From the inspiration of hematology

Some physiological factors that affect the erythrocyte sedimentation rate (ESR) include:

1- Pregnancy leads to an increase in ESR.

2- Aging leads to an increase in ESR.

3- ESR values are higher in females than males.

4- Smoking decreases ESR.

5- The use of certain NSAIDs medications decreases ESR.

6- Intense physical activity decreases ESR.