The association of PAI-1 with body fat distribution in Africans is unclear.
PAI-1 did not differ between SO and non-sarcopenic obese women.
Fat distribution and degree of obesity influenced the association of PAI-1 with metabolic co-variates.
Abdominal SCAT is an important contributor to plasma PAI-1 in centrally obese women.
Body fat % did not contribute significantly to PAI-1 variance in obese African women.