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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Cimenti, C; Schlagenhauf, A; Leschnik, B; Schretter, M; Tschakert, G; Gröschl, W; Seibert, FJ; Hofmann, P; Muntean, WE.
Low endogenous thrombin potential in trained subjects.
Thromb Res. 2013; 131(6):e281-e285 Doi: 10.1016/j.thromres.2013.04.009
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Führende Autor*innen der Med Uni Graz
Cimenti Christina
Muntean Eugen
Co-Autor*innen der Med Uni Graz
Hofmann Peter
Leschnik Bettina
Schlagenhauf Axel
Seibert Franz
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Abstract:
A paradox seems to exist: exercising leads to clotting activation in conventional clotting tests, but exercising persons have a low risk of thrombosis. In this study we tried to evaluate the effect of exercise performance status on in vitro plasma thrombin generation, which represents an overall function test of hemostasis. We compared 56 trained subjects to 98 healthy age matched sedentary volunteers. Blood samples were analyzed for thrombin generation using calibrated automated thrombography. Microparticles were quantified using ELISA. Additionally prothrombin fragments 1 + 2, thrombin-antithrombin complex, tissue factor pathway inhibitor, antithrombin and prothrombin were measured. The group of the trained subjects performed an incremental cycle-ergometer exercise test after taking the blood sample. A significantly lower endogenous thrombin potential was observed in the group of the trained subjects compared to the sedentary individuals (p = 0.007). Microparticles (ELISA) were significantly lower in the trained subjects compared to the sedentary subjects (p = 0.001). Prothrombin fragments 1 + 2 (p < 0.001) and thrombin-antithrombin complex (p = 0.01) were significant higher in the trained subjects and antithrombin (p = 0.02) as well as prothrombin (p < 0.0001) were significantly lower in this group, whereas tissue factor pathway inhibitor values did not show significant differences. Both maximal and submaximal power output was significantly negatively related to endogenous thrombin potential (r = -0.43, r = -0.45) and thrombin peak (r = -0.44, r = -0.42). Trained subjects have a lower endogenous thrombin potential than sedentary subjects possibly explaining the lower incidence of thrombosis in this group despite a higher acute clotting activation during strenuous exercise. Copyright © 2013 Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Antithrombin III - metabolism
Blood Coagulation -
Cell-Derived Microparticles - metabolism
Exercise -
Female -
Hemostasis -
Humans -
Lipoproteins - metabolism
Male -
Peptide Hydrolases - metabolism
Risk Factors -
Sedentary Lifestyle -
Thrombin - metabolism
Thrombosis - etiology
Thrombosis - metabolism
Young Adult -

Find related publications in this database (Keywords)
Microparticles
Sedentary subjects
Thrombin generation
Trained subjects
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