Association between C-reactive protein, metabolic cardiovascular risk factors, obesity and oral contraceptive use in young adults
OBJECTIVE: This study sought to determine the relationship between levels of the inflammatory marker, C-reactive protein (CRP), cardiovascular risk factors and oral contraceptive use in young adults. DESIGN: Cross-sectional study of a community cohort. SUBJECTS: A total of 822 men and women aged 26 ...
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| Veröffentlicht in: | International Journal of Obesity 2004-08, Vol.28 (8), p.998-1003 |
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| container_title | International Journal of Obesity |
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| creator | Williams, M J A Williams, S M Milne, B J Hancox, R J Poulton, R |
| description | OBJECTIVE:
This study sought to determine the relationship between levels of the inflammatory marker, C-reactive protein (CRP), cardiovascular risk factors and oral contraceptive use in young adults.
DESIGN:
Cross-sectional study of a community cohort.
SUBJECTS:
A total of 822 men and women aged 26 y.
MEASUREMENTS:
CRP, body mass index (BMI), blood pressure, lipid and lipoprotein levels, smoking status, socioeconomic status, health status, and hormonal contraceptive use in women.
RESULTS:
Multiple regression analysis showed that obesity was independently related to CRP with an increase in ratio CRP of 1.03 (95% CI 1.01, 1.05) for men and 1.07 (1.05, 1.09) for women associated with a 1 kg/m
2
increase in BMI. In women, combined oral contraceptive use was associated with a ratio change in CRP of 1.52 (1.27, 1.82) compared with nonusers. Other independent determinants of CRP in men and women were apolipoprotein B level, systolic blood pressure and apolipoprotein A1 in men. Univariate analysis showed that the relationship between CRP and BMI, systolic blood pressure and apolipoprotein B was significantly stronger in women than men.
CONCLUSION:
These findings suggest that obesity is associated with inflammation independent of other cardiovascular risk factors that may contribute to an increased risk for cardiovascular disease in men and women. Elevated CRP related to combined oral contraceptive use may influence the rate of cardiovascular events in young women. |
| doi_str_mv | 10.1038/sj.ijo.0802713 |
| format | Article |
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This study sought to determine the relationship between levels of the inflammatory marker, C-reactive protein (CRP), cardiovascular risk factors and oral contraceptive use in young adults.
DESIGN:
Cross-sectional study of a community cohort.
SUBJECTS:
A total of 822 men and women aged 26 y.
MEASUREMENTS:
CRP, body mass index (BMI), blood pressure, lipid and lipoprotein levels, smoking status, socioeconomic status, health status, and hormonal contraceptive use in women.
RESULTS:
Multiple regression analysis showed that obesity was independently related to CRP with an increase in ratio CRP of 1.03 (95% CI 1.01, 1.05) for men and 1.07 (1.05, 1.09) for women associated with a 1 kg/m
2
increase in BMI. In women, combined oral contraceptive use was associated with a ratio change in CRP of 1.52 (1.27, 1.82) compared with nonusers. Other independent determinants of CRP in men and women were apolipoprotein B level, systolic blood pressure and apolipoprotein A1 in men. Univariate analysis showed that the relationship between CRP and BMI, systolic blood pressure and apolipoprotein B was significantly stronger in women than men.
CONCLUSION:
These findings suggest that obesity is associated with inflammation independent of other cardiovascular risk factors that may contribute to an increased risk for cardiovascular disease in men and women. Elevated CRP related to combined oral contraceptive use may influence the rate of cardiovascular events in young women.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0802713</identifier><identifier>PMID: 15211365</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Apolipoprotein A-I - analysis ; Apolipoproteins ; Apolipoproteins B - analysis ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Biomarkers - blood ; Blood and lymphatic vessels ; Blood Pressure ; Body Mass Index ; C-reactive protein ; C-Reactive Protein - analysis ; Cardiology. Vascular system ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - metabolism ; Cholesterol ; Cohort Studies ; Complications and side effects ; Contraceptives, Oral, Combined - administration & dosage ; Coronary heart disease ; Cross-Sectional Studies ; Epidemiology ; Female ; Health aspects ; Health Promotion and Disease Prevention ; Health risks ; Health Status ; Heart ; High density lipoprotein ; Humans ; Inflammation ; Internal Medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Metabolism ; New Zealand ; Obesity ; Obesity - blood ; Oral contraceptives ; Proteins ; Public Health ; Regression Analysis ; Risk Factors ; Smoking ; Social Class ; Socioeconomic factors ; Socioeconomics ; Systole ; Triglycerides ; Tumor necrosis factor-TNF ; Womens health ; Young adults</subject><ispartof>International Journal of Obesity, 2004-08, Vol.28 (8), p.998-1003</ispartof><rights>Springer Nature Limited 2004</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2004 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Aug 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-61fd76bec03833f03d2670151801fa8090a30c91debc3cc5cdada643498efb323</citedby><cites>FETCH-LOGICAL-c480t-61fd76bec03833f03d2670151801fa8090a30c91debc3cc5cdada643498efb323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.ijo.0802713$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.ijo.0802713$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15964395$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15211365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, M J A</creatorcontrib><creatorcontrib>Williams, S M</creatorcontrib><creatorcontrib>Milne, B J</creatorcontrib><creatorcontrib>Hancox, R J</creatorcontrib><creatorcontrib>Poulton, R</creatorcontrib><title>Association between C-reactive protein, metabolic cardiovascular risk factors, obesity and oral contraceptive use in young adults</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes Relat Metab Disord</addtitle><description>OBJECTIVE:
This study sought to determine the relationship between levels of the inflammatory marker, C-reactive protein (CRP), cardiovascular risk factors and oral contraceptive use in young adults.
