Relation of waist circumference and glycemic status to C-reactive protein in the Sandy Lake Oji-Cree

OBJECTIVE: To determine the prevalence of elevated C-reactive protein (CRP) in the Sandy Lake Oji-Cree, an aboriginal community residing in the Sioux Lookout zone of Northwestern Ontario, Canada, and to determine the associations of obesity and diabetes with CRP in a community with a very high preva...

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Veröffentlicht in:International Journal of Obesity 2003-03, Vol.27 (3), p.347-354
Hauptverfasser: Connelly, P.W, Hanley, A.J, Harris, S.B, Hegele, R.A, Zinman, B
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container_issue 3
container_start_page 347
container_title International Journal of Obesity
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creator Connelly, P.W
Hanley, A.J
Harris, S.B
Hegele, R.A
Zinman, B
description OBJECTIVE: To determine the prevalence of elevated C-reactive protein (CRP) in the Sandy Lake Oji-Cree, an aboriginal community residing in the Sioux Lookout zone of Northwestern Ontario, Canada, and to determine the associations of obesity and diabetes with CRP in a community with a very high prevalence of type II diabetes. DESIGN: We surveyed 512 community members aged 18 y and older to determine the prevalence and the determinants of elevated CRP in Sandy Lake. MEASUREMENTS:Clinical variables, indices of obesity and serum concentrations of CRP, insulin, serum amyloid A (SAA) and interleukin-6 (IL-6). RESULTS: The prevalence of CRP 3.8 mg/l was significantly higher in women than in men (51% vs. 32%, P
doi_str_mv 10.1038/sj.ijo.0802239
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DESIGN: We surveyed 512 community members aged 18 y and older to determine the prevalence and the determinants of elevated CRP in Sandy Lake. MEASUREMENTS:Clinical variables, indices of obesity and serum concentrations of CRP, insulin, serum amyloid A (SAA) and interleukin-6 (IL-6). RESULTS: The prevalence of CRP 3.8 mg/l was significantly higher in women than in men (51% vs. 32%, P&lt;0.0001). Regression analysis determined that body mass index and IL-6 were independent determinants of CRP concentration in women and waist circumference and IL-6 were independent determinants of CRP concentration in men. Diabetes was associated with elevated CRP in both sexes, but was only a moderate strong determinant in CRP concentration in multivariate regression analysis. CONCLUSIONS: The prevalence of elevated CRP in this aboriginal community is remarkably high. These data further demonstrate that the association between CRP and specific indices of obesity and metabolism vary according to gender and glycemic status.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0802239</identifier><identifier>PMID: 12629562</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing Group</publisher><subject>Adolescent ; Adult ; Aged ; amyloid ; Analysis. Health state ; Biological and medical sciences ; Biomarkers - blood ; Blood Glucose - analysis ; blood serum ; Body Constitution ; Body Mass Index ; C-reactive protein ; C-Reactive Protein - analysis ; Cardiovascular disease ; Child ; Community ; Cross-Sectional Studies ; Cytokines ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - physiopathology ; Epidemiology ; Female ; gender ; General aspects ; Glucose ; Humans ; Immunoassay ; Insulin ; interleukin-6 ; Interleukin-6 - blood ; Lakes ; Lipids ; Male ; Medical sciences ; men ; metabolism ; Middle Aged ; Native North Americans ; noninsulin-dependent diabetes mellitus ; Obesity ; Obesity - blood ; Obesity - ethnology ; Obesity - physiopathology ; Ontario - epidemiology ; Proteins ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; Sex Factors ; waist circumference ; Women</subject><ispartof>International Journal of Obesity, 2003-03, Vol.27 (3), p.347-354</ispartof><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2003 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Mar 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-a84b178b40f820febf5607618ae3dd4a0a5a2d02521eaff9653a63668f8301053</citedby><cites>FETCH-LOGICAL-c501t-a84b178b40f820febf5607618ae3dd4a0a5a2d02521eaff9653a63668f8301053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,2728,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14686130$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12629562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Connelly, P.W</creatorcontrib><creatorcontrib>Hanley, A.J</creatorcontrib><creatorcontrib>Harris, S.B</creatorcontrib><creatorcontrib>Hegele, R.A</creatorcontrib><creatorcontrib>Zinman, B</creatorcontrib><title>Relation of waist circumference and glycemic status to C-reactive protein in the Sandy Lake Oji-Cree</title><title>International Journal of Obesity</title><addtitle>Int J Obes Relat Metab Disord</addtitle><description>OBJECTIVE: