235. Effects of High Intensity Interval Training on Hemostasis

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235. Effects of High Intensity Interval Training on Hemostasis

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Syllabus

Acknowledgments iii
Table of Contents iv
List of Tables vii
List of Figures ix
List of Appendices xi
List of Abbreviations xii
Chapter 1 Review of Literature 1
1 Introduction 1
2 Background 2
2.1 Physiological Pathways of Hemostasis and Fibrinolysis 2
2.2 Effects of Stress on Hemostasis and Fibrinolysis 5
2.3 Exercise and Hemostasis 7
2.3.1 Acute Exercise 7
2.3.2 Chronic Exercise 8
2.4 Driving Mechanisms of Hemostasis During Exercise 9
2.4.1 Acute Exercise 9
2.4.2 Chronic Exercise 10
2.5 Exercise and Fibrinolysis 12
2.5.1 Acute Exercise 12
2.5.2 Chronic Exercise 13
2.6 Driving Mechanisms of Fibrinolysis During Exercise 14
2.6.1 Acute Exercise 14
2.6.2 Chronic Exercise 14
2.7 Exercise and Catecholamines 18
2.7.1 Acute Exercise 18
2.7.2 Chronic Exercise 18
2.7.3 Catecholamine Effects on Hemostasis and Fibrinolysis 18
2.8 The Intensity Factor 22

2.9 High Intensity Interval Training 24
2.10 Evaluating Hemostasis and Fibrinolysis 25
2.10.1 Traditional Coagulation Tests 25
2.10.2 Thromboelastography and Rotational Thromboelastometry 25
3 Summary and Rationale 30
3.1 Study Objectives 30
3.2 Hypotheses 31
Chapter 2 Methods 32
2.1 Participants 32
2.2 Experimental Design 32
2.2.1 Body Composition Assessment 34
2.2.2 Familiarization Trial 34
2.2.3. Maximal Exercise Test 1 35
2.2.4. High Intensity Interval Training Session One 35
2.2.5 High Intensity Interval Training Sessions One to Six 36
2.2.6. Maximal Exercise Test 2 36
2.3 Blood Sampling 38
2.4 Plasma Volume Correction 39
2.5 Blood Analyses 40
2.5.1 Hematology 40
2.5.2 Clinical Coagulation Tests 40
2.5.3. Viscoelastic Hemostatic Assays 40
2.5.4. Catecholamine Quantification 42
2.6. Statistical Analyses 43
Chapter 3 Results 44
3.1 Anthropometry and Fitness 44
3.2 Hematology: One HIIT Session 45
3.3 Hematology: Six HIIT Sessions 46
3.4 Tests of Partial Thromboplastin Time and the International Normalized Ratio 50
3.5 Thromboelastography: One HIIT Session 51
3.6 Rotational Thromboelastometry: One HIIT Session 51
3.7 Thromboelastography: Six HIIT Sessions 54
3.8 Rotational Thromboelastometry: Six HIIT Sessions 54
3.9 Catecholamines: One HIIT Session 60

3.10 Catecholamines: Six HIIT Sessions 60
3.11 Correlation: Hemostasis and Sympathetic Nervous System Activity 64
3.12 Correlation: Thromboelastography and Rotational Thromboelastometry 66
Chapter 4 Discussion 68
4.1 Summary 68
4.2 Fitness Adaptations With Training 68
4.3 Changes in Hematology with Acute HIIT 69
4.4 Changes in Hematology with Training 71
4.5 Effects of Training on Clinical Coagulation Tests 72
4.6 TEG and ROTEM: One HIIT Session 73
4.7 Catecholamines: One HIIT Session 76
4.8 TEG and ROTEM: Six HIIT Sessions 77
4.9 Catecholamines: Six HIIT Sessions 79
4.10 Study Limitations 81
4.11 Prospective Research 82
4.12 Conclusion 83
References 84
Appendices 98

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