Cited by 321Blood properties and coagulationBlood Coagulation and Thrombosis MechanismsLipoproteins and Cardiovascular Health

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Population correlates of plasma fibrinogen and factor VII, putative cardiovascular risk factors

FOLSOM, A, WU, K, DAVIS, C, CONLAN, M, SORLIE, P, SZKLO, M·1991·Atherosclerosis

DOI 10.1016/0021-9150(91)90167-2

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Abstract

Recent prospective investigations have reported that higher plasma fibrinogen concentrations and higher factor VII coagulant activity are associated with greater risk of cardiovascular disease. To discover what characteristics may influence fibrinogen and factor VII, we analyzed data from the Atherosclerosis Risk in Communities Study obtained from over 12,000 men and women, aged 45-64 years, from four communities in December 1986 to June 1989. Fibrinogen was higher in blacks than whites and in women than men; in general, it increased with age, smoking, body size, diabetes, fasting serum insulin, LDL cholesterol, lipoprotein(a), leukocyte count, and menopause, and it decreased with ethanol intake, physical activity, HDL cholesterol, and female hormone use. Factor VII was higher in women than men and, in women, increased with age; in both sexes, it increased with body size, triglycerides, LDL cholesterol, and HDL cholesterol, and it decreased with ethanol intake. These findings indicate that elevations in fibrinogen and factor VII may be modifiable through appropriate lifestyle changes.

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“Fibrinogen levels also differ by gender and race and have been reported to be higher in women than men and in blacks compared to whites.(68,69,73) Adiponectin is the most abundant circulating adipokine and has both antiatherogenic and -inflammatory effects.”
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“Moreover, in the United States where fibrinogen levels among US-born Blacks are reported to be similar to or higher than those in Whites (8, 9), CHD rates in Blacks are higher than those in Whites while stroke rates are four times higher than in Whites (21), a considerably higher relative risk than in the United Kingd…”
BackgroundResult
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“In adults, body mass index has been shown to have a positive correlation with plasma FVIIc level in a population study.(17)-(41) However, our previous study of subjects older than 60 years did not show any correlation between body mass index and either FVIIc or FVILAg levels.”
Background
Increased Fibrinogen Production in Type 2 Diabetic Patients without Detectable Vascular Complications: Correlation with Plasma Glucagon Concentrations
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“Based on the above observations it is therefore unlikely that these potential confounding factors (38, 39) contributed to the alterations of fibrinogen turnover reported in the current investigation.”
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“This prediabetes phase is associated with many of the abnormalities frequently observed in T2DM, such as endothelial cell (EC) dysfunction [7, 8], elevated PAI-1 [9], fibrinogen[10], coagulation factorVII [11, 12], and inflammatory proteins [13, 14], with similarpatterns seen inhealthy firstdegree relatives of patient…”
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“#1.15 mmol/L 3.46 (0.17) 1.25 (0.09) 452 ( 23 ) 4.9 (0.3) 7.7 (1.4) .1.15 mmol/L 3.16 (0.03) 1.09 (0.02) 416 (6) 4.9 (0.1) 2.9 (1.2) P 0.03 0.06 0.07 0.84 0.005”
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Drug interactions as a cause of overanticoagulation on phenprocoumon or acenocoumarol predominantly concern antibacterial drugs
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“A negative association with factor VII has been reported for physical activity, smoking, and intake of alcohol [ 8 ,9].”
Background
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“Factor VIIc showed a trend with body mass index as reported elsewhere [6,18]; weight reduction has been reported to lower VIIc levels [19].”
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Authors: FOLSOM, A., WU, K., DAVIS, C., CONLAN, M., SORLIE, P., & SZKLO, M.
Affiliations: University of Minnesota (US)
National Heart, Lung, and Blood Institute (US)
Johns Hopkins University (US)
Corresponding author: FOLSOM, A
ORCID: CONLAN, M
SZKLO, M
Venue: Atherosclerosis
Publisher: Elsevier BV
Published: 1991-12
Volume: 91
Issue: 3
Pages: 191-205
ISSN: 0021-9150 (ISSN-L)
DOI: 10.1016/0021-9150(91)90167-2
OpenAlex: W2001322531
Cited by: 321
References: 52
Citations by year: 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2019: 1 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 6
FWCI: 21.70
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Atherosclerosis (publishedVersion)
PubMed (publishedVersion)
Funders: Northwestern University
National Institutes of Health (n01hc55016-37-0-0, n01hc55018-38-0-1, n01hc55015-48-0-1)
National Heart, Lung, and Blood Institute (N01-HC-55018, N01-HC55016, N01‐HC‐55015)
Topics: Health Sciences › Medicine › Hematology › Blood properties and coagulation
Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
Keywords: fibrinogen, factor VII coagulant activity, cardiovascular risk factors, cardiovascular disease, Atherosclerosis Risk in Communities Study, sex differences, racial differences, modifiable lifestyle factors, smoking, alcohol consumption, physical activity, diabetes mellitus, insulin, lipoprotein(a), LDL cholesterol, HDL cholesterol, triglycerides, menopause, white blood cell count, aging
MeSH terms: Body Constitution, Cardiovascular Diseases, Coronary Disease, Factor VII, Female, Fibrinogen, Humans, Life Style, Lipids, Male, Middle Aged, Prospective Studies, Risk Factors, Sex Factors, Smoking, Racial Groups

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Population correlates of plasma fibrinogen and factor VII, putative cardiovascular risk factors

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