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C-reactive protein is elevated in the offspring of parents with essential hypertension
Juan Jose Díaz1, Juan Arguelles, Ignacio Málaga
1Departamento de Pediatría, Hospital Universitario Central de Asturias, Oviedo, Spain.
Insights
Children and young adults with a parent history of essential hypertension (EHT) show higher high-sensitivity C-reactive protein (hs-CRP) levels. Elevated hs-CRP is linked to increased body mass index (BMI) in this at-risk group.
Area of Science:
- Pediatrics
- Cardiology
- Genetics
Background:
- Hypertension is a significant risk factor for cardiovascular disease (CVD).
- Elevated high-sensitivity C-reactive protein (hs-CRP) is linked to increased CVD and essential hypertension (EHT) risk in adults.
- Genetic predisposition is a known factor in CVD development.
Purpose of the Study:
- To investigate the association between hs-CRP levels and cardiovascular risk factors in children and young adults with a parental history of EHT.
- To compare hs-CRP levels in offspring of hypertensive parents versus controls.
Main Methods:
- Prospective recruitment of 51 healthy children/young adults with hypertensive parents and 69 controls.
- Measurement of hs-CRP, fasting lipid profile, blood pressure (BP), and anthropometric variables.
- Statistical analysis to compare groups and assess correlations.
Main Results:
- Higher hs-CRP levels were observed in the study group (offspring of hypertensive parents) compared to controls (p = 0.01).
- 35.3% of the study group had elevated hs-CRP (> or =1 mg/l) versus 14.5% in controls (p = 0.009).
- CRP correlated positively with body weight, BMI, and ponderosity index in the study group.
Conclusions:
- Offspring of parents with EHT exhibit significantly higher hs-CRP levels.
- A positive relationship between BMI and serum CRP exists in this high-risk pediatric and young adult cohort.
Background:
Hypertension is a risk factor for cardiovascular disease (CVD). Studies in adults have shown that high sensitivity C-reactive protein (CRP) levels are associated with increased risk of CVD and essential hypertension (EHT). Genetic background is widely accepted as a risk factor for CVD. The aim of the present study was to analyse the association of high sensitivity CRP levels with other cardiovascular risk factors in children and young adults with at least one parent with EHT.
Methods:
Fifty one healthy children and young adults (28 boys) with at least one parent with hypertension and 69 (41 boys) whose parents did not have hypertension were recruited prospectively from primary care centres. High sensitivity CRP, fasting lipid profile, blood pressure (BP) and anthropometric variables were obtained for all participants.
Results:
CRP values were higher in the study group than in controls (logCRP mean difference: -0.69; 95% confidence interval: -1.05 to -0.33), even when differences were adjusted for age, gender, body mass index (BMI) and triglyceride levels (p = 0.01). No differences were observed in BP values between groups. In the study group, 35.3% of the participants had a CRP level > or =1 mg/l compared to 14.5% in the control group (p = 0.009). CRP showed a significant correlation with body weight (rho = 0.28, p = 0.04), BMI (rho = 0.32; p = 0.02) and ponderosity index (rho = 0.28; p<0.05).
Conclusions:
CRP is significantly higher in the offspring of parents with EHT. A significant positive relationship exists between BMI and serum CRP levels in this high risk group of children and young adults.
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