Seasonal and individual characteristics of the response of the fibrinolytic system of blood to physical exercise

Abstract

The response of the fibrinolytic system of the blood of 33 untrained subjects (16 males and 17 females 18 years old) to a single 20 min bicycle ergometric large capacity load (N male = 2.66 W/kg, N female = 2.3 W/kg) was studied for 1 year. It is known that the blood fibrinolytic activity at rest has seasonal characteristics: it is relatively high in autumn and spring and low in winter and summer. On average, physical activity in winter and summer stimulates the blood clot lysis, whereas in autumn and spring this stimulation is not observed. The direction and intensity of the response of the fibrinolytic system to exercise have individ ual features: in autumn and spring they depend on its initial state (increase when the blood FA is low and decrease when it is high) and fluctuate widely, whereas in winter and summer this dependence is not observed. According to the direction of response to the load and its persistence, three types of responses can be distin guished: (a) hyperfibrinolytic, which is characterized by an increase in FA during exercise throughout the year, with a constantly low initial level of fibrinolytic activity at rest; (b) hypofibrinolytic, which is characterized by a stable suppression of fibrinolysis after exercise regardless of the season and the initial level of fibrinolytic activ ity, with a high fibrinolytic activity at rest in autumn and spring and a low fibrinolytic activity in winter and summer; and (c) unstable, in which the direction of the response of the fibrinolytic system to exercise varies. It is concluded that the development of thromboembolic complications after exercise can be expected with the highest and lowest probability in the subjects with the hypofibrinolytic and hyperfibrinolytic response, respectively.