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Plasma fibrinogen and lung function: the CARDIA Study
Bharat Thyagarajan1, David R Jacobs, George G Apostol
1Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, 55454, USA.
Insights
Higher fibrinogen levels, indicating chronic inflammation, are linked to reduced lung function (forced vital capacity and forced expiratory volume) in healthy young adults. This association suggests inflammation may impact respiratory health over time.
Area of Science:
- Pulmonary Medicine
- Inflammation Research
- Epidemiology
Background:
- Fibrinogen is a marker of chronic inflammation.
- Chronic inflammation may negatively impact lung function.
Purpose of the Study:
- To investigate the association between plasma fibrinogen levels and lung function (FVC, FEV1) in healthy adults.
- To determine if fibrinogen is an early indicator of lung function decline.
Main Methods:
- Analysis of data from the CARDIA cohort (1985-present) including black and white men and women aged 18-30.
- Spirometry (FVC, FEV1, FEV1/FVC) and plasma fibrinogen levels measured at multiple time points.
- Statistical models controlled for various demographic, lifestyle, and health factors.
Main Results:
- Higher fibrinogen levels were associated with lower FVC and FEV1 at baseline and over time.
- The association between fibrinogen and lung function persisted even after accounting for changes in fibrinogen.
- The FEV1/FVC ratio showed no significant association with fibrinogen levels.
Conclusions:
- Fibrinogen, as a marker of chronic low-grade inflammation, is associated with modest deterioration of lung function in healthy young adults.
- These findings support the hypothesis that inflammation plays a role in respiratory health decline.
Background:
We hypothesized that fibrinogen, as a marker of chronic inflammation, is inversely associated with forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV(1)) in healthy persons.
Methods:
The CARDIA cohort started in 1985 and included black and white men and women, aged 18-30, from the general population. Spirometry testing conducted at years 5 and 10 [FVC, FEV(1), and their ratio (FEV(1)/FVC)] was studied relative to plasma fibrinogen levels measured at year 5 (cross-sectional n = 4,040) and at year 7 (longitudinal n = 3,001), controlling for race, sex, age, height, smoking, asthma, body mass index, physical activity, birth control pill use, and alcohol intake.
Results:
In cross-sectional analyses, FVC at year 5 was lower by 166 ml (95% confidence interval 116-216 ml) in the highest vs lowest year 5 fibrinogen quartile. At year 10, holding year 5 FVC and change in fibrinogen (year 7-year 5) constant, the difference in FVC between the highest and the lowest year 5 fibrinogen quartiles widened by 67 ml (95% CI 31-103 ml). The corresponding differences for FEV(1) were 166 ml (95% CI 146-253 ml) at year 5 and 45 ml (95% CI 11-80 ml) widening by year 10. The FEV(1)/FVC ratio was unrelated to plasma fibrinogen.
Conclusion:
These findings are consistent with the hypothesis that fibrinogen, possibly as a marker for chronic low-grade inflammation, is associated with modest deterioration of lung function in healthy young adults.
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