6533b852fe1ef96bd12aac78

RESEARCH PRODUCT

Corrected whole blood biomarkers - the equation of Dill and Costill revisited.

Heikki KyröläinenHeikki KainulainenPekka Matomäki

subject

medicine.medical_specialtyPhysiologyContext (language use)030204 cardiovascular system & hematologyPlasma volumeta311103 medical and health sciencesHemoglobins0302 clinical medicineSerum biomarkersPhysiology (medical)Internal medicineMembrane PhysiologymedicineHumansplasma changePlasma Volumeta315Exercisecorrection formulaWhole bloodOriginal ResearchDehydrationbusiness.industryEndurance and PerformanceDill and Costill equationveri030229 sport sciencesBiomarkerEndocrinologymarkkeritBiomarker (medicine)veriplasmaHemoglobinsense organsCellular PhysiologybusinessAlgorithmsBiomarkers

description

Abstract An exercise bout or a dehydration often causes a reduction in plasma volume, which should be acknowledged when considering the change in biomarkers before and after the plasma changing event. The classic equation from Dill and Costill (1974, J. Appl. Physiol., 37, 247–248) for plasma volume shift is usually utilized in such a case. Although this works well with plasma and serum biomarkers, we argue in this note that this traditional approach gives misleading results in the context of whole blood biomarkers, such as lactate, white cells, and thrombocytes. In this study, we demonstrate that to calculate the change in the total amount of circulating whole blood biomarker, one should utilize a formula BMpostBMpre×HbpreHbpost−1. Here Hb and BM are, respectively, the concentrations for the hemoglobin and for the inspected whole blood biomarker before (pre) and after (post) the plasma changing incident.

10.14814/phy2.13749https://pubmed.ncbi.nlm.nih.gov/29939499