004
Olaf Schumacher, Y., & d′Onofrio, G. (2012). Scientific Expertise and the Athlete Biological Passport: 3 Years of Experience. Clinical Chemistry, 58(6), 979-985. https://doi.org/10.1373/clinchem.2012.183061
Oscai, L. B., Williams, B. T., & Hertig, B. A. (1968). Effect of exercise on blood volume. Journal of Applied Physiology, 24(5), 622-624. https://doi.org/10.1152/jappl.1968.24.5.622
Racinais, S., Alonso, J. M., Coutts, A. J., Flouris, A. D., Girard, O., González-Alonso, J., Hausswirth, C., Jay, O., Lee, J. K. W., Mitchell, N., Nassis, G. P., Nybo, L., Pluim, B. M., Roelands, B., Sawka, M. N., Wingo, J., & Périard, J. D. (2015). Consensus recommendations on training and competing in the heat. British Journal of Sports Medicine, 49(18), 1164-1173. https://doi.org/10.1136/bjsports-2015-094915
Robinson, N., Saugy, J., Schütz, F., Faiss, R., Baume, N., Giraud, S., & Saugy, M. (2019). Worldwide distribution of blood values in elite track and field athletes: Biomarkers of altered erythropoiesis. Drug Testing and Analysis, 11(4), 567-577. https://doi.org/10.1002/dta.2526
Saugy, J. J., Schmoutz, T., & Botrè, F. (2022). Altitude and Erythropoietin: Comparative Evaluation of Their Impact on Key Parameters of the Athlete Biological Passport: A Review. Frontiers in Sports and Active Living, 4, 864532. https://doi.org/10.3389/fspor.2022.864532
Sawka, M. N., Convertino, V. A., Eichner, E. R., Schnieder, S. M., & Young, A. J. (2000). Blood volume: Importance and adaptations to exercise training, environmental stresses, and trauma/sickness: Medicine & Science in Sports & Exercise, 32(2), 332. https://doi.org/10.1097/00005768-200002000- 00012
Schmidt, W., Heinicke, K., Rojas, J., Manuel Gomez, J., Serrato, M., Mora, M., Wolfarth, B., Schmid, A., & Keul, J. (2002). Blood volume and hemoglobin mass in endurance athletes from moderate altitude. Medicine and Science in Sports and Exercise, 34(12), 1934-1940. https://doi.org/10.1097/00005768- 200212000-00012
Schmidt, W., & Prommer, N. (2005). The optimised CO-rebreathing method: A new tool to determine total haemoglobin mass routinely. European Journal of Applied Physiology, 95(5-6), 486-495. https://doi.org/10.1007/s00421-005-0050-3
Schumacher, Y. O., Schmid, A., Grathwohl, D., Bültermann, D., & Berg, A. (2002). Hematological indices and iron status in athletes of various sports and performances. Medicine and Science in Sports and Exercise, 34(5), 869-875. https://doi.org/10.1097/00005768-200205000-00022
Schütz, F., & Zollinger, A. (2018). ABPS: An R Package for Calculating the Abnormal Blood Profile Score. Frontiers in Physiology, 9, 1638. https://doi.org/10.3389/fphys.2018.01638
Sedano, Rodrigo, Pupiales, Juan, & Poussery, Lionel (Directores). (2022, octubre 1). El dopaje, un flagelo que empaña el brillo del ciclismo colombiano [Digital]. En El dopaje, un flagelo que empaña el brillo del ciclismo colombiano. France 24. https://www.france24.com/es/programas/reporteros/20221011-el-dopaje-un-flagelo-que- empa%C3%B1a-el-brillo-del-ciclismo-colombiano
Siebenmann, C., Robach, P., & Lundby, C. (2017). Regulation of blood volume in lowlanders exposed to high altitude. Journal of Applied Physiology, 123(4), 957-966. https://doi.org/10.1152/japplphysiol.00118.2017
Sottas, P.-E., Robinson, N., Rabin, O., & Saugy, M. (2011). The Athlete Biological Passport. Clinical Chemistry, 57(7), 969-976. https://doi.org/10.1373/clinchem.2011.162271
Stanley, J., Halliday, A., D’Auria, S., Buchheit, M., & Leicht, A. S. (2015). Effect of sauna-based heat acclimation on plasma volume and heart rate variability. European Journal of Applied Physiology, 115(4), 785-794. https://doi.org/10.1007/s00421-014-3060-1
