The impact of exercise-induced core body temperature elevations on coagulation responses
Matthijs T W Veltmeijer1, Thijs M H Eijsvogels2, Wideke Barteling3
1Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Physiology, The Netherlands.
Journal of Science and Medicine in Sport
|April 3, 2016
Summary
Exercise increases core body temperature (CBT), leading to a pro-thrombotic state. The magnitude of CBT rise influences this effect, highlighting the importance of accurate temperature measurements in assessing haemostasis.
Area of Science:
- Physiology
- Exercise Science
- Haemostasis Research
Background:
- Exercise significantly impacts physiological parameters, including core body temperature (CBT) and haemostatic function.
- Understanding the relationship between elevated CBT and thrombotic risk is crucial for interpreting exercise-related physiological changes.
Purpose of the Study:
- To investigate whether exercise-induced increases in CBT promote pro-thrombotic changes in a dose-dependent manner.
- To assess the influence of accurate core body temperature measurement on haemostatic assays.
Main Methods:
- An observational study involving 62 participants in a 15-km road race.
- Core body temperature and haemostatic responses were measured at baseline and post-race.
- Haemostasis assays were adjusted to individual CBT in a subgroup (n=25) to account for temperature variations.
Main Results:
- Participants experienced a significant increase in CBT from 37.6°C to 39.4°C post-exercise (p<0.001).
- Post-exercise, increased haemostatic activity was observed, characterized by accelerated thrombin generation and reduced plasmin response.
- Adjusting assay temperature to individual CBT revealed stronger pro-thrombotic effects.
Conclusions:
- Exercise induces a pro-thrombotic state, potentially linked to the extent of CBT elevation.
- Accurate temperature correction in haemostasis assays is vital for understanding haemostatic balance during thermoregulatory stress.
- Short exposure to high CBT (41.2°C) did not cause severe coagulation issues, suggesting a threshold effect for haemostatic derangement.
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