Prediction of 10-year mortality using hs-CRP in Chinese people with hyperglycemia: Findings from the Da Qing diabetes prevention outcomes study

•CRP levels vary across ethnicities.•The association of CRP with mortality remains unclear in East Asians with T2DM.•hs-CRP predicted 10-year all-cause death in Chinese adults with hyperglycaemia.•The impact of low-grade inflammation on death in T2DM people should not be ignored. To examine whether...

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Veröffentlicht in:Diabetes research and clinical practice 2021-03, Vol.173, p.108668-108668, Article 108668
Hauptverfasser: Qian, Xin, He, Siyao, Wang, Jinping, Gong, Qiuhong, An, Yali, Li, Hui, Chen, Yanyan, Li, Guangwei
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container_title Diabetes research and clinical practice
container_volume 173
creator Qian, Xin
He, Siyao
Wang, Jinping
Gong, Qiuhong
An, Yali
Li, Hui
Chen, Yanyan
Li, Guangwei
description •CRP levels vary across ethnicities.•The association of CRP with mortality remains unclear in East Asians with T2DM.•hs-CRP predicted 10-year all-cause death in Chinese adults with hyperglycaemia.•The impact of low-grade inflammation on death in T2DM people should not be ignored. To examine whether high-sensitivity C-reactive protein (hs-CRP) can predict all-cause death in Chinese adults with hyperglycemia. All the 237 diabetes and 49 prediabetes recruited in the study were evolved from the participants with impaired glucose tolerance in the original Da Qing Diabetes Study. Blood hs-CRP level was measured at 2006. Ten-year outcome of death was traced from 2006 to 2016. Cox model was used to analyse the association between hs-CRP level and the risk of all-cause death occurred over the subsequent 10 years. During the follow-up, death occurred in 36 (37.9%) subjects in the highest hs-CRP tertile group (hs-CRP > 2.16 mg/L) and 19 (20.0%) in the lowest hs-CRP tertile group (hs-CRP 
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To examine whether high-sensitivity C-reactive protein (hs-CRP) can predict all-cause death in Chinese adults with hyperglycemia. All the 237 diabetes and 49 prediabetes recruited in the study were evolved from the participants with impaired glucose tolerance in the original Da Qing Diabetes Study. Blood hs-CRP level was measured at 2006. Ten-year outcome of death was traced from 2006 to 2016. Cox model was used to analyse the association between hs-CRP level and the risk of all-cause death occurred over the subsequent 10 years. During the follow-up, death occurred in 36 (37.9%) subjects in the highest hs-CRP tertile group (hs-CRP &gt; 2.16 mg/L) and 19 (20.0%) in the lowest hs-CRP tertile group (hs-CRP &lt; 0.82 mg/L, p &lt; 0.05). The corresponding incidence of all-cause death (per 1,000 person-years) was 44.7 (95% CI 30.1–59.3) and 21.6 (95% CI 11.9–31.3) in the two groups respectively (p &lt; 0.0001). The highest hs-CRP tertile was associated with the increased risk of all-cause death significantly (hazard ratio 1.88, 95% CI 1.07–3.32) after controlling for traditional risk factors. Serum hs-CRP was predictive of 10-year all-cause death in Chinese adults with hyperglycemia, suggesting the impact of low-grade inflammation on mortality deserves more attention.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2021.108668</identifier><identifier>PMID: 33453295</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Aged ; All-cause mortality ; C-Reactive Protein - metabolism ; China ; Diabetes Mellitus - blood ; Diabetes Mellitus - mortality ; Diabetes Mellitus - prevention &amp; control ; Female ; hs-CRP ; Humans ; Hyperglycemia ; Hyperglycemia - diagnosis ; Incidence ; Male ; Middle Aged ; Mortality ; Risk Factors ; Time Factors</subject><ispartof>Diabetes research and clinical practice, 2021-03, Vol.173, p.108668-108668, Article 108668</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. 