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Association between C-reactive protein and hypertension in healthy middle-aged men and women
Leonelo E Bautista1, John E Atwood, Patrick G O'Malley
1Uniformed Services University of the Health Sciences, Washington DC, USA.
Insights
High-sensitivity C-reactive protein (hs-CRP) is linked to higher blood pressure in healthy middle-aged adults. Increased hs-CRP levels correlate with a greater likelihood of developing hypertension, indicating an independent association.
Area of Science:
- Biomedical Research
- Cardiovascular Health
- Inflammation Markers
Background:
- C-reactive protein (CRP) is a key inflammatory marker associated with increased cardiovascular risk.
- Understanding the relationship between CRP and blood pressure in healthy populations is crucial for early cardiovascular risk assessment.
Purpose of the Study:
- To investigate the association between serum C-reactive protein (CRP) levels and blood pressure in a cohort of healthy, middle-aged individuals.
- To determine if CRP is an independent predictor of elevated blood pressure.
Main Methods:
- A case-control study involving 904 participants aged 39-50 years.
- Participants were categorized into cases (blood pressure ≥140/90 mmHg) and controls.
- Exposure was assessed by quintiles of high-sensitivity CRP (hs-CRP) levels.
Main Results:
- A significant positive trend was observed between increasing hs-CRP quintiles and elevated systolic and diastolic blood pressure.
- Hypertension prevalence increased progressively across hs-CRP quintiles, from 8.9% in the lowest to 18.6% in the highest.
- After adjusting for confounding factors, individuals in the highest hs-CRP quintile had 2.35 times greater odds of hypertension compared to the lowest quintile.
Conclusions:
- Serum CRP demonstrates a continuous and independent association with elevated blood pressure in healthy middle-aged adults.
- These findings suggest hs-CRP may serve as a valuable biomarker for identifying individuals at risk of hypertension.
Objective:
To ascertain whether C-reactive protein (CRP), an inflammatory marker related to increased cardiovascular risk, is associated with blood pressure in a sample of healthy, middle-aged people.
Methods And Results:
A case-control study among 904 participants, 39-50 years old, from a cardiovascular risk screening study. Participants with systolic blood pressure > or =140 mmHg or diastolic blood pressure > or =90 mmHg (n=120) were considered as case participants and all others as control participants (n=784). Exposure was defined using quintiles of high-sensitivity CRP among control participants. A continuous increase in blood pressure was observed across CRP quintiles. Systolic blood pressure increased 1.17 mmHg [95% confidence interval (CI), 0.60-1.74] and diastolic blood pressure 1.04 mmHg (95% CI, 0.64-1.45) from one quintile to the next. The prevalence of hypertension was 13.3% and it increased with CRP exposure: Q1, 8.9%; Q2, 11.9%; Q3, 12.2%; Q4, 14.3%; and Q5, 18.6%. After adjustment for sex, obesity, race, serum insulin level and family history of coronary heart disease, odds ratios for hypertension increased progressively across CRP quintiles. Participants in the highest CRP quintile were 2.35 times more likely to have hypertension than those in the lowest quintile (P=0.03, trend test P=0.04).
Conclusion:
These results are consistent with a continuous, independent association between serum CRP and elevated blood pressure.
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