Advertisement
Research Article| Volume 64, ISSUE 4, P223-227, December 20, 2009

Download started.

Ok

The effect of short-term aerobic training on coagulation and fibrinolytic factors in sedentary healthy postmenopausal women

      Abstract

      Objective

      The purpose of this study was to assess the effect of short-term aerobic training on the fibrinolytic and coagulative factors in postmenopausal women.

      Study design

      Twenty volunteer sedentary healthy postmenopausal women (48–53 years), who entered the menopause naturally, were divided randomly into two groups: training (n = 10) and control (n = 10).

      Methods and main outcome measures

      Training consisted of 10 sessions of submaximal aerobic cycling, 35 min for each session (5 min warm-up, 25 min aerobic training with 70% HRmax, 5 min active and 15 min passive recovery), 3 times a week. Coagulation and fibrinolytic factors were assessed both before and after aerobic program in both groups.

      Results

      Fibrinogen, von Willbrand factor (vWF-Ag) antigen, plasminogen activator inhibitor-1 activity (PAI-1:Ac) and antigen (PAI-1:Ag) showed significant reduction after 10 sessions in the training group (P < 0.05). Also after training, prothrombin time (PT), partial thromboplastin time (PTT), tissue plasminogen activator activity (tPA:Ac) and antigen (tPA:Ag) increased (P < 0.05).

      Conclusion

      It was concluded that fibrinolytic activity on postmenopausal women could be improved by a 3-week regular submaximal training program. These changes on the hemostatic factors suggest that short-term aerobic training may prevent the decline in fibrinolytic function observed in sedentary postmenopausal women.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Maturitas
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Thom T.
        • Haase N.
        • Rosamond W.
        • et al.
        Heart Disease and Stroke Statistics 2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommitee.
        Circulation. 2006; 113: e85-e151
      1. Speroff L. Fritz M.A. Clinical gynecologic endocrinology and infertility. Lippincott Williams & Wilkins, Washington2004
        • DeWood Ma
        • Spores J.
        • Notske R.
        • et al.
        Prevalence of total coronary occlusion during the early hours of transmural myocardial infarction.
        N Engl J Med. 1980; 303: 897-902
        • Jansson J.H.
        • Olofsson B.O.
        • Nilsson T.K.
        Predictive value of tissue plasminogen activator mass concentration on long-term mortality in patients with coronary artery disease: a 7-year follow-up.
        Circulation. 1993; 88: 2030-2034
        • DeSouza C.A.
        • Jones P.P.
        • Seals D.R.
        Physical activity status and adverse age-related differences in coagulation and fibrinolytic factors in women.
        Arterioscler Thromb Vasc Biol. 1998; 18: 362-368
      2. Lobo RA, Kelsey J, Marcus R, Editors. Menopause Biology and Pathology. Academic Press, San Diego, California, 9210I–4495, USA. 2000.

