Document Detail


Predonation hydration and applied muscle tension combine to reduce presyncopal reactions to blood donation.
MedLine Citation:
PMID:  20113455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A randomized controlled trial was conducted to test the effects of hydration and applied muscle tensing on presyncopal reactions to blood donation. Both interventions are designed to prevent the decreases in blood pressure that can contribute to such reactions, but due to the distinct physiologic mechanisms underlying their pressor responses it was hypothesized that a combined intervention would yield the greatest benefit.
STUDY DESIGN AND METHODS: Before blood donation, first- and second-time blood donors (mean age, 20.2 years; SD, 4.9) were randomly assigned to 1) standard donation, 2) placebo (leg exercise before venipuncture), 3) predonation water, or 4) predonation water and leg exercise during donation.
RESULTS: Main effects of group were observed for phlebotomist classification of vasovagal reactions (chi(2)(3) = 8.38, p < 0.05) and donor reports of presyncopal reactions (chi(2)(3) = 13.16, p < 0.01). Follow-up analyses of phlebotomist classifications revealed fewer reactions in the predonation water and predonation water and leg exercise groups relative to placebo but not standard donation. Follow-up analyses of self-reported reactions revealed that women, but not men, had lower scores in both the predonation water and the predonation water and leg exercise groups relative to both placebo and standard donation.
CONCLUSIONS: Predonation hydration and a combination of hydration and leg exercise may help attenuate presyncopal reactions in relatively novice donors, although future studies with larger samples are required to confirm this effect.
Authors:
Christopher R France; Blaine Ditto; Mary Ellen Wissel; Janis L France; Tara Dickert; Aaron Rader; Kadian Sinclair; Sarah McGlone; Zina Trost; Erin Matson
Related Documents :
1941645 - Musculoskeletal responses of spinal cord injured individuals to functional neuromuscula...
1886485 - Physiological responses to wrist weights during endurance cycling in normal subjects.
20558755 - Roles of nitric oxide synthase and cyclooxygenase in leg vasodilation and oxygen consum...
161225 - The effect of unilateral isokinetic strength training on local adipose and muscle tissu...
17214405 - Yohimbine: the effects on body composition and exercise performance in soccer players.
21932695 - Chest physiotherapy and breathing exercises for cardiac surgery patients in sweden--a n...
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-01-22
Journal Detail:
Title:  Transfusion     Volume:  50     ISSN:  1537-2995     ISO Abbreviation:  Transfusion     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-07-19     Revised Date:  2011-09-12    
Medline Journal Info:
Nlm Unique ID:  0417360     Medline TA:  Transfusion     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1257-64     Citation Subset:  IM    
Affiliation:
Ohio University, Athens, Ohio 45701, USA. france@ohio.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Donors*
Blood Pressure*
Exercise*
Female
Follow-Up Studies
Humans
Male
Sex Factors
Syncope / etiology,  prevention & control*
Water / administration & dosage*
Grant Support
ID/Acronym/Agency:
HL077438/HL/NHLBI NIH HHS; R01 HL077438-04/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
7732-18-5/Water
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Blood transfusions increase cerebral, splanchnic, and renal oxygenation in anemic preterm infants.
Next Document:  Analysis of sample-to-cutoff ratios on chemiluminescent immunoassays used for blood donor screening ...