Evaluation of the effect of obesity on selected haemostatic and fibrinolytic parameters in peri- and postmenopausal women
Polac I, Stetkiewicz T, Stachowiak G, Jedrzejczyk S, Pertynski T, Pakalski A, Kowalska E.
Klinika Ginekologii i Chorob Menopauzy Instytutu Centrum Zdrowia Matki Polki w Lodzi.
Localization of adipose tissue influence on obesity-dependent diseases. In obese people many abnormalities are observed connected with coagulation factors and fibrinolysis. We studied 47 peri- and postmenopausal female patients, who were operated on for benign changes within the pelvis minor. The patients were divided according to BMI (group I--BMI <25 kg/m2, group II--BMI > 29 kg/m2). In obese women lower SHBG concentration, higher insulin and glucose fasting blood levels, higher LDL, higher total fatty tissue content, higher fibrinogen level and elevated PAI-1 activity were found. A positive correlation between area under insulin curve and PAI-1 activity and a negative correlation between fasting insulin levels and tPA were also observed.
Based on the studies performed it can be said that:
1. Fatty tissue content in postmenopausal women exerts an influence on PAI-1 activity.
2. Obesity influences coagulation and fibrinolysis system in peri- and postmenopausal women.
3. Carbohydrate metabolism disturbances have influence on PAI-1 activity in peri- and postmenopausal women.
PMID: 12474565 [PubMed - indexed for MEDLINE]
Pol Merkur Lekarski. 2002 Sep;13(75):182-4
