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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
Web of Science
PubMed
FullText
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- Führende Autor*innen der Med Uni Graz
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Cimenti Christina
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Muntean Eugen
- Co-Autor*innen der Med Uni Graz
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Hofmann Peter
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Leschnik Bettina
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Schlagenhauf Axel
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Seibert Franz
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- Abstract:
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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)
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Adolescent -
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Adult -
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Antithrombin III - metabolism
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Blood Coagulation -
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Cell-Derived Microparticles - metabolism
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Exercise -
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Female -
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Hemostasis -
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Humans -
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Lipoproteins - metabolism
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Male -
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Peptide Hydrolases - metabolism
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Risk Factors -
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Sedentary Lifestyle -
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Thrombin - metabolism
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Thrombosis - etiology
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Thrombosis - metabolism
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Young Adult -
- Find related publications in this database (Keywords)
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Microparticles
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Sedentary subjects
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Thrombin generation
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Trained subjects