Sex and age differences in the association between high sensitivity C-reactive protein and all-cause mortality: A 12-year prospective cohort study

To explore the influence of age on hs-CRP among men and women and investigate the impact of hs-CRP on all-cause death, this prospective cohort enrolled 4128 community adults from 2009 to 2022 for all-cause death. Age and sex-specific hs-CRP percentile curves were generated using the GAMLSS method. C...

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Veröffentlicht in:Mechanisms of ageing and development 2023-04, Vol.211, p.111804-111804, Article 111804
Hauptverfasser: Bafei, Solim Essomandan Clémence, Yang, Song, Chen, Changying, Gu, Xincheng, Mu, Jialing, Liu, Fangyuan, Sun, Junxiang, Zhuang, Qian, Wei, Pengfei, Zhao, Xianghai, Chen, Yanchun, Yin, Yunjie, Xie, Hankun, Shen, Chong
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container_title Mechanisms of ageing and development
container_volume 211
creator Bafei, Solim Essomandan Clémence
Yang, Song
Chen, Changying
Gu, Xincheng
Mu, Jialing
Liu, Fangyuan
Sun, Junxiang
Zhuang, Qian
Wei, Pengfei
Zhao, Xianghai
Chen, Yanchun
Yin, Yunjie
Xie, Hankun
Shen, Chong
description To explore the influence of age on hs-CRP among men and women and investigate the impact of hs-CRP on all-cause death, this prospective cohort enrolled 4128 community adults from 2009 to 2022 for all-cause death. Age and sex-specific hs-CRP percentile curves were generated using the GAMLSS method. Cox-proportional hazard regression analysis was applied to estimate the hazard ratios (HRs) and 95 % confidence intervals (CIs). During the follow-up with a median of 12.59 years, 701 cases of all-cause death were identified. Among men, the smoothed centile curves of hs-CRP gradually increased from age 35 onwards whereas, the smoothed centile curves of hs-CRP continuously increased as age increased among women. Compared with the reference group, the adjusted HR of the association between elevated hs-CRP and all-cause death was 1.33 (95 % CI: 1.11–1.61). The adjusted HRs of the associations between elevated hs-CRP and all-cause death were higher in women [1.40 (95 % CI: 1.07–1.83)] than men [1.28 (95 % CI: 0.99–1.65) and in subjects aged
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Age and sex-specific hs-CRP percentile curves were generated using the GAMLSS method. Cox-proportional hazard regression analysis was applied to estimate the hazard ratios (HRs) and 95 % confidence intervals (CIs). During the follow-up with a median of 12.59 years, 701 cases of all-cause death were identified. Among men, the smoothed centile curves of hs-CRP gradually increased from age 35 onwards whereas, the smoothed centile curves of hs-CRP continuously increased as age increased among women. Compared with the reference group, the adjusted HR of the association between elevated hs-CRP and all-cause death was 1.33 (95 % CI: 1.11–1.61). The adjusted HRs of the associations between elevated hs-CRP and all-cause death were higher in women [1.40 (95 % CI: 1.07–1.83)] than men [1.28 (95 % CI: 0.99–1.65) and in subjects aged &lt; 65 years [1.77 (95 % CI: 1.19–2.62)] than in subjects aged ≥ 65 years [1.27 (95 % CI: 1.03–1.57)]. Our findings highlight the need of investigating sex and age differences in biological pathways that link inflammation and mortality. •The age-related distribution of hs-CRP varied among men and women.•There was a linear association between hs-CRP and the hazard of all-cause death among men and women.•Elevated hs-CRP was associated with an increased risk of all-cause death in women and subjects aged below 65 years.•There is a need of investigating sex and age differences in the biological pathways that link inflammation and mortality.