High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction

Metabolic syndrome (MetS) elevates thrombotic risk through dysregulated coagulation factors, including plasminogen activator inhibitor-1 (PAI-1) and fibrinogen, driven by visceral adiposity and metabolic dysfunction. High-intensity interval training (HIIT) improves cardiometabolic health, but its ef...

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Main Authors: Niyousha Ghazbani, Arezoo Razmdideh, Amin Alimohammadi, Danial Bagherzadeh, Ehsan Rezaee Moeini, Mohammad Reza Mozaffari, Mohammad Sadra Roshani Koosha
Format: Article
Language:English
Published: JEOCT publisher 2025-03-01
Series:Journal of Exercise & Organ Cross Talk
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Online Access:https://www.jeoct.com/article_222673_9b2b8057d2e5235b446f426bf74cb79c.pdf
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author Niyousha Ghazbani
Arezoo Razmdideh
Amin Alimohammadi
Danial Bagherzadeh
Ehsan Rezaee Moeini
Mohammad Reza Mozaffari
Mohammad Sadra Roshani Koosha
author_facet Niyousha Ghazbani
Arezoo Razmdideh
Amin Alimohammadi
Danial Bagherzadeh
Ehsan Rezaee Moeini
Mohammad Reza Mozaffari
Mohammad Sadra Roshani Koosha
author_sort Niyousha Ghazbani
collection DOAJ
description Metabolic syndrome (MetS) elevates thrombotic risk through dysregulated coagulation factors, including plasminogen activator inhibitor-1 (PAI-1) and fibrinogen, driven by visceral adiposity and metabolic dysfunction. High-intensity interval training (HIIT) improves cardiometabolic health, but its effects on hemostatic markers in MetS remain underexplored. Twenty-four men with MetS (ATP-III criteria; age 44.4 ± 5.4 years, BMI 31.7 ± 2.3 kg·m⁻²) were randomized to HIIT (n=12) or control (n=12). HIIT comprised 3 sessions/week for 8 weeks (4 × 4-min intervals at 90% HRmax, interspersed with 3-min active recovery at 70% HRmax). Fasting plasma PAI-1, fibrinogen, insulin resistance (HOMA-IR), body composition, and lipid profiles were assessed pre/post-intervention. HIIT significantly reduced PAI-1 (−30.7%, p<0.001) and fibrinogen (−21.8%, p<0.001) versus controls. Concurrent improvements occurred in HOMA-IR (−20.6%, p<0.001), body fat (−3.8%, p<0.05), systolic/diastolic BP (−7.5%/−5.2%, p<0.05), LDL-c (−5.6%), triglycerides (−9.4%), and HDL-c (+3.0%; all p<0.05). Control group exhibited no significant changes. HIIT attenuates prothrombotic risk in MetS, evidenced by reductions in PAI-1 and fibrinogen. These hemostatic improvements are mechanistically linked to ameliorated metabolic dysfunction, highlighting HIIT’s role in modulating adipose tissue–vascular cross talk.
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publishDate 2025-03-01
publisher JEOCT publisher
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series Journal of Exercise & Organ Cross Talk
spelling doaj-art-73eef8e07b454c5a839c4b313a6eb44e2025-08-20T03:58:44ZengJEOCT publisherJournal of Exercise & Organ Cross Talk2783-20742025-03-0151192510.22122/jeoct.2025.528002.1158222673High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunctionNiyousha Ghazbani0Arezoo Razmdideh1Amin Alimohammadi2Danial Bagherzadeh3Ehsan Rezaee Moeini4Mohammad Reza Mozaffari5Mohammad Sadra Roshani Koosha6Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.Department of Physical Education and Sport Sciences, Faculty of Literature, Humanities and Social Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran.Department of Exercise Physiology, Sport Sciences Research Institute, Tehran, Iran.Department of Exercise Physiology, University of Tehran, Tehran, Iran.Department of Physical Education, Islamic Azad University, Tehran, Iran.Metabolic syndrome (MetS) elevates thrombotic risk through dysregulated coagulation factors, including plasminogen activator inhibitor-1 (PAI-1) and fibrinogen, driven by visceral adiposity and metabolic dysfunction. High-intensity interval training (HIIT) improves cardiometabolic health, but its effects on hemostatic markers in MetS remain underexplored. Twenty-four men with MetS (ATP-III criteria; age 44.4 ± 5.4 years, BMI 31.7 ± 2.3 kg·m⁻²) were randomized to HIIT (n=12) or control (n=12). HIIT comprised 3 sessions/week for 8 weeks (4 × 4-min intervals at 90% HRmax, interspersed with 3-min active recovery at 70% HRmax). Fasting plasma PAI-1, fibrinogen, insulin resistance (HOMA-IR), body composition, and lipid profiles were assessed pre/post-intervention. HIIT significantly reduced PAI-1 (−30.7%, p<0.001) and fibrinogen (−21.8%, p<0.001) versus controls. Concurrent improvements occurred in HOMA-IR (−20.6%, p<0.001), body fat (−3.8%, p<0.05), systolic/diastolic BP (−7.5%/−5.2%, p<0.05), LDL-c (−5.6%), triglycerides (−9.4%), and HDL-c (+3.0%; all p<0.05). Control group exhibited no significant changes. HIIT attenuates prothrombotic risk in MetS, evidenced by reductions in PAI-1 and fibrinogen. These hemostatic improvements are mechanistically linked to ameliorated metabolic dysfunction, highlighting HIIT’s role in modulating adipose tissue–vascular cross talk.https://www.jeoct.com/article_222673_9b2b8057d2e5235b446f426bf74cb79c.pdfhigh-intensity interval trainingmetabolic syndromepai-1fibrinogenthrombotic riskhemostasisinsulin resistancevisceral adiposityexercise prescription
spellingShingle Niyousha Ghazbani
Arezoo Razmdideh
Amin Alimohammadi
Danial Bagherzadeh
Ehsan Rezaee Moeini
Mohammad Reza Mozaffari
Mohammad Sadra Roshani Koosha
High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
Journal of Exercise & Organ Cross Talk
high-intensity interval training
metabolic syndrome
pai-1
fibrinogen
thrombotic risk
hemostasis
insulin resistance
visceral adiposity
exercise prescription
title High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
title_full High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
title_fullStr High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
title_full_unstemmed High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
title_short High-intensity interval training modulates thrombotic susceptibility in metabolic syndrome: Attenuation of plasma PAI-1 and fibrinogen via ameliorated metabolic dysfunction
title_sort high intensity interval training modulates thrombotic susceptibility in metabolic syndrome attenuation of plasma pai 1 and fibrinogen via ameliorated metabolic dysfunction
topic high-intensity interval training
metabolic syndrome
pai-1
fibrinogen
thrombotic risk
hemostasis
insulin resistance
visceral adiposity
exercise prescription
url https://www.jeoct.com/article_222673_9b2b8057d2e5235b446f426bf74cb79c.pdf
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