Increased age is associated with a higher risk of thrombotic events. The aim of this study was to investigate the age-related changes in hemostasis before and after moderate exercise controlled by individual anaerobic threshold as recommended for rehabilitation training. In this study, 24 young (25 + 1 years) and 24 middle-aged healthy nonsmokers (48 + 1 years) underwent an individualized exercise test with 80% of individual anaerobic threshold (young individuals: 127 + 6 W; middle-aged individuals: 128 + 5 W; values are expressed as mean + standard error of mean) for 60 minutes. The blood samples were collected before and after the exercise. The age-related higher (P .05) levels could be detected in factors II, VII, VIII, IX, XI, XII, prothrombin fragment 1þ2, in tissue plasminogen activator antigen and activity, as well as in plasminogen. The relative exercise-induced increases in these parameters were similar in both groups, although beginning at a higher level for those in the middle-aged group. A statistically enhanced increase after exercise in the middle-aged group could be shown in prothrombin fragment 1þ2 (young individuals: 98 + 6 to 102 + 6 pmol/L; middle-aged individuals: 138 + 7 to 156 + 8 pmol/L) and in thrombin-antithrombin complex (young individuals: 2.2 + 0.1 to 3.1 + 0.2 mg/L; middle-aged individuals: 2.4 + 0.3 to 3.9 + 0.6 mg/L); the latter only showing a tendency. The data show the age-related changes with a rise in blood coagulation and fibrinolysis in a healthy middle-aged group compared with younger participants. Moderate exercise leads to comparably relative increases in hemostatic parameters but starting at higher levels. However, the exercise-induced thrombin generation (prothrombin fragment 1þ2) is enhanced in the middle-aged participants in comparison with younger participants, but may be compensated by a sufficient fibrinolysis, and therefore the hemostatic system remains in balance.