title: Reduced fibrinogen, fibrinolytic biomarkers, and physical parameters after a weight-loss program in obese subjects.
abstract: 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.
  
  
  OBJECTIVE
  The aims of the present study were to determine the effects of a weight-loss program on fibrinogen and fibrinolytic markers.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Physiology, School of Medical Sciences, Kelantan, Malaysia.
authors.forename: Che Badariah Abdul
authors.initials: CB
authors.lastname: Aziz
authors.affiliation: Department of Physiology, School of Medical Sciences, Kelantan, Malaysia.
authors.forename: Norsuhana
authors.initials: N
authors.lastname: Omar
authors.affiliation: Department of Haematology, School of Medical Sciences, Kelantan, Malaysia.
authors.forename: Wan Zaidah
authors.initials: WZ
authors.lastname: Abdullah
authors.affiliation: Department of Community Medicine, School of Medical Sciences, Kelantan, Malaysia.
authors.forename: Rohana Abdul
authors.initials: RA
authors.lastname: Jalil
authors.affiliation: School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
authors.forename: Wan Suriati Wan
authors.initials: WS
authors.lastname: Nik
authors.affiliation: Department of Physiology, School of Medical Sciences, Kelantan, Malaysia.
authors.forename: Rahimah
authors.initials: R
authors.lastname: Zakaria
keywords: Exercise; Fibrinogen; Obese; Plasminogen activator; Plasminogen activator inhibitor-1; Thrombin activatable fibrinolysis inhibitor