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来自一个混血社区儿童的血浆纤维蛋白原及其相关因素:博加卢萨心脏研究

Plasma fibrinogen and its correlates in children from a biracial community: the Bogalusa Heart Study.

作者信息

Bao W, Srinivasan S R, Berenson G S

机构信息

Department of Applied Health Sciences, Tulane University Medical Center, School of Public Health and Tropical Medicine, New Orleans, Louisiana 70112-2824.

出版信息

Pediatr Res. 1993 Apr;33(4 Pt 1):323-6. doi: 10.1203/00006450-199304000-00003.

Abstract

Fibrinogen levels were measured in 5- to 17-y-old children (n = 3047; 40% black and 49% female), from a well-defined biracial community. No significant race and sex differences in fibrinogen levels were observed, but levels increased (p < 0.001) with age or sexual maturation in black females. Adjusted for age, fibrinogen concentrations were positively correlated with ponderal index (weight/height3) (0.09-0.22, p < 0.01), triceps skinfold thickness (0.10-0.23, p < 0.05), and subscapular skinfold thickness (0.13-0.24, p < 0.01) in all race-sex groups. Weak correlations were found between fibrinogen level and blood pressure and lipoprotein components for some of the race-sex groups, but these become nonsignificant or minimal after adjustment for ponderal index and skinfolds. A positive correlation (0.12-0.16, p < 0.01) was found between fibrinogen and white blood cell count for Caucasians, which still held after adjustment for ponderal index and skinfolds. In a stepwise regression, ponderal index, white blood cell count, and HDL cholesterol showed an independent association with fibrinogen.

摘要

在一个明确界定的混血社区中,对3047名5至17岁的儿童(40%为黑人,49%为女性)进行了纤维蛋白原水平测量。未观察到纤维蛋白原水平存在显著的种族和性别差异,但黑人女性的纤维蛋白原水平随年龄或性成熟而升高(p<0.001)。在所有种族-性别组中,调整年龄后,纤维蛋白原浓度与 ponderal 指数(体重/身高³)(0.09 - 0.22,p<0.01)、肱三头肌皮褶厚度(0.10 - 0.23,p<0.05)和肩胛下皮褶厚度(0.13 - 0.24,p<0.01)呈正相关。在某些种族-性别组中,发现纤维蛋白原水平与血压和脂蛋白成分之间存在弱相关性,但在调整 ponderal 指数和皮褶厚度后,这些相关性变得不显著或很微弱。在白种人中,纤维蛋白原与白细胞计数呈正相关(0.12 - 0.16,p<0.01),在调整 ponderal 指数和皮褶厚度后,这种相关性仍然存在。在逐步回归分析中,ponderal 指数、白细胞计数和高密度脂蛋白胆固醇与纤维蛋白原呈独立关联。

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