Display options
Share it on

J Clin Diagn Res. 2015 Jun;9(6):CC05-7. doi: 10.7860/JCDR/2015/12483.6017. Epub 2015 Jun 01.

Fibrinolytic Activity of Blood and its Determinants in Healthy Medical Students.

Journal of clinical and diagnostic research : JCDR

Nazeem I Siddqui, M Shoeb, S Bose

Affiliations

  1. Professor, Department of Physiology, Sri Aurobindo Medical College & Post Graduate Institute , Indore, India .
  2. Assistant Professor Department of Biotechnology, SSMV , Bhilai (C.G.), India .
  3. Director Professor, Department of Physiology & Director Medical Education, Sri Aurobindo Medical College & Post Graduate Institute , Indore, India .

PMID: 26266114 PMCID: PMC4525503 DOI: 10.7860/JCDR/2015/12483.6017

Abstract

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.

Keywords: Coronary artery disease; Fibrinolysis time; Hypercoagulable states; Menstrual cycle; Stroke

References

  1. Br J Haematol. 2009 Apr;145(1):121-7 - PubMed
  2. Thromb Res. 1999 Jul 1;95(1):31-6 - PubMed
  3. Ups J Med Sci. 1989;94(2):137-52 - PubMed
  4. Blood. 1991 Dec 15;78(12):3114-24 - PubMed
  5. N Engl J Med. 2004 Jun 10;350(24):2438-40 - PubMed
  6. Circulation. 2004 May 11;109(18):2181-5 - PubMed
  7. Am J Obstet Gynecol. 1994 Jul;171(1):178-83 - PubMed
  8. Public Health Nutr. 2003 Jun;6(4):407-13 - PubMed
  9. PLoS Med. 2008 May 6;5(5):e97 - PubMed
  10. Diabetes Care. 2009 May;32(5):791-6 - PubMed
  11. J Clin Endocrinol Metab. 2001 Nov;86(11):5389-95 - PubMed
  12. Platelets. 2007 Nov;18(7):515-21 - PubMed
  13. Proc Natl Sci Counc Repub China B. 1993 Jan;17(1):35-9 - PubMed
  14. Blood Coagul Fibrinolysis. 2002 Jul;13(5):443-7 - PubMed
  15. J Am Coll Cardiol. 2010 Jun 15;55(24):2701-9 - PubMed
  16. JAMA. 1999 Dec 8;282(22):2131-5 - PubMed
  17. PLoS One. 2012;7(11):e48881 - PubMed
  18. Obes Rev. 2002 May;3(2):85-101 - PubMed
  19. Nutr Metab Cardiovasc Dis. 2009 Jul;19(6):440-9 - PubMed
  20. Thromb Res. 2009;123 Suppl 4:S46-9 - PubMed
  21. J Am Coll Cardiol. 2005 May 17;45(10):1563-9 - PubMed
  22. Thromb Haemost. 1984 Oct 31;52(2):127-30 - PubMed
  23. Int J Epidemiol. 1994 Oct;23(5):991-9 - PubMed
  24. Lancet. 1993 Oct 30;342(8879):1076-9 - PubMed
  25. Gastroenterology. 2001 Jul;121(1):131-9 - PubMed

Publication Types