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  • Writer's pictureStuart Mottram

Carbon Monoxide or is EPO back?

Carbon monoxide (CO) rebreathing for cyclists is a method used to measure blood volume and hemoglobin mass, which are critical factors in determining an athlete's oxygen-carrying capacity and overall endurance performance. Here's a detailed explanation:

What is Carbon Monoxide Rebreathing?

Carbon monoxide rebreathing involves a controlled exposure to a small, safe amount of carbon monoxide. The CO binds with hemoglobin in the blood to form carboxyhemoglobin (COHb), and the increase in COHb can be measured to determine total hemoglobin mass.

Process of CO Rebreathing

  1. Baseline Measurement: The athlete’s baseline levels of COHb are measured using a device such as a CO-oximeter.

  2. Inhalation: The athlete inhales a small, precisely measured amount of carbon monoxide mixed with oxygen.

  3. Mixing Period: The athlete breathes normally for a few minutes to allow the CO to evenly distribute and bind with hemoglobin.

  4. Post-Inhalation Measurement: Another measurement of COHb levels is taken.

  5. Calculation: The difference in COHb levels before and after the inhalation is used to calculate the total hemoglobin mass and blood volume.

Benefits for Cyclists

  • Performance Monitoring: Knowing the total hemoglobin mass helps in monitoring training adaptations and the effectiveness of altitude training or other performance-enhancing strategies.

  • Training Adjustment: Based on the results, training regimens can be adjusted to optimize performance.

  • Health Monitoring: Regular monitoring can help detect issues such as overtraining or anemia early.

Safety and Accuracy

  • Safety: The amount of carbon monoxide used in rebreathing tests is very small and controlled, making it safe under professional supervision.

  • Accuracy: This method is considered accurate and reliable for measuring hemoglobin mass and blood volume.

Applications

  • Elite Athletes: Commonly used by elite cyclists and endurance athletes to fine-tune their training and performance.

  • Research: Used in sports science research to study the effects of various training methods and environmental conditions on blood parameters.

Risks and Considerations

  • Supervision: Must be conducted under strict medical supervision to ensure safety.

  • Health Status: Not suitable for individuals with certain medical conditions, particularly those affecting the respiratory system or red blood cells.

In summary, carbon monoxide rebreathing is a valuable tool for cyclists and other endurance athletes to measure hemoglobin mass and blood volume accurately, aiding in optimizing performance and training.

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