Trompetero González, A. C., , Cristancho Mejía, E., Benavides Pinzón, W. F., Serrato Roa, M., & Landinez Macias, M. P. (2015). Comportamiento de la concentración de hemoglobina, el hematocrito y la saturación de oxígeno en una población universitaria en Colombia a diferentes alturas. [Universidad Nacional de Colombia]. https://doi.org/10.3305/nh.2015.32.5.9711
Tyler, C. J., Reeve, T., Hodges, G. J., & Cheung, S. S. (2016). The Effects of Heat Adaptation on Physiology, Perception and Exercise Performance in the Heat: A Meta-Analysis. Sports Medicine, 46(11), 1699-1724. https://doi.org/10.1007/s40279-016-0538-5
Wachsmuth, N. B., Völzke, C., Prommer, N., Schmidt-Trucksäss, A., Frese, F., Spahl, O., Eastwood, A., Stray-Gundersen, J., & Schmidt, W. (2013). The effects of classic altitude training on hemoglobin mass in swimmers. European Journal of Applied Physiology, 113(5), 1199-1211. https://doi.org/10.1007/s00421-012-2536-0
WADA. (2021). Athlete Biological Passport (ABP) Operating Guidelines. https://www.wada- ama.org/sites/default/files/resources/files/guidelines_abp_en_ 16042019.pdf. Young, A. J., Karl, J. P., Berryman, C. E., Montain, S. J., Beidleman, B. A., & Pasiakos, S. M. (2019). Variability in human plasma volume responses during high‐altitude sojourn. Physiological Reports, 7(6). https://doi.org/10.14814/phy2.14051
Zorzoli, M., & Rossi, F. (2012). Case studies on ESA-doping as revealed by the Biological Passport: Case studies on ESA-doping as revealed by the Biological Passport. Drug Testing and Analysis, 4(11), 854- 858. https://doi.org/10.1002/dta.1340
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dc.rights.license.spa.fl_str_mv Atribución-CompartirIgual 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-sa/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-CompartirIgual 4.0 Internacional
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dc.format.extent.spa.fl_str_mv 39 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Maestría en Fisiología
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Cristancho Mejía, Edgar0eca152d0442cc5ef1aaf16a6ba92862Mancera Soto, Erica8de5f334ac07d11caf9a6d4fda1440d3Espitia Porras, Laura Fernandafdf35bd42775a55c64d9b55b5abc1662Grupo de Investigacion en Adaptaciones Al Ejercicio y A la Hipoxia2023-08-28T14:53:09Z2023-08-28T14:53:09Z2023https://repositorio.unal.edu.co/handle/unal/84603Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, diagramasLa exposición aguda de ciclistas residentes y entrenados en altitud a mayor temperatura y presión barométrica disminuye marcadores sanguíneos debido a la expansión del volumen plasmático (VP). Se hizo seguimiento de la respuesta de marcadores sanguíneos como concentración de hemoglobina, hematocrito, volumen plasmático e índice de estimulación (Off-score) a diez hombres ciclistas de ruta que residen y entrenan en altitud moderada (2500 m, 456 mmHg, 22°C) durante un campamento de entrenamiento de siete días a menor altitud (456 m, 566 mmHg, 26°C). La concentración de hemoglobina disminuyó hasta 1.4 g/dl ,el hematocrito hasta 3.3%, el volumen plasmático aumentó hasta 644 ml y el marcador Off-score varió hasta 17.1 puntos. El seguimiento de la variación de dichos marcadores sanguíneos medidos en el pasaporte biológico del atleta (PBA) frente a variaciones de las condiciones ambientales, estableció rangos de variación del Off-Score, lo que permite mejorar el control de sustancias prohibidas en el deporte. (Texto tomado de la fuente)Acute exposure of resident and altitude-trained cyclists to higher temperature and barometric pressure decreases blood markers due to expansion of plasma volume (PV). The response of blood markers such as haemoglobin concentration, hematocrit, plasma volume and stimulation index (Off-score) was monitored in 10 male road cyclists residing and training at moderate altitude (2500 m, 456 mmHg, 22°C) during a 7-day training camp at lower altitude (456 m, 566 mmHg, 26°C). Hemoglobin concentration decreased to 1. 