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Significant correlation between visceral adiposity and high-sensitivity C-reactive protein (hs-CRP) in Japanese
Daisuke Tsuriya1, Hiroshi Morita, Tetsu Morioka
1The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Insights
Visceral fat is the primary predictor of high-sensitivity C-reactive protein (hs-CRP) levels in Japanese individuals with mild obesity or impaired glucose tolerance. This finding highlights the importance of visceral fat in low-grade inflammation.
Area of Science:
- Biochemistry
- Endocrinology
- Public Health
Background:
- High-sensitivity C-reactive protein (hs-CRP) indicates low-grade inflammation, atherosclerosis, obesity, hyperglycemia, and hypertension.
- The primary driver of inflammation remains unidentified, necessitating further investigation.
Purpose of the Study:
- To investigate the associations between hs-CRP and clinical/biochemical characteristics in Japanese subjects with mild obesity or impaired glucose tolerance.
- To identify the strongest predictor of inflammation among various clinical and biochemical factors.
Main Methods:
- 112 Japanese subjects (aged <65) with specific obesity or impaired glucose tolerance criteria were enrolled.
- Physical and laboratory examinations, including waist circumference, HOMA-IR, and computed tomography for fat area, were conducted.
- hs-CRP levels were measured and correlated with various clinical and biochemical parameters.
Main Results:
- hs-CRP showed significant correlations with BMI, HOMA-IR, insulin response, intima-media thickness, visceral fat area, and subcutaneous fat area.
- Multiple linear regression analysis identified visceral fat as the most significant correlate of hs-CRP.
- Visceral fat area exhibited the strongest association (r=0.423, p<0.0001) with hs-CRP levels.
Conclusions:
- Visceral fat mass is a significant and independent predictor of serum hs-CRP levels.
- These findings are relevant for Japanese individuals experiencing mild obesity and/or impaired glucose tolerance.
- Understanding the link between visceral fat and hs-CRP can inform strategies for managing inflammation and related conditions.
Objective:
High-sensitivity C-reactive protein (hs-CRP) is a marker for low-grade inflammation, as well as atherosclerosis, obesity, hyperglycemia and hypertension. Because the factor showing the strongest association with inflammation is currently unknown, we investigated the associations between hs-CRP and clinical and biochemical characteristics in Japanese subjects with mild obesity or impaired glucose tolerance.
Methods:
Subjects aged <65 years old, attending the Seirei Medical Examination Center, underwent complete physical and laboratory examinations. A total of 112 subjects (mean age 59.9±5.9 years old, males/females: n=50/62) with a waist circumference of >85 cm in males and >90 cm in females, homeostasis model assessment-insulin resistance (HOMA-IR) ≥1.7, or impaired glucose tolerance were eligible for this study. All subjects had normal albuminuria.
Results:
Log-transformed hs-CRP concentrations were significantly correlated with BMI (r=0.278, p<0.01), HOMA-IR (r=0.296, p<0.005), 2-h post-challenge IRI during an oral glucose tolerance test (r=0.218, p<0.05), maximum intima-media thickness (r=0.240, p<0.05), visceral fat area evaluated by computed tomography (r=0.423, p<0.0001) and subcutaneous fat area (r=0.231, p<0.05). Multiple linear regression analysis showed that visceral fat was the most significantly correlated factor with hs-CRP.
Conclusion:
Visceral fat mass was a significant and independent predictor for serum hs-CRP levels in Japanese subjects with mild obesity and/or impaired glucose tolerance.
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