DESIGN:
Cross-sectional study of a community cohort.
SUBJECTS:
A total of 822 men and women aged 26 y.
MEASUREMENTS:
CRP, body mass index (BMI), blood pressure, lipid and lipoprotein levels, smoking status, socioeconomic status, health status, and hormonal contraceptive use in women.
RESULTS:
Multiple regression analysis showed that obesity was independently related to CRP with an increase in ratio CRP of 1.03 (95% CI 1.01, 1.05) for men and 1.07 (1.05, 1.09) for women associated with a 1 kg/m
2
increase in BMI. In women, combined oral contraceptive use was associated with a ratio change in CRP of 1.52 (1.27, 1.82) compared with nonusers. Other independent determinants of CRP in men and women were apolipoprotein B level, systolic blood pressure and apolipoprotein A1 in men. Univariate analysis showed that the relationship between CRP and BMI, systolic blood pressure and apolipoprotein B was significantly stronger in women than men.
CONCLUSION:
These findings suggest that obesity is associated with inflammation independent of other cardiovascular risk factors that may contribute to an increased risk for cardiovascular disease in men and women. Elevated CRP related to combined oral contraceptive use may influence the rate of cardiovascular events in young women.</description><subject>Adult</subject><subject>Apolipoprotein A-I - analysis</subject><subject>Apolipoproteins</subject><subject>Apolipoproteins B - analysis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Body Mass Index</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - analysis</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - metabolism</subject><subject>Cholesterol</subject><subject>Cohort Studies</subject><subject>Complications and side effects</subject><subject>Contraceptives, Oral, Combined - administration & dosage</subject><subject>Coronary heart disease</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health risks</subject><subject>Health Status</subject><subject>Heart</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Metabolism</subject><subject>New Zealand</subject><subject>Obesity</subject><subject>Obesity - blood</subject><subject>Oral contraceptives</subject><subject>Proteins</subject><subject>Public Health</subject><subject>Regression Analysis</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Social Class</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Systole</subject><subject>Triglycerides</subject><subject>Tumor necrosis factor-TNF</subject><subject>Womens health</subject><subject>Young adults</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtv1DAUhS0EosPAliWyQLBqptdxnsvRiJdUiQ2sI8e5mTok9uDrtJol_xwPE6lFKvLCkv3dxzmHsdcCNgJkdUXDxgxuAxWkpZBP2EpkZZHkWV0-ZSuQUCaQF_kFe0E0AECeQ_qcXYg8FUIW-Yr93hI5bVQwzvIWwx2i5bvEo9LB3CI_eBfQ2Es-YVCtG43mWvnOuFtFeh6V597QT95H3Hm65K5FMuHIle2482rk2tnglcbD33YzITeWH91s91x18xjoJXvWq5Hw1XKv2Y9PH7_vviTX3z5_3W2vE51VEJJC9F1ZtKijail7kF1alCByUYHoVQU1KAm6Fh22Wmqd6051qshkVlfYtzKVa_b23DdK-jUjhWZws7dxZJOKWkImSojQuzO0VyM2xvbutPxkSDdbUVVZVlXR5jXbPELF0-FkomDsTXz_p-DDg4IbVGO4ITfOJ9fp0c7aOyKPfXPwZlL-2AhoToE3NDQx8GYJPBa8WVTN7YTdPb4kHIH3CxADU2PvldWGHnB1NKk-cVdnjuKX3aO_t-c_o_8AmajD-w</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Williams, M J A</creator><creator>Williams, S M</creator><creator>Milne, B J</creator><creator>Hancox, R J</creator><creator>Poulton, R</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20040801</creationdate><title>Association between C-reactive protein, metabolic cardiovascular risk factors, obesity and oral contraceptive use in young adults</title><author>Williams, M J A ; Williams, S M ; Milne, B J ; Hancox, R J ; Poulton, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-61fd76bec03833f03d2670151801fa8090a30c91debc3cc5cdada643498efb323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Apolipoprotein A-I - analysis</topic><topic>Apolipoproteins</topic><topic>Apolipoproteins B - analysis</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Body Mass Index</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - analysis</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - metabolism</topic><topic>Cholesterol</topic><topic>Cohort Studies</topic><topic>Complications and side effects</topic><topic>Contraceptives, Oral, Combined - administration & dosage</topic><topic>Coronary heart disease</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Promotion