Evidence map›Paper›PMID 40025415›Full record

ArticleBMC neurology2025

The impact of physical activity and intensity on clot mechanical microstructure and contraction in middle-aged/older habitual runners.

J C Zaldua, O Watson, D J Gregoire, S Pillai, Y Hellsten, K Hawkins, P A Evans

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

J C ZalduaThe Welsh Centre for Emergency Medicine Research, Emergency Department Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, SA6 6NL, UK.
O WatsonThe Welsh Centre for Emergency Medicine Research, Emergency Department Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, SA6 6NL, UK.
D J GregoireThe Welsh Centre for Emergency Medicine Research, Emergency Department Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, SA6 6NL, UK.
S PillaiThe Welsh Centre for Emergency Medicine Research, Emergency Department Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, SA6 6NL, UK.
Y HellstenThe August Krogh Section for Human Physiology, Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
K HawkinsFaculty of Medicine and Life Health Sciences, Medical School, Swansea University, Swansea, SA6 6NL, UK.
P A EvansThe Welsh Centre for Emergency Medicine Research, Emergency Department Morriston Hospital, Swansea Bay University Health Board, Swansea, Wales, SA6 6NL, UK. phillip.evans2@wales.nhs.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise in healthy individuals is associated with a hypercoagulable phase, leading to a temporary increase in clot mass and strength, which are controlled by an effective fibrinolytic system. Conversely, people with cardiovascular diseases often have a reduced fibrinolytic pathway, increased clot mass and abnormal clot contraction, resulting in poorer outcomes. We assessed clot microstructure, particularly the contractile forces of clot formation, in response to two exercise intensities in middle-aged/older runners.

methodsTwenty-eight habitual male and female runners aged over 40 years completed a 10 km moderate-intensity run; 14 of them performed a 3 km high-intensity run. Blood samples were collected at baseline, immediately postexercise and after 1 h of rest. Clot structural biomarkers d

resultsBoth exercise intensities altered markers of coagulant activity (PT, APTT and FVIII) and fibrinolysis (D-dimer), indicating hypercoagulability. Compared with longer-duration lower-intensity exercise, d

conclusionExercise transiently induces an intensity-dependent hypercoagulable state, resulting in denser clot formation and a reduced clot contractile force due to fibrinolysis. These findings can help guide the safe commencement of rehabilitation exercise programs for cerebrovascular patients.

Indexed as

Blood CoagulationExerciseRunningAdultAgedFemaleFibrin Fibrinogen Degradation ProductsFibrinolysisHumansMaleMiddle AgedFibrin Fibrinogen Degradation ProductsClot contractionClot massClot microstructureEndurance-trainedExerciseMiddle-aged/olderadultsPhysical activityRunners

Identifiers

PMID40025415
PMCPMC11871672

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.