title: Pure eccentric exercise does not activate blood coagulation.
abstract: Eccentric exercise can cause skeletal muscle damage with ultrastructural disruption, inflammation and increased proteolytic enzyme activity. It may be possible that these changes are able to trigger blood coagulation in vivo. The aim of the study was to investigate changes in blood coagulation via the measurement of aPTT, the thrombin potential (total [TTP] and endogenous [ETP], both intrinsic [in] and extrinsic [ex]) and the thrombin generation (prothrombinfragment 1 + 2 [F1 + 2] and thrombin-antithrombin complex [TAT]) after pure eccentric exercise. Seventeen healthy non-smokers (28 +/- 6 years, VO2-peak 59 +/- 7 ml/min/kg) underwent pure eccentric down jumps (9 x 28 isolated down jumps in 90 min, drop from a height of 55 cm), a cycle exercise (90% of the individual anaerobic threshold for 60-90 min) and a control experiment on different days. Blood samples were drawn after a 30-min rest, immediately, and 2 h after exercise. After the cycle exercise, a clear shortening by 12% (P<0.001) in aPTT and an increase in TTPin (13%; P<0.05) and TAT (33%; P<0.05) in comparison to the control experiment were seen, while after eccentric exercise only minimal changes in aPTT and thrombin potential (TTPin, ETPin) and no thrombin generation (F1 + 2 and TAT) were found. In contrast to concentric dynamic exercise, e.g. cycle ergometry, only insignificant changes in thrombin potential and no thrombin generation could be observed after skeletal muscle damage induced by pure eccentric exercise. It can be concluded that the mechanical impact associated with eccentric exercise does not activate blood coagulation.
authors.affiliation: Department of Sports Medicine, Friedrich-Schiller-University Jena, Wöllnitzerstr. 42, 07749 Jena, Germany. thomas.hilberg@uni-jena.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Hilberg
authors.forename: Doreen
authors.initials: D
authors.lastname: Gläser
authors.forename: Dagmar
authors.initials: D
authors.lastname: Prasa
authors.forename: Jörg
authors.initials: J
authors.lastname: Stürzebecher
authors.forename: Holger H W
authors.initials: HH
authors.lastname: Gabriel
mesh_terms: D000328:Adult; D001777:Blood Coagulation / Q000502:physiology*; D001780:Blood Coagulation Tests; D012090:Cumulative Trauma Disorders / Q000097:blood / Q000209:etiology / Q000503:physiopathology; D026241:Exercise Movement Techniques / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries / Q000502:physiology*; D010807:Physical Endurance / Q000502:physiology*; D005082:Physical Exertion / Q000502:physiology*