        • Kushi L.H.
        • Fee R.M.
        • Folsom A.R.
        • Mink P.J.
        • Anderson K.E.
        • Sellers T.A.
        Physical activity and mortality in postmenopausal women.
        JAMA. 1997; 277: 1287-1292
        • Manson J.E.
        • Greenland P.
        • LaCroix A.Z.
        • et al.
        Walking compared with vigorous exercise for the prevention of cardiovascular events in women.
        N Engl J Med. 2002; 347: 716-725
        • Lemaitre R.N.
        • Heckbert S.R.
        • Psaty B.M.
        • Siscovick D.S.
        Leisure-time physical activity and the risk of non-fatal myocardial infarction in postmenopausal women.
        Arch Intern Med. 1995; 155: 2302-2308
        • Szymanski L.M.
        • Pate R.R.
        • Durstine J.L.
        Effects of maximal exercise and venous occlusion on fibrinolytic activity in physically active and inactive men.
        J Appl Physiol. 1994; 77: 2305-22310
        • Schuit A.J.
        • Schouten E.G.
        • Kluft C.
        • deMaat M.
        • Menheere P.P.
        • Kok F.J.
        Effect of strenuous exercise on fibrinogen in healthy elderly men and women.
        Thromb Haemost. 1997; 78: 845-851
        • Weise S.D.
        • Grandjean P.W.
        • Rohack J.J.
        • Womack J.W.
        • Crouse S.F.
        Acute changes in blood lipids and enzymes in postmenopausal women after exercise.
        J Appl Physiol. 2005; 99: 609-615
        • Fairey A.S.
        • Courneya K.S.
        • Field C.J.
        • et al.
        Effect of exercise training on C-reactive protein in postmenopausal brest cancer survivors.
        Brain Behav Immun. 2005; 19: 381-388
        • DeSouza C.A.
        • Stevenson E.T.
        • Davy K.P.
        • Jones P.P.
        • Seals D.R.
        Plasma fibrinogen levels in healthy postmenopausal women: physical activity and hormone replacement status.
        J Gerontol A Biol Sci Med Sci. 1997; 52: M294-M298
        • Stevenson E.T.
        • Davy K.P.
        • Seals D.R.
        Hemostatic, metabolic, and androgenic risk factors for coronary heart disease in physically active and less active postmenopausal women.
        Arterioscler Thromb Vasc Biol. 1995; 15: 669-677
        • Rankinen T.
        • Rauramaa R.
        • Vaisanen S.
        • et al.
        Inverse relationship between physical activity and plasma fibrinogen in postmenopausal women.
        Atherosclerosis. 1993; 102: 181-186
      3. Pollock M.L. Wilmore J.H. Exercise in health and disease: evaluation and prescription for prevention and rehabilitation. Saunders, Philadelphia1990
        • De Fijter W.M.
        • de Fijter C.W.
        • Oe P.L.
        • ter Wee P.M.
        • Donker A.J.
        Assessment of total body water and lean body mass from anthropometry, Watson formula, creatinine kinetics, and body electrical impedance compared with antipyrine kinetics in peritoneal dialysis patients.
        Nephrol Dial Transplant. 1997; 12: 151-156
        • Lee I.M.
        • Rexrode K.M.
        • Cook N.R.
        • Manson J.E.
        • Buring J.E.
        Physical activity and coronary heart disease in women: “is no pain, no gain” passé?.
        JAMA. 2001; 285: 1447-1454
        • Szymanski L.M.
        • Kessler C.M.
        • Fernhall B.
        Relationship of physical fitness, hormone replacement therapy, and hemostatic risk factors in postmenopausal women.
        J Appl Physiol. 2005; 98: 1341-1348
        • Szymansky L.M.
        • Pate R.R.
        Fibrinolytic responses to moderate intensity exercise Comparison of physically active men.
        Arterioscler Thromb. 1994; 14: 1746-1750
        • Koenig W.
        • Ernst E.
        Exercise and thrombosis.
        Coron Artery Dis. 2000; 11: 123-127
        • Kannel W.B.
        • Wolf P.A.
        • Castelli W.P.
        • D’Agostino R.A.
        Fibrinogen and risk of cardiovascular disease. The Framingham Study.
        JAMA. 1987; 258: 1183-1186
        • Gensini G.F.
        • Micheli S.
        • Prisco D.
        • Abbate R.
        Menopause and risk of cardiovascular disease.
        Thromb Res. 1996; 84: 1-19
        • Kannel W.B.
        • D’Agostino R.B.
        • Belanger A.J.
        Fibrinogen, cigarette smoking, and risk of cardiovascular disease: insights from the Framingham study.
        Am Heart J. 1987; 113: 1006-1010
        • Kario K.
        • Matsuo T.
        Lipid-related hemostatic abnormalities in the elderly: imbalance between coagulation and fibrinolysis.
        Atherosclerosis. 1993; 103: 131-138
        • Hamsten A.
        The hemostatic system and coronary heart disease.
        Thromb Res. 1993; 70: 1-38
        • Stefanick M.L.
        • Legault C.
        • Tracy R.P.
        • et al.
        Distribution and correlates of plasma fibrinogen in middle-aged women: initial findings of the Postmenopausal Estrogen/Progestin Interventions (PEPI) study.
        Arterioscler Thromb Vasc Biol. 1995; 15: 2085-2093
        • Krobot K.
        • Hense H.W.
        • Cremer P.
        • Eberle E.
        • Keil U.
        Determinants of plasma fibrinogen: relation to body weight, waist-to-hip ratio, smoking, alcohol, age, and sex: results from the second MONICA Augsburg Survey 1989–1990.
        Arterioscler Thromb. 1992; 12: 780-788
        • Chandler W.L.
        • Schwartz R.S.
        • Stratton J.R.
        • Vitiello M.V.
        Effects of endurance training on the circadian rhythm of fibrinolysis in men and women.
        Med Sci Sports Exerc. 1996; 28: 647-655
        • Otterstetter R.
        • Szymanski L.M.
        • Kamimori G.H.
        • Kessler C.M.
        • Gold M.R.
        • Fernhall B.
        Hemostatic responses to maximal exercise in oral contraceptive users.
        Am J Obstet Gynecol. 1999; 181: 958-963
        • Bodary P.F.
        • Yasuda N.
        • Watson D.D.
        • Brown A.S.
        • Davis J.M.
        • Pate R.R.
        Effects of short-term exercise training on plasminogen activator inhibitor (PAI-1).
        Med Sci Sports Exerc. 2003; 35: 1853-1858
        • Fras Z.
        • Keber D.
        • Chandler W.L.
        The effect of submaximal exercise on fibrinolysis.
        Blood Coagul Fibrinolysis. 2004; 15: 227-234
        • Piccone G.
        • Fazio F.
        • Giudice E.
        • Grasso F.
        • Caola G.
        Exercise-induced change in clotting times and fibrinolytic activity during official 1600 and 2000 meters trot races in standard horses.
        Acta Vet Brno. 2005; 74: 509-514
        • Stratton J.R.
        • Chandler W.L.
        • Schwartz R.S.
        • et al.
        Effect of physical conditioning on fibrinolytic variables and fibrinogen in young and old healty adults.
        Circulation. 1991; 83: 1692-1697
        • Paton C.M.
        • Nagelkirk P.R.
        • Coughlin A.M.
        • et al.
        Changes in von Willebrand factor and fibrinolysis following a post-exercise cool-down.
        Eur J Appl Physiol. 2004; 92: 328-333
        • Saenko E.L.
        • Yakhyaev A.V.
        • Mikhailenko I.
        • Strickland D.K.
        • Sarafanov A.G.
        Role of low density lipoprotein-related protein receptor in mediation of factor VIII catabolism.
        J Biol Chem. 1999; 274: 37685-37692