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Published on: November 8, 2016
High levels of hsCRP are associated with carbohydrate metabolism disorder
Elba Leiva1, Verónica Mujica, Katherine Brito
1Programa de Investigación de Factores de Riesgo de Enfermedades, Cardiovasculares, Universidad de Talca, Talca, Chile.
Insights
High sensitive C-reactive protein (hsCRP) levels are linked to carbohydrate metabolism disturbances. In women with normal glucose, elevated uric acid may signal inflammation and cardiovascular risk.
Area of Science:
- Cardiovascular Health
- Metabolic Disorders
- Inflammation Markers
Background:
- High sensitive C-reactive protein (hsCRP) is a marker of inflammation.
- Understanding factors associated with elevated hsCRP is crucial for cardiovascular risk assessment.
Purpose of the Study:
- To identify risk parameters linked to high hsCRP levels across different fasting glucose statuses.
- To explore the relationship between hsCRP, glucose metabolism, and other health indicators.
Main Methods:
- Studied 513 individuals (40-65 years) assessing anthropometrics, blood pressure, glucose, lipids, uric acid, and hsCRP.
- Employed multivariate linear and logistic regression analyses.
- Utilized ROC curves to identify cut-off points for uric acid.
Main Results:
- hsCRP was significantly associated with glycemia, uric acid, diastolic blood pressure, smoking, BMI, and sex.
- Sex and BMI were key factors for high hsCRP in impaired fasting glucose (IFG) and normoglycemic (NG) subjects.
- In NG women, uric acid >3.9 mg/dl predicted high hsCRP, indicating a 3.5-fold increased risk.
Conclusions:
- Elevated hsCRP correlates with carbohydrate metabolism disturbances.
- In low-risk populations like normoglycemic women, high uric acid (>3.9 mg/dl) may indicate a pro-inflammatory state and heightened cardiovascular risk.
Aim:
To determine risk parameters associated with high values of high sensitive C-reactive protein (hsCRP) in subjects with different glucose fasting levels.
Methods:
Anthropometric parameters, arterial pressure, glycemia, lipid profile, uric acid, and hsCRP were studied in a population of 513 individuals between 40 and 65 years.
Results:
In total, 349 (68.0%) were normoglycemic (NG); 113 (22.0%) had impaired fasting glucose (IFG); and 51 (9.9%) were diabetic subjects. A multivariate linear regression analysis showed that the natural logarithm of hsCRP was associated significantly with glycemia levels (P = 0.009), uric acid (P = 0.001), diastolic blood pressure (P = 0.011), smoking habit (P = 0.021), BMI (P<0.001), and sex (P<0.001). One-third of the NG subjects had high hsCRP levels. A multiple logistic regression analysis showed that sex and BMI were variables related to high levels of hsCRP in subjects with IFG and NG. In NG subjects, uric acid levels were associated with risk of presenting high hsCRP levels and were higher in women than men. In NG women, ROC curves analysis identified a uric acid level of 3.9 mg/dl as a cut-off point to predict a high value of hsCRP. Those individuals with uric acid values higher than 3.9 mg/dl and normal glycemia had 3.5-fold more risk of having hsCRP levels over 3.0 mg/l.
Conclusions:
We sustain that high levels of hsCRP are associated with disturbance in carbohydrate metabolism. In addition, we believe that in low cardiovascular risk population, such as NG women, uric acid levels above 3.9 mg/dl might represent a signal of possible pro-inflammatory state and cardiovascular risk.
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