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2016 ; 5
(7
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Plasma Fibroblast Growth Factor 23: Clinical Correlates and Association With
Cardiovascular Disease and Mortality in the Framingham Heart Study
#MMPMID27385427
Haring R
; Enserro D
; Xanthakis V
; Mitchell GF
; Benjamin EJ
; Hamburg NM
; Sullivan L
; Nauck M
; Wallaschofski H
; Vasan RS
J Am Heart Assoc
2016[Jul]; 5
(7
): ä PMID27385427
show ga
BACKGROUND: Fibroblast growth factor 23 (FGF23) is emerging as a novel biomarker
of bone metabolism, chronic kidney disease, and cardiovascular disease (CVD).
However, its clinical correlates and potential predictive role in a
community-based setting are incompletely understood. METHODS AND RESULTS: We
evaluated participants of the Framingham Heart Study (seventh examination cycle
of the Offspring cohort plus second examination cycle of the multiethnic Omni
cohort) to identify clinical correlates of plasma FGF23 (N=3236) and examine its
cross-sectional association with vascular function (N=2209), and longitudinal
association with 10-year incidence of CVD (N=2823), and all-cause mortality
(N=3223).Circulating FGF23 concentrations were positively related to
African-American and Asian ethnicity, waist circumference, current smoking, serum
glucose, history of CVD, and antihypertensive medication use; and negatively
related to male sex, hormone replacement therapy, and estimated glomerular
filtration rate. Multivariable-adjusted cross-sectional analyses showed no
consistent association of FGF23 with vascular function measures. During a median
follow-up time of 10.8 years, 347 incident CVD events and 412 deaths occurred.
Multivariable-adjusted Cox regression models revealed a positive association of
FGF23 with all-cause mortality (hazard ratio [HR] per SD increase, 1.31; 95% CI,
1.20-1.42), but not with incident CVD (HR per SD increase, 1.05; 95% CI,
0.94-1.17). CONCLUSIONS: In our large, community-based sample, FGF23 was
associated with mortality risk, but not with vascular function or incident CVD.