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To examine whether high-sensitivity C-reactive protein (hs-CRP) can predict all-cause death in Chinese adults with hyperglycemia. All the 237 diabetes and 49 prediabetes recruited in the study were evolved from the participants with impaired glucose tolerance in the original Da Qing Diabetes Study. Blood hs-CRP level was measured at 2006. Ten-year outcome of death was traced from 2006 to 2016. Cox model was used to analyse the association between hs-CRP level and the risk of all-cause death occurred over the subsequent 10 years. During the follow-up, death occurred in 36 (37.9%) subjects in the highest hs-CRP tertile group (hs-CRP &gt; 2.16 mg/L) and 19 (20.0%) in the lowest hs-CRP tertile group (hs-CRP &lt; 0.82 mg/L, p &lt; 0.05). The corresponding incidence of all-cause death (per 1,000 person-years) was 44.7 (95% CI 30.1–59.3) and 21.6 (95% CI 11.9–31.3) in the two groups respectively (p &lt; 0.0001). The highest hs-CRP tertile was associated with the increased risk of all-cause death significantly (hazard ratio 1.88, 95% CI 1.07–3.32) after controlling for traditional risk factors. Serum hs-CRP was predictive of 10-year all-cause death in Chinese adults with hyperglycemia, suggesting the impact of low-grade inflammation on mortality deserves more attention.</description><subject>Adult</subject><subject>Aged</subject><subject>All-cause mortality</subject><subject>C-Reactive Protein - metabolism</subject><subject>China</subject><subject>Diabetes Mellitus - blood</subject><subject>Diabetes Mellitus - mortality</subject><subject>Diabetes Mellitus - prevention &amp; control</subject><subject>Female</subject><subject>hs-CRP</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Hyperglycemia - diagnosis</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Risk Factors</subject><subject>Time Factors</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQxi0EotvCI4B85JLFfxLbywWhhRakSrQVnK3YmTReJXGwnaI8Ba-Mlyy99jSj0e-bz54PoTeUbCmh4v1h27jaBIhbRhjNMyWEeoY2VElWKMbkc7TJnPrXn6HzGA-EEMHL6iU647lwtqs26M9NgMbZ5PyIfYspKRaoAx58SHXv0oLn6MZ73MVif3eD3Yj3nRshAp7ATz3g3y51uFsmCPf9YmFw9Qd86cYmiyJugx9w6gB_rvHtcc3xyZAg4inAA4yr65ysH_IsprlZXqEXbd1HeH2qF-jn5Zcf-6_F9ferb_tP14XlVOyK0uy4lKZsq1ZxZoxilstmJ0pJLHBFJaVCQFVzY0oAJpgwnFatKa00meL8Ar1b907B_5ohJj24aKHv6xH8HDUrpapURUuZ0WpFbfAxBmj1FNxQh0VToo9Z6IM-ZaGPWeg1i6x7e7KYzQDNo-r_8TPwcQUgf_TBQdDROhhtDiSATbrx7gmLvyqrnjc</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Qian, Xin</creator><creator>He, Siyao</creator><creator>Wang, Jinping</creator><creator>Gong, Qiuhong</creator><creator>An, Yali</creator><creator>Li, Hui</creator><creator>Chen, Yanyan</creator><creator>Li, Guangwei</creator><general>Elsevier B.V</general><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>7X8</scope></search><sort><creationdate>20210301</creationdate><title>Prediction of 10-year mortality using hs-CRP in Chinese people with hyperglycemia: Findings from the Da Qing diabetes prevention outcomes study</title><author>Qian, Xin ; 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To examine whether high-sensitivity C-reactive protein (hs-CRP) can predict all-cause death in Chinese adults with hyperglycemia. All the 237 diabetes and 49 prediabetes recruited in the study were evolved from the participants with impaired glucose tolerance in the original Da Qing Diabetes Study. Blood hs-CRP level was measured at 2006. Ten-year outcome of death was traced from 2006 to 2016. Cox model was used to analyse the association between hs-CRP level and the risk of all-cause death occurred over the subsequent 10 years. During the follow-up, death occurred in 36 (37.9%) subjects in the highest hs-CRP tertile group (hs-CRP &gt; 2.16 mg/L) and 19 (20.0%) in the lowest hs-CRP tertile group (hs-CRP &lt; 0.82 mg/L, p &lt; 0.05). The corresponding incidence of all-cause death (per 1,000 person-years) was 44.7 (95% CI 30.1–59.3) and 21.6 (95% CI 11.9–31.3) in the two groups respectively (p &lt; 0.0001). The highest hs-CRP tertile was associated with the increased risk of all-cause death significantly (hazard ratio 1.88, 95% CI 1.07–3.32) after controlling for traditional risk factors. Serum hs-CRP was predictive of 10-year all-cause death in Chinese adults with hyperglycemia, suggesting the impact of low-grade inflammation on mortality deserves more attention.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33453295</pmid><doi>10.1016/j.diabres.2021.108668</doi><tpages>1</tpages></addata></record>
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subjects Adult
Aged
All-cause mortality
C-Reactive Protein - metabolism
China
Diabetes Mellitus - blood
Diabetes Mellitus - mortality
Diabetes Mellitus - prevention & control
Female
hs-CRP
Humans
Hyperglycemia
Hyperglycemia - diagnosis
Incidence
Male
Middle Aged
Mortality
Risk Factors
Time Factors
title Prediction of 10-year mortality using hs-CRP in Chinese people with hyperglycemia: Findings from the Da Qing diabetes prevention outcomes study
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