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J Appl Physiol 95: 1076-1082, 2003. First published April 25, 2003; doi:10.1152/japplphysiol.00082.2002
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Maximal rowing has an acute effect on the blood-gas barrier in elite athletes

Birgitte Hanel,1 Ian Law,1,2 and Jann Mortensen1

1Department of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Rigshospitalet, and 2Department of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Hvidovre Hospital, DK-2100 Copenhagen, Denmark

Submitted 31 January 2002 ; accepted in final form 22 April 2003

The purpose of the study was to evaluate the effects of maximal exercise on the integrity of the alveolar epithelial membrane using the clearance rate of aerosolized 99mTc-labeled diethylenetriaminepentaacetic acid as an index for the permeability of the lung blood-gas barrier. Ten elite rowers (24.3 ± 4.6 yr of age) completed two 20-min pulmonary clearance measurements immediately after and 2 h after 6 min of all-out rowing (initial and late, respectively). All subjects participated in resting control measurements on a separate day. For each 20-min measurement, lung clearance was calculated for 0-7 and 10-20 min. Furthermore, scintigrams were processed from the initial and late measurements of diethylenetriaminepentaacetic acid clearance. Compared with control levels, the pulmonary clearance measurement after rowing was increased from 1.2 ± 0.5 to 2.4 ± 1.0%/min (SD) at 0-7 min (P < 0.01) and from 0.8 ± 0.3 to 1.5 ± 0.4%/min at 10-20 min (P < 0.0005), returning to resting levels within 2 h. In 6 of 10 subjects, ventilation distribution on the lung scintigrams was inhomogeneous at the initial measurement. The study demonstrates an acute increased pulmonary clearance after maximal rowing. The ventilation defects identified on the lung scintigrams may represent transient interstitial edema secondary to increased blood-gas barrier permeability induced by mechanical stress.

lung function; oarsmen; ventilation defects



Address for reprint requests and other correspondence: B. Hanel, Dept. of Clinical Physiology and Nuclear Medicine, 4011, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen ø, Denmark (E-mail: bhanel{at}mobilixnet.dk).




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