4 g/dl, hematocrit to 3. 3%, plasma volume increased to 644 ml and the Off-score marker varied to 17. 1 points. The monitoring of the variation of these blood markers measured in the athlete's biological passport (PBA) against variations in environmental conditions, established ranges of variation of the Off-Score, which allows to improve the control of prohibited substances in sport.MaestríaMagister en FisiologíaFisiología del ejercicio39 páginasapplication/pdfUniversidad Nacional de ColombiaBogotá - Medicina - Maestría en FisiologíaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::612 - Fisiología humana790 - Deportes, juegos y entretenimiento::796 - Deportes y juegos al aire libre y deportivosAtletasAthletesCiclistasDeportistasCyclistsAthletesVolumen plasmáticoEjercicioPasaporte Biológico del AtletaPBAOff-ScorePlasma volumeExerciseBiological Passport of AthleteBPAOff-ScoreVariación del volumen plasmático como factor de confusión en el pasaporte biológico hematológicoVariation in plasma volumene as a confounding factor in the haematological biological passportTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMAshenden, M., Gough, C. E., Garnham, A., Gore, C. J., & Sharpe, K. (2011). Current markers of the Athlete Blood Passport do not flag microdose EPO doping. European Journal of Applied Physiology, 111(9), 2307-2314. https://doi.org/10.1007/s00421-011-1867-6Astolfi, T., Crettaz von Roten, F., Kayser, B., Saugy, M., & Faiss, R. (2021). The Influence of Training Load on Hematological Athlete Biological Passport Variables in Elite Cyclists. Frontiers in Sports and Active Living, 3, 618285. https://doi.org/10.3389/fspor.2021.618285Beidleman, B. A., Staab, J. E., Muza, S. R., & Sawka, M. N. (2017). Quantitative model of hematologic and plasma volume responses after ascent and acclimation to moderate to high altitudes. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 312(2), R265-R272. https://doi.org/10.1152/ajpregu.00225.2016Bejder, J., Hoffmann, M. F., Ashenden, M., Nordsborg, N. B., Karstoft, K., & Mørkeberg, J. (2016). Acute hyperhydration reduces athlete biological passport OFF-hr score: Hyperhydration and athlete biological passport. Scandinavian Journal of Medicine & Science in Sports, 26(3), 338-347. https://doi.org/10.1111/sms.12438Böning, D. (2019). Der kolumbianische Tour de France-Sieger Egan Bernal: Sportphysiologische Hintergründe. Deutsche Zeitschrift für Sportmedizin, 70(9), 195-196. https://doi.org/10.5960/dzsm.2019.397Böning, D., Rojas, J., Serrato, M., Ulloa, C., Coy, L., Mora, M., Gomez, J., & Hütler, M. (2001). Hemoglobin mass and peak oxygen uptake in untrained and trained residents of moderate altitude. International Journal of Sports Medicine, 22(8), 572-578. https://doi.org/10.1055/s-2001-18530Buchheit, M., Laursen, P. B., Al Haddad, H., & Ahmaidi, S. (2009). Exercise-induced plasma volume expansion and post-exercise parasympathetic reactivation. European Journal of Applied Physiology, 105(3), 471-481. https://doi.org/10.1007/s00421-008-0925-1Burge, C. M., & Skinner, S. L. (1995). Determination of hemoglobin mass and blood volume with CO: Evaluation and application of a method. Journal of Applied Physiology (Bethesda, Md.: 1985), 79(2), 623-631. https://doi.org/10.1152/jappl.1995.79.2.623Convertino, V. A. (2007). Blood Volume Response to Physical Activity and Inactivity. The American Journal of the Medical Sciences, 334(1), 