Biomarkers · Inflammation
Fibrinogen
Lower values go with lower risk of death. Not measured in our NHANES panel. The curve is drawn from the published study (source below).
Fibrinogen and risk of death
Published curve higher than the NHANES fitNHANES fit higher
Risk of death relative to the curve's reference value, drawn from the published study (source below).
Fibrinogen by age and sex
Each bar runs from the 5th to the 95th percentile, the darker part from the 25th to the 75th, and the tick is the median. Not a reference range or a target.
The percentiles as a table
| Sex | Age | 5th | 25th | Median | 75th | 95th | n | Cycle / source |
|---|---|---|---|---|---|---|---|---|
| All | 40-59 | 248 | 304 | 346 | 396 | 486 | 2,663 | NHANES 1999-2002 |
| All | 60+ | 278 | 337 | 381 | 437 | 543 | 3,020 | NHANES 1999-2002 |
| All | all | 254 | 314 | 358 | 412 | 510 | 5,683 | NHANES 1999-2002 |
| Men | 40-59 | 244 | 296 | 337 | 384 | 471 | 1,333 | NHANES 1999-2002 |
| Men | 60+ | 272 | 331 | 376 | 424 | 548 | 1,495 | NHANES 1999-2002 |
| Men | all | 248 | 306 | 350 | 400 | 500 | 2,828 | NHANES 1999-2002 |
| Women | 40-59 | 252 | 312 | 354 | 408 | 498 | 1,330 | NHANES 1999-2002 |
| Women | 60+ | 282 | 342 | 385 | 446 | 538 | 1,525 | NHANES 1999-2002 |
| Women | all | 258 | 321 | 367 | 422 | 517 | 2,855 | NHANES 1999-2002 |
What studies found when this marker was changed
They describe what happened in those study groups, not a recommendation. See all catalogued interventions.
Measured changes in Fibrinogen, study by study
3 effects with a numeric size, each from one study arm: the dot is the reported change, the line its 95% interval where one was given. Green points move the marker the way lower risk of death lies; amber the other way. Study results in the groups studied, not predictions for a person.
| Type | Intervention | Reported effect | Evidence | Source |
|---|---|---|---|---|
| behavioral | Smoking cessation | Smoking cessation inversely related to 13-year fibrinogen change; quitters' fibrinogen rise comparable to never-smokers (effect size not reported) | prospective cohort | Okwuosa TM, et al. 13-year long-term associations between changes in… |
| behavioral | Cessation of cigarette smoking | Fibrinogen fell by 11.8% after 12 months of smoking abstinence | prospective cohort | Mandraffino G, et al. Biglycan expression, earlier vascular damage and… |
| exercise | Regular moderate aerobic endurance exercise | Exercise lowered fibrinogen vs control in CAD patients (SMD: -0.52, 95% CI: -0.74, -0.29) | meta-analysis | Thompson G, et al. Exercise and inflammation in coronary artery disease: A… |
| pharmacologic | Fibrate therapy (Fenofibrate 145-200 mg/day) | Fenofibrate lowered fibrinogen more than statins (WMD: -43.7 mg/dL, 95% CI: -61.3, -26.2) in head-to-head RCTs | meta-analysis | Sahebkar A, et al. Head-to-head comparison of statins versus fibrates in… |
Things that worsen it
| Type | Condition or exposure | Reported effect | Evidence | Source |
|---|---|---|---|---|
| behavioral | Cigarette smoking and chronic tobacco inhalation | Fibrinogen higher in current smokers (men 3.13 vs 2.80 g/l; women 3.03 vs 2.95 g/l), dose-response with pack-years | cross-sectional | Sinha S, et al. Fibrinogen and cigarette smoking in men and women in the… |
| environmental | High particulate air pollution exposure (PM2.5) | +1.76% circulating fibrinogen per 10 μg/m3 increase in PM2.5 | meta-analysis | Zhu H, et al. Effect of PM2.5 exposure on circulating fibrinogen and IL-6… |
What else moves this marker
They describe those study groups, not an individual, and an association is not a cause.
Genetic predisposition
| What | Effect on the marker | Comparison · population | Source |
|---|---|---|---|
| ↑ FGB -148C>T promoter variant (beta-fibrinogen) · per copy of the T allele | +14 mg/dL per T allele per allele | C/C vs C/T vs T/T genotype, additive trend · Controls without coronary disease, ISIS case-control study | mendelian randomization · PMID 16870675 |
| ↓ IL6R rs7529229 (tags p.Asp358Ala) · per copy of the IL6R variant allele (functional IL-6 receptor blockade proxy) | -0.85 % change in circulating fibrinogen per allele per allele (95% CI -1.1 to -0.6) | per additional IL6R rs7529229 allele · Adults from 40 studies, mostly European ancestry | mendelian randomization · PMID 22421340 |
Sources
- Risk curve: Hu 2025 (PMID 40266502): all-cause HR 1.51 (1.23-1.87) Q4 vs Q1 of plasma fibrinogen. Scaled to US values (NHANES).
- Hu et al. Associations between fibrinogen levels and the risk of all-cause mortality: a long-term cohort study. Journal of thrombosis and thrombolysis. 2025;58:514-525.
Map Fibrinogen against another biomarker.
Related markers: Alpha-1-Antichymotrypsin (AACT) · Alpha-1-Antitrypsin (AAT) · Antinuclear Antibodies (ANA) · CD4:CD8 T-Cell Ratio · CD8+ T-Cell Count · Erythrocyte Sedimentation Rate (ESR) · Growth Differentiation Factor-15 (GDF-15) · High-Sensitivity C-Reactive Protein (hs-CRP)