“…In addition, several studies reported association between RBC aggregation abnormalities and diseases, probably as a consequence of inflammation and/or metabolic disturbances, such as in primary open-angle glaucoma [56], type 2 diabetes [75], insulin resistance [15,16], sickle cell disease [49,83,93] and others [32,48,58,79,95]. Few studies have investigated RBC aggregation in response to exercise and contrasting results have been reported: some studies described no change [25,84,89], an increase, in association or not with a rise in plasma fibrinogen level [18,36,84], or a delayed decrease [98] with exercise. Such findings should be considered in the context that in vitro assessment of RBC aggregation is typically performed on blood samples adjusted to standardised hematocrit (usually 40%); increased hematocrit observed during exercise likely increases RBC aggregation in vivo due to an increased cell-cell contact.…”