在超重和肥胖成年人中,C-反应蛋白水平升高
M Visser1, L M Bouter, G M McQuillan
1Institute for Research in Extramural Medicine, Faculty of Medicine, Vrije Universiteit, Amsterdam, The Netherlands. m.visser.emgo@med.vu.nl
JAMA
|December 11, 1999
概括
超重和肥胖与低级系统性炎症有关,由高C反应性蛋白 (CRP) 水平表明. 这种关联甚至在年轻人中也存在,这突显了严重的健康问题.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 脂肪组织释放介素-6,一种促炎性细胞因子.
- 过多的身体脂肪可能会引起低度的全身炎症.
研究的目的:
- 调查超重/肥胖和全身炎症之间的关联.
- 使用血清C反应蛋白 (CRP) 水平测量系统性炎症.
主要方法:
- 利用了第三次国家健康和营养检查调查 (1988-1994) 的数据.
- 包括16616名男性和17岁以上的非怀孕女性.
- 定义CRP升高为≥0.22 mg/dL,临床上CRP升高为>1.00 mg/dL.
主要成果:
- 27.6%和6.7%的人口的CRP分别升高和临床上升高.
- 超重和肥胖的个体与正常体重的个体相比,CRP升高的可能性更高.
- 在调整后,肥胖男性 (OR 2.13) 和女性 (OR 6.21) 的CRP升高的几率明显更高. 肥胖女性也有更高的临床上升CRP的几率 (OR 4.76).
- 腰部至部比率与CRP水平正相关,独立于BMI.
结论:
- 更高的身体质量指数 (BMI) 与CRP度增加有关.
- 研究结果表明,超重和肥胖个体的系统性炎症程度较低.
- 体重指数和炎症之间的关联甚至在年轻成年人 (17-39岁) 中也很明显.
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