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Updated: Mar 24, 2026

Skeletal Muscle Gender Dimorphism from Proteomics
Published on: December 14, 2011
Gender Differences in C-Reactive Protein and Muscle Strengthening Activity.
Michael R Richardson1, Tammie M Johnson, Peter T Katzmarzyk
1Dept of Clinical and Applied Movement Sciences, University of North Florida, Jacksonville, FL.
Muscle strengthening activity (MSA) is linked to lower C-reactive protein (CRP) levels, especially in men meeting recommendations. Waist circumference may influence this relationship, particularly in women.
Area of Science:
- Public Health
- Exercise Science
- Biomarkers
Background:
- Limited research exists on gender-specific associations between C-reactive protein (CRP) and muscle strengthening activity (MSA).
- Understanding these differences is crucial for targeted health interventions.
Purpose of the Study:
- To investigate gender differences in the relationship between muscle strengthening activity (MSA) and elevated C-reactive protein (CRP) levels.
- To explore the potential mediating role of waist circumference (WC) in this association.
Main Methods:
- Analysis of data from 7533 U.S. adults (≥20 years) from the 1999-2004 National Health and Nutrition Examination Survey (NHANES).
- Categorization of muscle strengthening activity (MSA) into no activity, some activity (1-2 days/week), and meeting DHHS recommendations (≥2 days/week).
- Elevated C-reactive protein (CRP) defined as >3 to 10 mg/L; adjustment for waist circumference (WC) was performed.
Main Results:
- Women engaging in some MSA showed significantly lower odds of elevated CRP (OR 0.64).
- Men meeting DHHS MSA recommendations had significantly lower odds of elevated CRP (OR 0.72).
- After adjusting for waist circumference (WC), the association remained significant for men but not for women.
Conclusions:
- Waist circumference (WC) may mediate the relationship between muscle strengthening activity (MSA) and C-reactive protein (CRP).
- This mediating effect of WC appears stronger in women.
- Findings suggest tailored approaches considering gender and body composition for managing CRP levels through exercise.
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