Sundell I B, Nilsson T K, Rånby M, Hallmans G, Hellsten G
Department of Pathology, Umeå University, Sweden.
J Clin Epidemiol. 1989;42(8):719-23. doi: 10.1016/0895-4356(89)90067-x.
Levels of the fibrinolytic variables, tissue plasminogen activator (tPA) antigen concentration and plasminogen activator inhibitor (PAI-1) activity, were measured in a cross sectional sample of 260 subjects aged 30, 40, 50, or 60 years. There was a significant increase of tPA with age in both sexes, but PAI-1 increased only in women. Linear regression analysis was used to assess relations between tPA or PAI-1 and the anthropometric data. In men, tPA levels were related to body mass index and waist-to-hip ratio, whereas in women, it was also related to systolic and diastolic blood pressures and with abdominal or triceps skinfold thicknesses. PAI-1 levels were related to body mass index and waist-to-hip ratio in men, and in women it was in addition related to systolic and diastolic blood pressures and to abdominal and triceps skinfold thicknesses. These data offer new insight into pathophysiological mechanisms whereby age, sex, blood pressure, and body composition variables such as body mass index or waist-to-hip ratio, might act as cardiovascular risk factors.
在一个由260名年龄分别为30、40、50或60岁的受试者组成的横断面样本中,测量了纤溶变量、组织纤溶酶原激活物(tPA)抗原浓度和纤溶酶原激活物抑制剂(PAI - 1)活性。男女两性的tPA水平均随年龄显著增加,但PAI - 1仅在女性中增加。采用线性回归分析来评估tPA或PAI - 1与人体测量数据之间的关系。在男性中,tPA水平与体重指数和腰臀比有关,而在女性中,它还与收缩压和舒张压以及腹部或肱三头肌皮褶厚度有关。PAI - 1水平在男性中与体重指数和腰臀比有关,在女性中,它还与收缩压和舒张压以及腹部和肱三头肌皮褶厚度有关。这些数据为年龄、性别、血压以及体重指数或腰臀比等身体成分变量可能作为心血管危险因素的病理生理机制提供了新的见解。