and Disease Prevention</topic><topic>Health risks</topic><topic>Health Status</topic><topic>Heart</topic><topic>High density lipoprotein</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Metabolism</topic><topic>New Zealand</topic><topic>Obesity</topic><topic>Obesity - blood</topic><topic>Oral contraceptives</topic><topic>Proteins</topic><topic>Public Health</topic><topic>Regression Analysis</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Social Class</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Systole</topic><topic>Triglycerides</topic><topic>Tumor necrosis factor-TNF</topic><topic>Womens health</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, M J A</creatorcontrib><creatorcontrib>Williams, S M</creatorcontrib><creatorcontrib>Milne, B J</creatorcontrib><creatorcontrib>Hancox, R J</creatorcontrib><creatorcontrib>Poulton, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, M J A</au><au>Williams, S M</au><au>Milne, B J</au><au>Hancox, R J</au><au>Poulton, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between C-reactive protein, metabolic cardiovascular risk factors, obesity and oral contraceptive use in young adults</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes Relat Metab Disord</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>28</volume><issue>8</issue><spage>998</spage><epage>1003</epage><pages>998-1003</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>OBJECTIVE:
This study sought to determine the relationship between levels of the inflammatory marker, C-reactive protein (CRP), cardiovascular risk factors and oral contraceptive use in young adults.
DESIGN:
Cross-sectional study of a community cohort.
SUBJECTS:
A total of 822 men and women aged 26 y.
MEASUREMENTS:
CRP, body mass index (BMI), blood pressure, lipid and lipoprotein levels, smoking status, socioeconomic status, health status, and hormonal contraceptive use in women.
RESULTS:
Multiple regression analysis showed that obesity was independently related to CRP with an increase in ratio CRP of 1.03 (95% CI 1.01, 1.05) for men and 1.07 (1.05, 1.09) for women associated with a 1 kg/m
2
increase in BMI. In women, combined oral contraceptive use was associated with a ratio change in CRP of 1.52 (1.27, 1.82) compared with nonusers. Other independent determinants of CRP in men and women were apolipoprotein B level, systolic blood pressure and apolipoprotein A1 in men. Univariate analysis showed that the relationship between CRP and BMI, systolic blood pressure and apolipoprotein B was significantly stronger in women than men.
CONCLUSION:
These findings suggest that obesity is associated with inflammation independent of other cardiovascular risk factors that may contribute to an increased risk for cardiovascular disease in men and women. Elevated CRP related to combined oral contraceptive use may influence the rate of cardiovascular events in young women.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>15211365</pmid><doi>10.1038/sj.ijo.0802713</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Nature; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Apolipoprotein A-I - analysis Apolipoproteins Apolipoproteins B - analysis Atherosclerosis (general aspects, experimental research) Biological and medical sciences Biomarkers - blood Blood and lymphatic vessels Blood Pressure Body Mass Index C-reactive protein C-Reactive Protein - analysis Cardiology. Vascular system Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - etiology Cardiovascular Diseases - metabolism Cholesterol Cohort Studies Complications and side effects Contraceptives, Oral, Combined - administration & dosage Coronary heart disease Cross-Sectional Studies Epidemiology Female Health aspects Health Promotion and Disease Prevention Health risks Health Status Heart High density lipoprotein Humans Inflammation Internal Medicine Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases Metabolism New Zealand Obesity Obesity - blood Oral contraceptives Proteins Public Health Regression Analysis Risk Factors Smoking Social Class Socioeconomic factors Socioeconomics Systole Triglycerides Tumor necrosis factor-TNF Womens health Young adults |
| title | Association between C-reactive protein, metabolic cardiovascular risk factors, obesity and oral contraceptive use in young adults |
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