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Fibrinolytic Activity of Blood and its Determinants in Healthy Medical Students
Nazeem I Siddqui1, M Shoeb2, S Bose3
1Professor, Department of Physiology, Sri Aurobindo Medical College & Post Graduate Institute , Indore, India .
Insights
Gender, body mass index, and menstrual cycle phases significantly impact blood fibrinolytic activity. These factors influence clot breakdown and may affect risks for cardiovascular and thromboembolic diseases.
Area of Science:
- Hematology
- Physiology
- Endocrinology
Background:
- Reduced fibrinolytic activity prolongs blood clot breakdown time, increasing hypercoagulable states.
- Low fibrinolytic activity is linked to higher risks of coronary artery disease, stroke, and thromboembolic events.
Purpose of the Study:
- To investigate the influence of gender, diet, BMI, physical activity, and menstrual cycle on fibrinolytic activity in healthy individuals.
- To identify key factors affecting blood clot lysis time in a young, healthy population.
Main Methods:
- Cross-sectional study involving 206 healthy medical students (ages 17-23).
- Collected data on anthropometrics, diet, physical activity, and menstrual history.
- Measured fibrinolysis time using the Euglobulin Lysis Time (ELT) method on fasting venous blood samples.
Main Results:
- Significant gender differences observed in mean fibrinolytic activity (p=0.002).
- Fibrinolytic activity showed a significant correlation with Body Mass Index (BMI) (p=0.001) and menstrual cycle phases (p=0.004).
- No significant relationship found between fibrinolytic activity and diet or physical activity (p>0.05).
Conclusions:
- Gender, BMI, and menstrual cycle phase are significant determinants of blood fibrinolytic activity.
- Hormonal fluctuations, endometrial factors, and PAI-I from adipocytes may explain these observed influences.
- Findings highlight the complex interplay of physiological factors affecting hemostasis.
Background:
Decreased fibrinolytic activity results in longer fibrinolysis time of blood and an increased propensity for hypercoagulable states of blood. Subjects with less fibrinolytic activity are prone to coronary artery disease, stroke and thromboembolic phenomena.
Aim:
The study aims to identify the impact of gender, dietary habits, body mass index, physical activity level and menstrual cycle on fibrinolytic activity in healthy subjects.
Settings And Design:
Cross-sectional study on randomly selected 206 healthy medical students aged 17 to 23 years.
Materials And Methods:
Anthropometric measurements, dietary habits, physical activity level and menstrual history were obtained. Fibrinolysis time of fasting venous blood sample was determined by Euglobulin Lysis Time (ELT) method.
Results:
Highly significant gender difference was noted in mean fibrinolytic activity (p=0.002). Mean fibrinolytic activity also showed a significant relationship with BMI (p=0.001) and with different phases of menstrual cycle in females (p=0.004). However, such relationship was not observed with diet and physical activity (p>0.05) in boys and girls.
Conclusion:
Gender difference, body mass index and menstrual cycle phases have influences on the fibrinolytic activity of blood. This might be due to cyclical changes in the sex hormones levels, endometrium-derived plasmin and plasminogen activators and excess production of plasminogen activator inhibitor type-1 (PAI-I) in visceral adipocytes.
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