To determine the prevalence of elevated C-reactive protein (CRP) in the Sandy Lake Oji-Cree, an aboriginal community residing in the Sioux Lookout zone of Northwestern Ontario, Canada, and to determine the associations of obesity and diabetes with CRP in a community with a very high prevalence of type II diabetes. DESIGN: We surveyed 512 community members aged 18 y and older to determine the prevalence and the determinants of elevated CRP in Sandy Lake. MEASUREMENTS:Clinical variables, indices of obesity and serum concentrations of CRP, insulin, serum amyloid A (SAA) and interleukin-6 (IL-6). RESULTS: The prevalence of CRP 3.8 mg/l was significantly higher in women than in men (51% vs. 32%, P&lt;0.0001). Regression analysis determined that body mass index and IL-6 were independent determinants of CRP concentration in women and waist circumference and IL-6 were independent determinants of CRP concentration in men. Diabetes was associated with elevated CRP in both sexes, but was only a moderate strong determinant in CRP concentration in multivariate regression analysis. CONCLUSIONS: The prevalence of elevated CRP in this aboriginal community is remarkably high. These data further demonstrate that the association between CRP and specific indices of obesity and metabolism vary according to gender and glycemic status.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>amyloid</subject><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - analysis</subject><subject>blood serum</subject><subject>Body Constitution</subject><subject>Body Mass Index</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - analysis</subject><subject>Cardiovascular disease</subject><subject>Child</subject><subject>Community</subject><subject>Cross-Sectional Studies</subject><subject>Cytokines</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - ethnology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>gender</subject><subject>General aspects</subject><subject>Glucose</subject><subject>Humans</subject><subject>Immunoassay</subject><subject>Insulin</subject><subject>interleukin-6</subject><subject>Interleukin-6 - blood</subject><subject>Lakes</subject><subject>Lipids</subject><subject>Male</subject><subject>Medical sciences</subject><subject>men</subject><subject>metabolism</subject><subject>Middle Aged</subject><subject>Native North Americans</subject><subject>noninsulin-dependent diabetes mellitus</subject><subject>Obesity</subject><subject>Obesity - blood</subject><subject>Obesity - ethnology</subject><subject>Obesity - physiopathology</subject><subject>Ontario - epidemiology</subject><subject>Proteins</subject><subject>Public health. 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DESIGN: We surveyed 512 community members aged 18 y and older to determine the prevalence and the determinants of elevated CRP in Sandy Lake. MEASUREMENTS:Clinical variables, indices of obesity and serum concentrations of CRP, insulin, serum amyloid A (SAA) and interleukin-6 (IL-6). RESULTS: The prevalence of CRP 3.8 mg/l was significantly higher in women than in men (51% vs. 32%, P&lt;0.0001). Regression analysis determined that body mass index and IL-6 were independent determinants of CRP concentration in women and waist circumference and IL-6 were independent determinants of CRP concentration in men. Diabetes was associated with elevated CRP in both sexes, but was only a moderate strong determinant in CRP concentration in multivariate regression analysis. CONCLUSIONS: The prevalence of elevated CRP in this aboriginal community is remarkably high. These data further demonstrate that the association between CRP and specific indices of obesity and metabolism vary according to gender and glycemic status.</abstract><cop>Basingstoke</cop><pub>Nature Publishing Group</pub><pmid>12629562</pmid><doi>10.1038/sj.ijo.0802239</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
amyloid
Analysis. Health state
Biological and medical sciences
Biomarkers - blood
Blood Glucose - analysis
blood serum
Body Constitution
Body Mass Index
C-reactive protein
C-Reactive Protein - analysis
Cardiovascular disease
Child
Community
Cross-Sectional Studies
Cytokines
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - ethnology
Diabetes Mellitus, Type 2 - physiopathology
Epidemiology
Female
gender
General aspects
Glucose
Humans
Immunoassay
Insulin
interleukin-6
Interleukin-6 - blood
Lakes
Lipids
Male
Medical sciences
men
metabolism
Middle Aged
Native North Americans
noninsulin-dependent diabetes mellitus
Obesity
Obesity - blood
Obesity - ethnology
Obesity - physiopathology
Ontario - epidemiology
Proteins
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression Analysis
Sex Factors
waist circumference
Women
title Relation of waist circumference and glycemic status to C-reactive protein in the Sandy Lake Oji-Cree
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