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Exercise prescription and thrombogenesis.

Jong-Shyan Wang1

  • 1Graduate Institute of Rehabilitation Science and Center for Gerontological Research, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, 333, Taiwan. s5492@mail.cgu.edu.tw

Journal of Biomedical Science
|August 26, 2006
PubMed
Summary

Regular moderate exercise offers cardiovascular benefits by reducing blood clot risk. Strenuous exercise, however, can increase this risk, highlighting the importance of exercise intensity for vascular health.

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Area of Science:

  • Exercise physiology
  • Cardiovascular health
  • Thrombosis research

Background:

  • Lifestyle habits like exercise significantly impact vascular thrombotic events.
  • Vigorous exercise can transiently increase cardiac arrest risk, while regular moderate exercise reduces cardiovascular disease (CVD) risk.
  • Mechanisms behind these paradoxical effects on thrombosis require elucidation.

Purpose of the Study:

  • To review the effects of acute exercise, endurance training, and deconditioning on thrombosis.
  • To analyze the underlying mechanisms influencing platelets, coagulation, and fibrinolysis.
  • To determine optimal exercise strategies for preventing thrombotic events and CVD progression.

Main Methods:

  • Literature review of studies on acute exercise, endurance training, and deconditioning.

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  • Analysis of research on exercise effects on platelet reactivity, coagulation, and fibrinolysis.
  • Categorization of acute exercise intensity based on VO(2 max) percentages.
  • Main Results:

    • Light exercise (< or = 49% VO(2 max)) has no effect on platelets/coagulation but increases fibrinolysis.
    • Moderate exercise (50-74% VO(2 max)) suppresses platelet reactivity, enhances fibrinolysis, with unchanged coagulation.
    • Strenuous exercise (> or = 75% VO(2 max)) enhances platelet reactivity, coagulation, and fibrinolysis.
    • Moderate-intensity exercise training reduces resting platelet reactivity and enhances fibrinolysis, with benefits diminishing upon deconditioning.

    Conclusions:

    • Moderate exercise is a safe and effective dosage for inducing anti-thrombotic changes and minimizing CVD risk.
    • Exercise training confers resting anti-thrombotic benefits and modulates responses during strenuous exercise.
    • Favorable anti-thrombotic adaptations from training are reversible with deconditioning, necessitating consistent exercise adherence.