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次最大强度跑步后1小时内,凝血和纤溶活性会发生变化。

Clotting and fibrinolytic activity change during the 1 h after a submaximal run.

作者信息

Hegde S S, Goldfarb A H, Hegde S

机构信息

Exercise and Sport Science Department, University of North Carolina-Greensboro, Greensboro, NC 27402-6169, USA.

出版信息

Med Sci Sports Exerc. 2001 Jun;33(6):887-92. doi: 10.1097/00005768-200106000-00006.

Abstract

PURPOSE

To determine the changes in clotting and fibrinolytic activity during the 1-h period after an acute submaximal exercise at a specific relative exercise intensity to ascertain whether during this time there is a greater risk for developing a clot formation or thrombus.

METHODS

Ten healthy men reported between 0700 and 1000 h and ran at 70-75% VO2max or walked at 1.2 mph for 30 min in a random counter-balanced order. Venous blood was obtained at rest, immediately after, and every 20 min during the 1-h recovery.

RESULTS

There were no differences in the resting parameters for each treatment. Walking did not alter the activity of any of the measures analyzed compared with rest. Clotting indicators activated partial thromboplastin time (APTT) was significantly decreased by approximately 2 s and remained at this level during the 1-h recovery, and factor VIII activity was elevated 66% immediately after the run and remained elevated at this level during the 1-h recovery period. Fibrinolytic indicators, t-PA, and D-dimers were significantly increased immediately after the run. However, t-PA demonstrated a quadratic negative slope during the 1-h recovery time. D-dimers remained elevated during the 1-h recovery time.

CONCLUSIONS

These results suggest that running at 70-75% VO2max resulted in elevated clotting and fibrinolytic activity. However, the clotting activity was sustained during a time when fibrinolytic activity declined, which suggests a more favorable situation for clot formation during this time after exercise.

摘要

目的

确定在特定相对运动强度下进行急性次最大运动后1小时内凝血和纤溶活性的变化,以确定在此期间形成血栓或凝块的风险是否更高。

方法

10名健康男性于07:00至10:00之间报到,以随机交叉平衡顺序,以70 - 75%的最大摄氧量跑步或以1.2英里/小时的速度步行30分钟。在静息时、运动后即刻以及恢复1小时期间每20分钟采集静脉血。

结果

每种处理的静息参数无差异。与静息相比,步行未改变所分析的任何指标的活性。凝血指标活化部分凝血活酶时间(APTT)显著降低约2秒,并在1小时恢复期间保持在该水平,因子VIII活性在跑步后即刻升高66%,并在1小时恢复期间保持在该升高水平。纤溶指标、组织型纤溶酶原激活物(t-PA)和D-二聚体在跑步后即刻显著增加。然而,t-PA在1小时恢复时间内呈二次负斜率变化。D-二聚体在1小时恢复时间内保持升高。

结论

这些结果表明,以70 - 75%的最大摄氧量跑步导致凝血和纤溶活性升高。然而,在纤溶活性下降时凝血活性持续存在,这表明运动后这段时间内形成凝块的情况更有利。

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