Running on the edge: hematological responses to a non-stop ultramarathon with a focus on nitric oxide–mediated red blood cell deformability

Overall, the ultramarathon induced complex but compensatory adaptations in the RBC system, where NO-mediated improvements in deformability may counteract stress-induced risks to cell integrity. Thus, despite no acute impairment of RBC function, adequate hydration, antioxidant-rich nutrition, and sufficient recovery may be emphasized to safeguard long-term RBC health in extreme endurance exercise.

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Publication Details

Journal
Frontiers in Physiology
Published
2025-11-21
DOI
https://doi.org/10.3389/fphys.2025.1715513
Primary Topic
Exercise and Physiological Responses
Type
article
Field-Weighted Citation Impact
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article

Running on the edge: hematological responses to a non-stop ultramarathon with a focus on nitric oxide–mediated red blood cell deformability

Michael Siebers, Moritz Munk, Lucas John, Wilhelm Bloch et al.
Frontiers in Physiology
Exercise and Physiological Responses
article

Running on the edge: hematological responses to a non-stop ultramarathon with a focus on nitric oxide–mediated red blood cell deformability

Michael Siebers, Moritz Munk, Lucas John, Wilhelm Bloch, Daniel Alexander Bizjak, J. Bruns, Marijke Grau, Magnus Stücher, Christoph Siebers
article en

Abstract

Overall, the ultramarathon induced complex but compensatory adaptations in the RBC system, where NO-mediated improvements in deformability may counteract stress-induced risks to cell integrity. Thus, despite no acute impairment of RBC function, adequate hydration, antioxidant-rich nutrition, and sufficient recovery may be emphasized to safeguard long-term RBC health in extreme endurance exercise.

Frontiers in PhysiologyVol. 16
German Sport University Cologne (DE), University Hospital Ulm (DE), University of Duisburg-Essen (DE)
Openalex Percentile: Top 57%
Exercise and Physiological Responses
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Running on the edge: hematological responses to a non-stop ultramarathon with a focus on nitric oxide–mediated red blood cell deformability — Michael Siebers, Moritz Munk, et al. · Frontiers in Physiology (2025) | TGRS Research Map | TGRS