Obesity and venous thrombosis: a review

Allman-Farinelli, Margaret

doi:10.1055/s-0031-1297369

Cited by 183Venous Thromboembolism Diagnosis and ManagementBlood Coagulation and Thrombosis MechanismsCerebral Venous Sinus Thrombosis

Obesity and venous thrombosis: a review

Allman-Farinelli, Margaret·2011·Seminars in Thrombosis and Hemostasis

DOI 10.1055/s-0031-1297369

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Abstract

The world is experiencing an obesity pandemic, with rates of obesity rising for more than two decades. Obesity is defined as a body mass index (BMI) of 30 kg/m (2) or greater. Of particular concern are the risks that millions of obese people are likely to develop chronic diseases and at earlier ages than their parents might have. The risk of venous thrombosis increases with obesity, so that the incidence of this pathology is also expected to rise significantly. There is remarkable and consistent evidence from a systematic review, as well as cohort and case-control studies that obesity might predispose to venous thromboembolism (VTE). The risk appears to be at least double that for normal weight subjects (BMI 20 to 24.9 kg/m (2)). Plausible mechanisms exist to explain this relationship, including the physical effects of body fat limiting venous return and a proinflammatory, prothrombotic, and hypofibrinolytic milieu. Loss of body weight has been shown to reduce the concentrations of coagulation factors and plasminogen activator inhibitor-1 toward the normal range. Whether weight loss would prevent secondary occurrence of VTE in the absence of anticoagulant therapy could not be discerned from this literature search.

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Obesity significantly elevates the risk of thrombotic complications, including deep vein thrombosis and pulmonary embolism.
“obesity signifi cantly elevates the risk of thrombotic complications, including deep vein thrombosis and pulmonary em bolism, 43”
From Comprehensive Long-Term Changes in Cardiovascular Risk Biomarkers With Tirzepatide (2026) · cites this paper as [43]

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Authors: Allman-Farinelli, M.
Affiliations: The University of Sydney (AU)
Corresponding author: Allman-Farinelli, Margaret
ORCID: Allman-Farinelli, Margaret
Venue: Seminars in Thrombosis and Hemostasis
Publisher: Georg Thieme Verlag KG
Published: 2011-11
Volume: 37
Issue: 08
Pages: 903-907
ISSN: 0094-6176 (ISSN-L)
1098-9064
DOI: 10.1055/s-0031-1297369
OpenAlex: W2328939366
Cited by: 183
References: 36
Citations by year: 2026: 5 · 2025: 9 · 2024: 14 · 2023: 12 · 2022: 12 · 2021: 10 · 2020: 16 · 2019: 4 · 2018: 8 · 2017: 14 · 2016: 13 · 2015: 18 · 2014: 15 · 2013: 21 · 2012: 12
FWCI: 13.35
Type: journal article
Language: en
Open access: closed
Locations: Seminars in Thrombosis and Hemostasis (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
Health Sciences › Medicine › Neurology › Cerebral Venous Sinus Thrombosis
Keywords: obesity, venous thrombosis, venous thromboembolism, body mass index, proinflammatory state, hypercoagulability, hypofibrinolysis, plasminogen activator inhibitor-1, coagulation factors, weight loss
MeSH terms: Female, Humans, Male, Obesity, Risk Factors, Body Mass Index, Venous Thrombosis

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Obesity and venous thrombosis: a review

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