title: « Optimal » vs actual hematocrit in obesity and overweight.
abstract: Equations of blood viscosity provide a prediction of the 'optimal' hematocrit' (hct) as the hct resulting in the highest value of the bell-shaped curve of hematocrit/viscosity ratio h/η. We investigated if overweight and obesity have an influence on these parameters. We compared 32 normal weight subjects, 40 overweight (BMI 25-30) and 38 obese subjects. There was no difference in the theoretical curve of h/η. The actual h/η is the same in the 3 groups but is always higher than the theoretical h/η in all groups. The actual h/η is lower in overweight than controls (p = 0.011). Modeling yields the same value of theoretical optimal hct across BMI classes. The 3 groups have the same values of actual hct, but actual is significantly lower than optimal in all cases (p < 0.001). Hematocrit is lower than predicted due to a discrepancy between predicted and actual h/η which is due to the inter-subject variability of RBC rigidity ...   The discrepancy between optimal and actual h/η is negatively correlated to RBC rigidity indexes even if the model uses a fixed value of these indexes. Thus keeping in mind that the optimal hct should not be the same in the various parts of the vascular bed, its theoretical prediction with Quemada's equation appears to predict a value higher than actual hematocrit but well correlated to it, and the agreement between optimal and actual hct is dependent on RBC flexibility. This leads to think that the body sets hematocrit below its ideal value in sedentary subjects in order to cope with the need of increasing blood viscosity factors in case of exercise without impairing O2 supply to tissues.
authors: UMR CNRS 9214-Inserm U1046 « Physiopathologie & Médecine Expérimentale du Coeur et des Muscles - PHYMEDEXP », Unité d'Explorations Métaboliques (CERAMM), Université de Montpellier, Département de Physiologie Clinique,Hôpital Lapeyronie CHU Montpellier, France.
authors: Jean-Frédéric
authors: JF
authors: Brun
authors: Institut des Biomolécules Max Mousseron (IBMM) UMR CNRS 5247, Université de Montpellier, Ecole Nationale Supérieure de Chimie de Montpellier, France.|Laboratoire de Biophysique & Bio-Analyses, Faculté de Pharmacie, Université de Montpellier, France.
authors: Emmanuelle
authors: E
authors: Varlet-Marie
authors: UMR CNRS 9214-Inserm U1046 « Physiopathologie & Médecine Expérimentale du Coeur et des Muscles - PHYMEDEXP », Unité d'Explorations Métaboliques (CERAMM), Université de Montpellier, Département de Physiologie Clinique,Hôpital Lapeyronie CHU Montpellier, France.
authors: Christine
authors: C
authors: Fédou
authors: UMR CNRS 9214-Inserm U1046 « Physiopathologie & Médecine Expérimentale du Coeur et des Muscles - PHYMEDEXP », Unité d'Explorations Métaboliques (CERAMM), Université de Montpellier, Département de Physiologie Clinique,Hôpital Lapeyronie CHU Montpellier, France.
authors: Eric
authors: E
authors: Raynaud de Mauverger
mesh_terms: D000328:Adult; D001809:Blood Viscosity; D005260:Female; D006400:Hematocrit / Q000379:methods*; D018056:Hemorheology; D006801:Humans; D008297:Male; D009765:Obesity / Q000097:blood*; D050177:Overweight / Q000097:blood*
keywords: Blood viscosity; erythrocyte deformability; exercise; hematocrit; obesity