</description><identifier>ISSN: 0047-6374</identifier><identifier>EISSN: 1872-6216</identifier><identifier>DOI: 10.1016/j.mad.2023.111804</identifier><identifier>PMID: 36967048</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Age ; All-cause death ; C-Reactive Protein - metabolism ; CVD death ; Female ; Gender ; Hs-CRP ; Humans ; Inflammation ; Male ; Proportional Hazards Models ; Prospective Studies ; Risk Factors</subject><ispartof>Mechanisms of ageing and development, 2023-04, Vol.211, p.111804-111804, Article 111804</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. 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Our findings highlight the need of investigating sex and age differences in biological pathways that link inflammation and mortality. •The age-related distribution of hs-CRP varied among men and women.•There was a linear association between hs-CRP and the hazard of all-cause death among men and women.•Elevated hs-CRP was associated with an increased risk of all-cause death in women and subjects aged below 65 years.•There is a need of investigating sex and age differences in the biological pathways that link inflammation and mortality.</description><subject>Age</subject><subject>All-cause death</subject><subject>C-Reactive Protein - metabolism</subject><subject>CVD death</subject><subject>Female</subject><subject>Gender</subject><subject>Hs-CRP</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Male</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><issn>0047-6374</issn><issn>1872-6216</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0EotPCA7BBXrLJ4OtknARW1QgoUiUWLWvLub7ueJSfwXZa5jV4YjykdNmVdaXvHB2fw9g7EGsQoD7u14OxaylkuQaARlQv2AqaWhZKgnrJVkJUdaHKujpj5zHuhRBQSfWanZWqVbWomhX7c0O_uRktN3fErXeOAo1IkfuRpx1xE-OE3iQ_jbyj9EA08p2_2_FIY_TJ3_t05NsikMF8ED-EKVHW_rPs-wLNHIkPU0imz-gnfslBFkcy4YTGAy0ynHYZ4THN9viGvXKmj_T28b1gP79-ud1eFdc_vn3fXl4XWG7KVFjRIbjNRnVN29aNbQnBOgKHTqq6RJBIOZXrEKFWBOC6DQo0UIIohcPygn1YfHOQXzPFpAcfkfrejDTNUcu6hVrkVtuMwoJizhwDOX0IfjDhqEHo0xR6r_MU-jSFXqbImveP9nM3kH1S_O8-A58XgPIn7z0FHdGfyrc-5Fq0nfwz9n8BQZCctg</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Bafei, Solim Essomandan Clémence</creator><creator>Yang, Song</creator><creator>Chen, Changying</creator><creator>Gu, Xincheng</creator><creator>Mu, Jialing</creator><creator>Liu, Fangyuan</creator><creator>Sun, Junxiang</creator><creator>Zhuang, Qian</creator><creator>Wei, Pengfei</creator><creator>Zhao, Xianghai</creator><creator>Chen, Yanchun</creator><creator>Yin, Yunjie</creator><creator>Xie, Hankun</creator><creator>Shen, Chong</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><orcidid>https://orcid.org/0000-0001-6447-6591</orcidid></search><sort><creationdate>202304</creationdate><title>Sex and age differences in the association between high sensitivity C-reactive protein and all-cause mortality: A 12-year prospective cohort study</title><author>Bafei, Solim Essomandan Clémence ; 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Our findings highlight the need of investigating sex and age differences in biological pathways that link inflammation and mortality. •The age-related distribution of hs-CRP varied among men and women.•There was a linear association between hs-CRP and the hazard of all-cause death among men and women.•Elevated hs-CRP was associated with an increased risk of all-cause death in women and subjects aged below 65 years.•There is a need of investigating sex and age differences in the biological pathways that link inflammation and mortality.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>36967048</pmid><doi>10.1016/j.mad.2023.111804</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-6447-6591</orcidid></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Age
All-cause death
C-Reactive Protein - metabolism
CVD death
Female
Gender
Hs-CRP
Humans
Inflammation
Male
Proportional Hazards Models
Prospective Studies
Risk Factors
title Sex and age differences in the association between high sensitivity C-reactive protein and all-cause mortality: A 12-year prospective cohort study
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