Obesity

Selected biomarkers of coagulation, inflammation, and vascular tone in young women with normal weight obesity

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Young women with NWO exhibit subclinical endothelial dysfunction, which is characterized primarily by a pro-thrombotic state and disturbed angio-inflammatory balance. These changes occur even before the onset of overt metabolic or cardiovascular disease.

Study context

Population
Young women (median age 20) with normal Body Mass Index (BMI) (18.5–24.9 kg/m²)
Participants
176 women
Exposure
Normal Weight Obesity (NWO) vs normal-weight controls
  • NWOn = 88
  • NWn = 88reference
Outcome
Serum endothelial dysfunction biomarkers (tPA, vWF, Ang-1, NO, hs-CRP)

Main finding

As reported in the abstract

tPA, vWF and Ang-1
GroupValueVon Willebrand factor (vWF) (ng/ml)Ang-1 (pg/ml)
NWO1.86 ng/ml72.24515.3
NW1.48 ng/ml63.62491.63

Value

NWO1.86 ng/ml
NW1.48 ng/ml

Von Willebrand factor (vWF) (ng/ml)

NWO72.24
NW63.62

Ang-1 (pg/ml)

NWO515.3
NW491.63
  • NWO vs NW: P = 0.038
  • NWO vs NW: P = 0.038
  • NWO vs NW: P = 0.008

Observational data: associations, not effects.

Further findings

Principal component analysis of endothelial biomarkers

Three components (Coagulation: tPA, vWF; Inflammation/Angiogenesis: High-sensitivity C-reactive protein (hs-CRP), Ang-1; Vasodilation: Nitric Oxide (NO)) explained total variance
71.68%

Original publication

Selected biomarkers of coagulation, inflammation, and vascular tone in young women with normal weight obesity. Int J Obes (Lond). Published 4 August 2026. doi:10.1038/s41366-026-02127-x

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