72-79. https://doi.org/10.1097/MAJ.0b013e318063c6e4Davis, J. A., Rozenek, R., DeCicco, D. M., Carizzi, M. T., & Pham, P. H. (2007). Effect of Plasma Volume Loss during Graded Exercise Testing on Blood Lactate Concentration. The Journal of Physiological Sciences, 57(2), 95-99. https://doi.org/10.2170/physiolsci.RP014406Eichner, E. R. (1992). Sports anemia, iron supplements, and blood doping. Medicine and Science in Sports and Exercise, 24(9 Suppl), S315-318.Flouris, A. D., Poirier, M. P., Bravi, A., Wright-Beatty, H. E., Herry, C., Seely, A. J., & Kenny, G. P. (2014). Changes in heart rate variability during the induction and decay of heat acclimation. European Journal of Applied Physiology, 114(10), 2119-2128. https://doi.org/10.1007/s00421-014-2935-5Fortney, S. M., Vroman, N. B., Beckett, W. S., Permutt, S., & LaFrance, N. D. (1988). Effect of exercise hemoconcentration and hyperosmolality on exercise responses. Journal of Applied Physiology, 65(2), 519-524. https://doi.org/10.1152/jappl.1988.65.2.519Garvican, L. A., Eastwood, A., Martin, D. T., Ross, M. L. R., Gripper, A., & Gore, C. J. (2010). Stability of Hemoglobin Mass During a 6-Day UCI ProTour Cycling Race. Clinical Journal of Sport Medicine, 20(3), 200-204. https://doi.org/10.1097/JSM.0b013e3181ddcd5bGarvican, L., Martin, D., Quod, M., Stephens, B., Sassi, A., & Gore, C. (2012). Time course of the hemoglobin mass response to natural altitude training in elite endurance cyclists: Altitude training and hemoglobin mass. Scandinavian Journal of Medicine & Science in Sports, 22(1), 95-103. https://doi.org/10.1111/j.1600-0838.2010.01145.xGarvican‐Lewis, L. A., Lobigs, L. M., Equey, T., Goebel, C., Agon, V., McCowan, A., Speers, N., & Schumacher, Y. O. (2020). A multi‐parametric approach to remove the influence of plasma volume on the athlete biological passport during a Union Cycliste Internationale cycling stage race. Drug Testing and Analysis, 12(9), 1252-1263. https://doi.org/10.1002/dta.2878Garvican-Lewis, L. A., Schumacher, Y. O., Clark, S. A., Christian, R., Menaspà, P., Plowman, J., Stephens, B., Qi, J., Fan, R., He, Y., Martin, D. T., Thompson, K. G., Gore, C. J., & Ma, F. (2014). Stage racing at altitude induces hemodilution despite an increase in hemoglobin mass. Journal of Applied Physiology, 117(5), 463-472. https://doi.org/10.1152/japplphysiol.00242.2014González-Alonso, J., Crandall, C. G., & Johnson, J. M. (2008). The cardiovascular challenge of exercising in the heat: Hyperthermia challenge to cardiovascular regulation and homeostasis. The Journal of Physiology, 586(1), 45-53. https://doi.org/10.1113/jphysiol.2007.142158Green, H. J., Sutton, J. R., Coates, G., Ali, M., & Jones, S. (1991). Response of red cell and plasma volume to prolonged training in humans. Journal of Applied Physiology, 70(4), 1810-1815. https://doi.org/10.1152/jappl.1991.70.4.1810Gregersen, M. I., & Rawson, R. A. (1959). Blood volume. Physiological Reviews, 39(2), 307-342. https://doi.org/10.1152/physrev.1959.39.2.307Hütler, M., Beneke, R., & Böning, D. (2000). Determination of circulating hemoglobin mass and related quantities by using capillary blood. Medicine and Science in Sports and Exercise, 32(5), 1024-1027. https://doi.org/10.1097/00005768-200005000-00022Kargotich, S., Goodman, C., Keast, D., Fry, R. W., Garcia-Webb, P., Crawford, P. M., & Morton, A. R. (1997). Influence of exercise-induced plasma volume changes on the interpretation of biochemical data following high-intensity exercise. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 7(3), 185-191. https://doi.org/10.1097/00042752-199707000- 00006Krumm, B., & Faiss, R. (2021). Factors Confounding the Athlete Biological Passport: A Systematic Narrative Review. Sports Medicine - Open, 7(1), 65. https://doi.org/10.1186/s40798-021-00356-0Lobigs, L. M., Sottas, P.