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Compression socks and the effects on coagulation and fibrinolytic activation during marathon running





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Abstract
Purpose: Compression socks are frequently used in the treatment and prevention of lower-limb pathologies; however, whencombined with endurance-based exercise, the impact of compression socks on haemostatic activation remains unclear.Objectives: To investigate the effect of wearing compression socks on coagulation and fibrinolysis following a marathon.Methods: Sixty-seven participants [43 males (mean±SD: age: 46.7±10.3 year) and 24 females (age: 40.0±11.0 year)] wereallocated into a compression (SOCK, n=34) or control (CONTROL, n=33) group. Venous blood samples were obtained24 h prior to and immediately POST-marathon, and were analyzed for thrombin–anti-thrombin complex (TAT), tissue factor(TF), tissue factor pathway inhibitor (TFPI), and D-Dimer.Results: Compression significantly attenuated the post-exercise increase in D-Dimer compared to the control group [median(range) SOCK: +9.02 (−0.34 to 60.7) ng/mL, CONTROL: +25.48 (0.95–73.24) ng/mL]. TF increased following the marathon run [median (range), SOCK: +1.19 (−7.47 to 9.11) pg/mL, CONTROL: +3.47 (−5.01 to 38.56) pg/mL] in all runners.No significant post-exercise changes were observed for TAT and TFPI.Conclusions: While activation of coagulation and fibrinolysis was apparent in all runners POST-marathon, wearing compression socks was shown to reduce fibrinolytic activity, as demonstrated by lower D-Dimer concentrations. Compression mayreduce exercise-associated haemostatic activation when completing prolonged exercise.
Item Type: | Article |
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Authors/Creators: | Zadow, EK and Adams, MJ and Wu, SSX and Kitic, CM and Singh, I and Kundur, A and Bost, N and Johnston, ANB and Crilly, J and Bulmer, AC and Halson, SL and Fell, JW |
Keywords: | compression, D-dimer, Tissue factor, Tissue factor pathway inhibitor, Thrombin anti-thrombin complexes |
Journal or Publication Title: | European Journal of Applied Physiology |
Publisher: | Springer |
ISSN: | 1439-6319 |
DOI / ID Number: | 10.1007/s00421-018-3929-5 |
Copyright Information: | Copyright 2018 Springer-Verlag GmbH Germany, part of Springer Nature |
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