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High-Sensitivity C-Reactive Protein Relationship with Metabolic Disorders and Cardiovascular Diseases Risk Factors
Małgorzata Koziarska-Rościszewska1, Anna Gluba-Brzózka1, Beata Franczyk1
1Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, Żeromskiego 113, 90-549 Łódź, Poland.
Insights
High-sensitivity C-reactive protein (hsCRP) is a simple test that can identify patients at risk for cardiovascular disease (CVD) and metabolic disorders. hsCRP levels correlate with age, obesity, and dyslipidemia, and may be influenced by vitamin D levels.
Area of Science:
- Biochemistry
- Clinical Medicine
- Public Health
Background:
- Chronic inflammation is implicated in cardiovascular disease (CVD) development.
- A simple, primary care-accessible test is needed to identify patients at risk.
- High-sensitivity C-reactive protein (hsCRP) is a potential biomarker for inflammation.
Purpose of the Study:
- To investigate the associations between hsCRP levels and various risk factors for CVD.
- To determine if hsCRP can be used as a screening tool in primary care.
Main Methods:
- Cross-sectional study analyzing hsCRP levels.
- Statistical correlation analysis with factors including age, gender, obesity, dyslipidemia, diabetes, hyperuricemia, vitamin D, and existing CVDs.
- Comparison of hsCRP levels in patients with and without specific metabolic disorders and CVDs.
Main Results:
- Significant positive correlations found between hsCRP and age, BMI, waist circumference, dyslipidemia, and glycemia.
- Significant negative correlation observed between hsCRP and vitamin D-25(OH)D.
- hsCRP levels were significantly higher in patients with CVD, hypertension, diabetes, or visceral obesity.
Conclusions:
- The hsCRP test is a valuable tool for identifying patients at risk of metabolic disorders and CVD in primary care settings.
- Vitamin D concentration may play a role in modulating systemic inflammation as indicated by hsCRP levels.
Background:
Chronic inflammation is considered to be involved in the development of CVD. It is important to find a simple test that enables the identification of patients at risk and that may be used in primary care. The aim of this study is to investigate the associations of high-sensitivity C-reactive protein (hsCRP) with selected factors-age, gender, obesity, dyslipidemia, diabetes, hyperuricemia, vitamin D-25(OH)D, cardiovascular diseases (CVD), coronary heart disease, cerebrovascular disease, and hypertension.
Results:
Statistically significant correlations were found between hsCRP and the following: age (rs = 0.304, p = 0.0000); gender (female) (p = 0.0173); BMI (rs = 0.295, p = 0.0001); waist circumference (rs = 0.250, p = 0.0007); dyslipidemia (p = 0.0159); glycemia (rs = 0.173, p = 0.0207); and significant negative correlations between hsCRP and 25(OH)D (rs = -0.203, p = 0.0065). In patients with CVD, hypertension, diabetes, or visceral obesity, hsCRP was significantly higher than in the subgroup without these disorders. There was a statistically significant relationship between hsCRP and the number of the metabolic syndrome elements (p = 0.0053).
Conclusions:
The hsCRP test seem to be a simple test that may be used at the primary care level to identify patients at risk of metabolic disorders, CVD, and hypertension. Vitamin D concentration may be a determining factor of systemic inflammation (it may have a modulating effect).
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