Objective : Previous epidemiologic studies have shown that high plasma fibrinogen concentration is associated with increased risk of cardiovascular events. However, there is less previous information about the impact of plasma fibrinogen on the severity of subclinical atherosclerosis in population samples. The purpose of this study was to test the association of plasma fibrinogen with the wall thickness of carotid and femoral arteries. Design : A sample of male participants in the ‘Kuopio Ischaemic Heart Disease Risk Factor Study’ (KIHD), aged 46–64, were examined in 1991–3 in a cross-sectional study. Setting : A study at the Research Institute of Public Health, University of Kuopio, Finland. Subjects and methods : For 1014 men, plasma fibrinogen was measured by fibrin clotting and the intima-media thickness (IMT) in distal common carotid arteries was assessed by high-resolution B-mode ultrasonography. Results : Variables with the strongest associations with plasma fibrinogen were cigarette-years, body fat percentage, exhaled carbon monoxide, t-PA antigen, age, serum apolipoprotein B, and waist to hip circumference ratio. The relative difference between the lowest and the highest fibrinogen quintile was 14% for unadjusted carotid IMT and 44% for femoral IMT. The respective differences for means adjusted for all the strongest risk factors for IMT, including smoking, were 8% for the carotid and 17% for the femoral IMT. Conclusion : Our data confirm previous findings indicating that the major non-genetic determinants of plasma fibrinogen are smoking and obesity and that elevated plasma fibrinogen levels are associated with increased arterial wall thickness in men. This association is stronger for femoral than common carotid arteries.
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