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Reduced fibrinogen, fibrinolytic biomarkers, and physical parameters after a weight-loss program in obese subjects
Che Badariah Abdul Aziz1, Norsuhana Omar1, Wan Zaidah Abdullah2
1Department of Physiology, School of Medical Sciences, Kelantan, Malaysia.
Insights
A 12-week weight-loss program significantly reduced fibrinogen and fibrinolytic markers in obese individuals. This intervention improved key hemostatic parameters, suggesting benefits for cardiovascular health.
Area of Science:
- Obesity research
- Cardiovascular health
- Hemostasis and thrombosis
Background:
- Obesity is linked to increased risk of stroke and coronary heart disease (CHD).
- Disturbances in the hemostatic system contribute to these comorbidities in obese individuals.
Purpose of the Study:
- To investigate the impact of a structured weight-loss program on fibrinogen and fibrinolytic markers.
- To assess changes in key hemostatic factors following a 12-week intervention.
Main Methods:
- Twenty-eight obese participants underwent a 12-week program combining exercise and nutritional education.
- Blood samples were analyzed pre- and post-intervention for fibrinogen, tissue plasminogen activator (t-PA), plasminogen activator inhibitor-1 (PAI-1), and thrombin activatable fibrinolysis inhibitor (TAFI).
Main Results:
- Significant reductions were observed in fibrinogen, t-PA, PAI-1, and TAFI levels post-intervention (P < 0.01).
- Positive correlations were found between tPA levels and body weight, BMI, waist circumference, and fat-free mass.
- BMI also showed significant correlations with other measured blood parameters.
Conclusions:
- The weight-loss program effectively reduced fibrinogen and fibrinolytic markers in obese subjects.
- These findings indicate potential beneficial effects of weight reduction on the hemostatic system, particularly fibrinolytic biomarkers.
Background:
Obese subjects are at risk of multiple comorbidities including stroke and coronary heart disease (CHD), which is partly due to disturbances in the hemostatic system.
Aims:
The aims of the present study were to determine the effects of a weight-loss program on fibrinogen and fibrinolytic markers.
Materials And Methods:
Twenty-eight obese subjects were involved in a weight-loss program consisted of exercise and nutritional education for 12-weeks duration. Physical parameters were documented and blood specimen was tested at pre and post-intervention for fibrinogen, tissue plasminogen activator (t-PA), plasminogen activator inhibitor-1 (PAI-1), and thrombin activatable fibrinolysis inhibitor (TAFI). Paired t-test was used for statistical analysis.
Results:
There was a significant decline in the levels of t-PA, PAI-I, TAFI and fibrinogen following the weight-loss program (P < 0.01 for each). A significant positive correlation between tPA levels and body weight, body mass index (BMI), waist circumference, and fat-free mass were found. There was also a significant correlation betwen BMI and other blood parameters.
Conclusion:
Reduced fibrinogen, fibrinolytic, and physical parameters were demonstrated in obese subjects following the weight reduction program. These findings suggest the possible beneficial effects of this program on the hemostatic burden particularly on the fibrinolytic biomarkers.
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