-E., Bourdon, P. C., Nikolovski, Z., El-Gingo, M., Varamenti, E., Peeling, P., Dawson, B., & Schumacher, Y. O. (2018). A step towards removing plasma volume variance from the Athlete’s Biological Passport: The use of biomarkers to describe vascular volumes from a simple blood test. Drug Testing and Analysis, 10(2), 294-300. https://doi.org/10.1002/dta.2219Mancera-Soto, E. M., Ramos-Caballero, D. M., Rojas J., J. A., Duque, L., Chaves-Gomez, S., Cristancho-Mejía, E., & Schmidt, W. F.-J. (2022). Hemoglobin Mass, Blood Volume and VO2max of Trained and Untrained Children and Adolescents Living at Different Altitudes. Frontiers in Physiology, 13, 892247. https://doi.org/10.3389/fphys.2022.892247Mier, C. M., Domenick, M. A., Turner, N. S., & Wilmore, J. H. (1996). Changes in stroke volume and maximal aerobic capacity with increased blood volume in men women. Journal of Applied Physiology, 80(4), 1180-1186. https://doi.org/10.1152/jappl.1996.80.4.1180Montero, D., & Lundby, C. (2018). Regulation of Red Blood Cell Volume with Exercise Training. En R. Terjung (Ed.), Comprehensive Physiology (1.a ed., pp. 149-164). Wiley. https://doi.org/10.1002/cphy.c180004Olaf Schumacher, Y., & d′Onofrio, G. (2012). Scientific Expertise and the Athlete Biological Passport: 3 Years of Experience. Clinical Chemistry, 58(6), 979-985. https://doi.org/10.1373/clinchem.2012.183061Oscai, L. B., Williams, B. T., & Hertig, B. A. (1968). Effect of exercise on blood volume. Journal of Applied Physiology, 24(5), 622-624. https://doi.org/10.1152/jappl.1968.24.5.622Racinais, S., Alonso, J. M., Coutts, A. J., Flouris, A. D., Girard, O., González-Alonso, J., Hausswirth, C., Jay, O., Lee, J. K. W., Mitchell, N., Nassis, G. P., Nybo, L., Pluim, B. M., Roelands, B., Sawka, M. N., Wingo, J., & Périard, J. D. (2015). Consensus recommendations on training and competing in the heat. British Journal of Sports Medicine, 49(18), 1164-1173. https://doi.org/10.1136/bjsports-2015-094915Robinson, N., Saugy, J., Schütz, F., Faiss, R., Baume, N., Giraud, S., & Saugy, M. (2019). Worldwide distribution of blood values in elite track and field athletes: Biomarkers of altered erythropoiesis. Drug Testing and Analysis, 11(4), 567-577. https://doi.org/10.1002/dta.2526Saugy, J. J., Schmoutz, T., & Botrè, F. (2022). Altitude and Erythropoietin: Comparative Evaluation of Their Impact on Key Parameters of the Athlete Biological Passport: A Review. Frontiers in Sports and Active Living, 4, 864532. https://doi.org/10.3389/fspor.2022.864532Sawka, M. N., Convertino, V. A., Eichner, E. R., Schnieder, S. M., & Young, A. J. (2000). Blood volume: Importance and adaptations to exercise training, environmental stresses, and trauma/sickness: Medicine & Science in Sports & Exercise, 32(2), 332. https://doi.org/10.1097/00005768-200002000- 00012Schmidt, W., Heinicke, K., Rojas, J., Manuel Gomez, J., Serrato, M., Mora, M., Wolfarth, B., Schmid, A., & Keul, J. (2002). Blood volume and hemoglobin mass in endurance athletes from moderate altitude. Medicine and Science in Sports and Exercise, 34(12), 1934-1940. https://doi.org/10.1097/00005768- 200212000-00012Schmidt, W., & Prommer, N. (2005). The optimised CO-rebreathing method: A new tool to determine total haemoglobin mass routinely. European Journal of Applied Physiology, 95(5-6), 486-495. https://doi.org/10.1007/s00421-005-0050-3Schumacher, Y. O., Schmid, A., Grathwohl, D., Bültermann, D., & Berg, A. (2002). Hematological indices and iron status in athletes of various sports and performances. Medicine and Science in Sports and Exercise, 34(5), 