The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review

Hemostatic balance refers to the dynamic balance between blood clot formation (coagulation), blood clot dissolution (fibrinolysis), anticoagulation, and innate immunity. Although regular habitual exercise may lower the incidence of cardiovascular diseases (CVD) by improving an individual’s hemostati...

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Main Authors: Apostolos Z. Skouras, Dimitrios Antonakis-Karamintzas, Andreas G. Tsantes, Athanasios Triantafyllou, Georgios Papagiannis, Charilaos Tsolakis, Panagiotis Koulouvaris
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Sports
Subjects:
Online Access:https://www.mdpi.com/2075-4663/11/4/74
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author Apostolos Z. Skouras
Dimitrios Antonakis-Karamintzas
Andreas G. Tsantes
Athanasios Triantafyllou
Georgios Papagiannis
Charilaos Tsolakis
Panagiotis Koulouvaris
author_facet Apostolos Z. Skouras
Dimitrios Antonakis-Karamintzas
Andreas G. Tsantes
Athanasios Triantafyllou
Georgios Papagiannis
Charilaos Tsolakis
Panagiotis Koulouvaris
author_sort Apostolos Z. Skouras
collection DOAJ
description Hemostatic balance refers to the dynamic balance between blood clot formation (coagulation), blood clot dissolution (fibrinolysis), anticoagulation, and innate immunity. Although regular habitual exercise may lower the incidence of cardiovascular diseases (CVD) by improving an individual’s hemostatic profile at rest and during exertion, vigorous exercise may increase the risk of sudden cardiac death and venous thromboembolism (VTE). This literature review aims to investigate the hemostatic system’s acute and chronic adaptive responses to different types of exercise in healthy and patient populations. Compared to athletes, sedentary healthy individuals demonstrate similar post-exercise responses in platelet function and coagulatory and fibrinolytic potential. However, hemostatic adaptations of patients with chronic diseases in regular training is a promising field. Despite the increased risk of thrombotic events during an acute bout of vigorous exercise, regular exposure to high-intensity exercise might desensitize exercise-induced platelet aggregation, moderate coagulatory parameters, and up-regulate fibrinolytic potential via increasing tissue plasminogen activator (tPA) and decreasing plasminogen activator inhibitor (PAI-1) response. Future research might focus on combining different types of exercise, manipulating each training characteristic (frequency, intensity, time, and volume), or investigating the minimal exercise dosage required to maintain hemostatic balance, especially in patients with various health conditions.
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spelling doaj.art-3d8df994a41b4393b4a1fdb16090dcc22023-11-17T21:22:30ZengMDPI AGSports2075-46632023-03-011147410.3390/sports11040074The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief ReviewApostolos Z. Skouras0Dimitrios Antonakis-Karamintzas1Andreas G. Tsantes2Athanasios Triantafyllou3Georgios Papagiannis4Charilaos Tsolakis5Panagiotis Koulouvaris6Sports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceLaboratory of Haematology and Blood Bank Unit, “Attiko” Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, GreeceHemostatic balance refers to the dynamic balance between blood clot formation (coagulation), blood clot dissolution (fibrinolysis), anticoagulation, and innate immunity. Although regular habitual exercise may lower the incidence of cardiovascular diseases (CVD) by improving an individual’s hemostatic profile at rest and during exertion, vigorous exercise may increase the risk of sudden cardiac death and venous thromboembolism (VTE). This literature review aims to investigate the hemostatic system’s acute and chronic adaptive responses to different types of exercise in healthy and patient populations. Compared to athletes, sedentary healthy individuals demonstrate similar post-exercise responses in platelet function and coagulatory and fibrinolytic potential. However, hemostatic adaptations of patients with chronic diseases in regular training is a promising field. Despite the increased risk of thrombotic events during an acute bout of vigorous exercise, regular exposure to high-intensity exercise might desensitize exercise-induced platelet aggregation, moderate coagulatory parameters, and up-regulate fibrinolytic potential via increasing tissue plasminogen activator (tPA) and decreasing plasminogen activator inhibitor (PAI-1) response. Future research might focus on combining different types of exercise, manipulating each training characteristic (frequency, intensity, time, and volume), or investigating the minimal exercise dosage required to maintain hemostatic balance, especially in patients with various health conditions.https://www.mdpi.com/2075-4663/11/4/74hemostasiscoagulationfibrinolysisplateletsexercisetraining
spellingShingle Apostolos Z. Skouras
Dimitrios Antonakis-Karamintzas
Andreas G. Tsantes
Athanasios Triantafyllou
Georgios Papagiannis
Charilaos Tsolakis
Panagiotis Koulouvaris
The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
Sports
hemostasis
coagulation
fibrinolysis
platelets
exercise
training
title The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
title_full The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
title_fullStr The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
title_full_unstemmed The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
title_short The Acute and Chronic Effects of Resistance and Aerobic Exercise in Hemostatic Balance: A Brief Review
title_sort acute and chronic effects of resistance and aerobic exercise in hemostatic balance a brief review
topic hemostasis
coagulation
fibrinolysis
platelets
exercise
training
url https://www.mdpi.com/2075-4663/11/4/74
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