PFLPhysiological Fitness Landscape

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).

Published risk of death1.51×Q4 vs Q1 of plasma fibrinogen (95% CI 1.23–1.87) · Long-term cohort of 5,690 adults (abstract does not name the population; median fibrinogen 370 mg/dL)

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
Each row is one sex and age band: the values below which 5%, 25%, 50%, 75% and 95% of people fall (mg/dL), from the survey named in the row. Not a reference range or a target.
SexAge5th25thMedian75th95thnCycle / source
All40-592483043463964862,663NHANES 1999-2002
All60+2783373814375433,020NHANES 1999-2002
Allall2543143584125105,683NHANES 1999-2002
Men40-592442963373844711,333NHANES 1999-2002
Men60+2723313764245481,495NHANES 1999-2002
Menall2483063504005002,828NHANES 1999-2002
Women40-592523123544084981,330NHANES 1999-2002
Women60+2823423854465381,525NHANES 1999-2002
Womenall2583213674225172,855NHANES 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.

Each row is one study: what was changed, the effect it reported on this marker, and the source.
TypeInterventionReported effectEvidenceSource
behavioralSmoking cessationSmoking cessation inversely related to 13-year fibrinogen change; quitters' fibrinogen rise comparable to never-smokers (effect size not reported)prospective cohortOkwuosa TM, et al. 13-year long-term associations between changes in…
behavioralCessation of cigarette smokingFibrinogen fell by 11.8% after 12 months of smoking abstinenceprospective cohortMandraffino G, et al. Biglycan expression, earlier vascular damage and…
exerciseRegular moderate aerobic endurance exerciseExercise lowered fibrinogen vs control in CAD patients (SMD: -0.52, 95% CI: -0.74, -0.29)meta-analysisThompson G, et al. Exercise and inflammation in coronary artery disease: A…
pharmacologicFibrate 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 RCTsmeta-analysisSahebkar A, et al. Head-to-head comparison of statins versus fibrates in…

Things that worsen it

Each row is one study: what was changed, the effect it reported on this marker, and the source.
TypeCondition or exposureReported effectEvidenceSource
behavioralCigarette smoking and chronic tobacco inhalationFibrinogen higher in current smokers (men 3.13 vs 2.80 g/l; women 3.03 vs 2.95 g/l), dose-response with pack-yearscross-sectionalSinha S, et al. Fibrinogen and cigarette smoking in men and women in the…
environmentalHigh particulate air pollution exposure (PM2.5)+1.76% circulating fibrinogen per 10 μg/m3 increase in PM2.5meta-analysisZhu 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

Each row is one study: what it compared and the change it reported in this marker.
WhatEffect on the markerComparison · populationSource
↑ FGB -148C>T promoter variant (beta-fibrinogen) · per copy of the T allele+14 mg/dL per T allele per alleleC/C vs C/T vs T/T genotype, additive trend · Controls without coronary disease, ISIS case-control studymendelian 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 ancestrymendelian randomization · PMID 22421340