869-875. https://doi.org/10.1097/00005768-200205000-00022Schütz, F., & Zollinger, A. (2018). ABPS: An R Package for Calculating the Abnormal Blood Profile Score. Frontiers in Physiology, 9, 1638. https://doi.org/10.3389/fphys.2018.01638Sedano, Rodrigo, Pupiales, Juan, & Poussery, Lionel (Directores). (2022, octubre 1). El dopaje, un flagelo que empaña el brillo del ciclismo colombiano [Digital]. En El dopaje, un flagelo que empaña el brillo del ciclismo colombiano. France 24. https://www.france24.com/es/programas/reporteros/20221011-el-dopaje-un-flagelo-que- empa%C3%B1a-el-brillo-del-ciclismo-colombianoSiebenmann, C., Robach, P., & Lundby, C. (2017). Regulation of blood volume in lowlanders exposed to high altitude. Journal of Applied Physiology, 123(4), 957-966. https://doi.org/10.1152/japplphysiol.00118.2017Sottas, P.-E., Robinson, N., Rabin, O., & Saugy, M. (2011). The Athlete Biological Passport. Clinical Chemistry, 57(7), 969-976. https://doi.org/10.1373/clinchem.2011.162271Stanley, J., Halliday, A., D’Auria, S., Buchheit, M., & Leicht, A. S. (2015). Effect of sauna-based heat acclimation on plasma volume and heart rate variability. European Journal of Applied Physiology, 115(4), 785-794. https://doi.org/10.1007/s00421-014-3060-1Trompetero González, A. C., , Cristancho Mejía, E., Benavides Pinzón, W. F., Serrato Roa, M., & Landinez Macias, M. P. (2015). Comportamiento de la concentración de hemoglobina, el hematocrito y la saturación de oxígeno en una población universitaria en Colombia a diferentes alturas. [Universidad Nacional de Colombia]. https://doi.org/10.3305/nh.2015.32.5.9711Tyler, C. J., Reeve, T., Hodges, G. J., & Cheung, S. S. (2016). The Effects of Heat Adaptation on Physiology, Perception and Exercise Performance in the Heat: A Meta-Analysis. Sports Medicine, 46(11), 1699-1724. https://doi.org/10.1007/s40279-016-0538-5Wachsmuth, N. B., Völzke, C., Prommer, N., Schmidt-Trucksäss, A., Frese, F., Spahl, O., Eastwood, A., Stray-Gundersen, J., & Schmidt, W. (2013). The effects of classic altitude training on hemoglobin mass in swimmers. European Journal of Applied Physiology, 113(5), 1199-1211. https://doi.org/10.1007/s00421-012-2536-0WADA. (2021). Athlete Biological Passport (ABP) Operating Guidelines. https://www.wada- ama.org/sites/default/files/resources/files/guidelines_abp_en_ 16042019.pdf. Young, A. J., Karl, J. P., Berryman, C. E., Montain, S. J., Beidleman, B. A., & Pasiakos, S. M. (2019). Variability in human plasma volume responses during high‐altitude sojourn. Physiological Reports, 7(6). https://doi.org/10.14814/phy2.14051Zorzoli, M., & Rossi, F. (2012). Case studies on ESA-doping as revealed by the Biological Passport: Case studies on ESA-doping as revealed by the Biological Passport. Drug Testing and Analysis, 4(11), 854- 858. https://doi.org/10.1002/dta.1340VARIACIÓN DEL VOLUMEN PLASMÁTICO COMO FACTOR DE CONFUSIÓN EN EL PASAPORTE BIOLÓGICO HEMATOLÓGICOUNIVERSIDAD NACIONAL DE COLOMBIAMINISTERIO DEL DEPORTEEstudiantesInvestigadoresMaestrosPadres y familiasPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/84603/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1019124522.2023.pdf1019124522.2023.pdfTesis de Maestría en Fisiologíaapplication/pdf1092440https://repositorio.unal.edu.co/bitstream/unal/84603/3/1019124522.2023.pdffc93f48877a8504a4cb4796e4f94d25aMD53THUMBNAIL1019124522.2023.pdf.jpg1019124522.2023.pdf.jpgGenerated Thumbnailimage/jpeg5316https://repositorio.unal.edu.co/bitstream/unal/84603/4/1019124522.2023.pdf.jpg73307ec11a9503dddcbff39067e7383dMD54unal/84603oai:repositorio.unal.edu.co:unal/846032024-08-07 23:10:43.179Repositorio Institucional Universidad Nacional de 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