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Blood platelet activation and increase in thrombin activity following a marathon race

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Summary

To see whether strenuous prolonged exertion increases blood platelet activation and thrombin activity in healthy well-trained men, 16 male amateur runners (mean age 31,8) were studied. A marathon race (mean time 2 h 44 min 30 s) caused a significant increase in plasma Β-thromboglobulin (Β-TG), platelet factor 4 (PF4), fibrinopetide A (FPA) and factor VIII (F VIII) activity. Sixty min after exertion Β-TG and F VIII activity were still significantly elevated. FPA continued to rise, reaching peak values 60 min after the run. 22 h after finishing the race F VIII activity was still significantly elevated. The study has demonstrated the great inter-individual variability of marathon race-induced haemostatic changes. The elevation of Β-TG varied from 42% to 156%, F VIII from 112% to 625%, and in three runners FPA reached more than 900% of its pre-exercise value. In some individuals the haemostatic changes observed could be potentially unfavourable for coronary heart disease prevention.

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Supported by Bundesinstitut für Sportwissenschaft, Köln

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Röcker, L., Drygas, W.K. & Heyduck, B. Blood platelet activation and increase in thrombin activity following a marathon race. Europ. J. Appl. Physiol. 55, 374–380 (1986). https://doi.org/10.1007/BF00422736

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