Cardiorespiratory fitness and C-reactive protein among a tri-ethnic sample of women

Elevated C-reactive protein (CRP) is associated with increased coronary heart disease (CHD) risk. Cardiorespiratory fitness ("fitness") is related with lower CHD risk; however, its relationship with CRP is relatively unknown. Cross-sectional associations between fitness and plasma CRP were...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2002-07, Vol.106 (4), p.403-406
Hauptverfasser: LAMONTE, Michael J, DURSTINE, J. Larry, YANOWITZ, Frank G, LIM, Tobin, DUBOSE, Katrina D, DAVIS, Paul, AINSWORTH, Barbara E
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container_issue 4
container_start_page 403
container_title Circulation (New York, N.Y.)
container_volume 106
creator LAMONTE, Michael J
DURSTINE, J. Larry
YANOWITZ, Frank G
LIM, Tobin
DUBOSE, Katrina D
DAVIS, Paul
AINSWORTH, Barbara E
description Elevated C-reactive protein (CRP) is associated with increased coronary heart disease (CHD) risk. Cardiorespiratory fitness ("fitness") is related with lower CHD risk; however, its relationship with CRP is relatively unknown. Cross-sectional associations between fitness and plasma CRP were examined among 135 African American (AA), Native American (NA), and Caucasian (CA) women (55+/-11 year; 28+/-6 kg/m2). Fitness was assessed with a maximal treadmill exercise test. Plasma CRP concentrations were determined with the Dade Behring high-sensitivity immunoassay. Geometric mean CRP levels were 0.43, 0.25, and 0.23 mg/dL, and average maximal MET levels of fitness were 7.2, 9.1, and 10 METs for AA, NA, and CA, respectively. CRP decreased across tertiles of fitness (P=0.002), increased across tertiles of BMI (P=0.0007), and varied by race (P=0.002). After adjustment for covariates, lower CRP (P0.19 mg/dL) were 0.67 (95% CI=0.19 to 2.4) among fit (>6.5 METs) versus unfit women. The health benefits from enhanced fitness may have an antiinflammatory mechanism.
doi_str_mv 10.1161/01.CIR.0000025425.20606.69
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Geometric mean CRP levels were 0.43, 0.25, and 0.23 mg/dL, and average maximal MET levels of fitness were 7.2, 9.1, and 10 METs for AA, NA, and CA, respectively. CRP decreased across tertiles of fitness (P=0.002), increased across tertiles of BMI (P=0.0007), and varied by race (P=0.002). After adjustment for covariates, lower CRP (P&lt;0.05) was observed across tertiles of fitness among NA and CA, but not AA. Among all women, after adjusting for race and covariates, the odds of high-risk CRP (&gt;0.19 mg/dL) were 0.67 (95% CI=0.19 to 2.4) among fit (&gt;6.5 METs) versus unfit women. 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Plasma CRP concentrations were determined with the Dade Behring high-sensitivity immunoassay. Geometric mean CRP levels were 0.43, 0.25, and 0.23 mg/dL, and average maximal MET levels of fitness were 7.2, 9.1, and 10 METs for AA, NA, and CA, respectively. CRP decreased across tertiles of fitness (P=0.002), increased across tertiles of BMI (P=0.0007), and varied by race (P=0.002). After adjustment for covariates, lower CRP (P&lt;0.05) was observed across tertiles of fitness among NA and CA, but not AA. Among all women, after adjusting for race and covariates, the odds of high-risk CRP (&gt;0.19 mg/dL) were 0.67 (95% CI=0.19 to 2.4) among fit (&gt;6.5 METs) versus unfit women. 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Vascular system</subject><subject>Coronary Disease - ethnology</subject><subject>Coronary Disease - etiology</subject><subject>Coronary heart disease</subject><subject>Cross-Sectional Studies</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Indians, North American</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Physical Fitness</subject><subject>Risk Factors</subject><subject>White People</subject><issn>0009-7322</issn><issn>1524-4539</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkNtq3DAQQEVpaTZpfyGIQPtmV6Obrb4V0yaBQKBNnsVYllMFW9pK3pb8fb3JwkLmZRjmzIVDyAWwGkDDFwZ1d_2zZvvgSnJVc6aZrrV5QzaguKykEuYt2ax9UzWC8xNyWsrjWmrRqPfkBDgIZYTekF8d5iGk7Ms2ZFxSfqJjWKIvhWIcaFdlj24Jfz3d5rT4ECnOKT5QpEsOlV9-x-BowXk7eZpG-i_NPn4g70aciv94yGfk_sf3u-6qurm9vO6-3VROCVgqhb3y2jS998h5yxjiYEbQhkmUBgfeN6xvBZNSyaGX0jneQqOHBhqHxnFxRj6_7F1f-7PzZbFzKM5PE0afdsU2YAQTrVnBi1fgY9rluP5mOXDdAsB-29cXyOVUSvaj3eYwY36ywOzeu2VgV-_26N0-e7d6f-H8cGHXz344jh5Er8CnA4DF4TRmjC6UIydaMExp8R8sdIrQ</recordid><startdate>20020723</startdate><enddate>20020723</enddate><creator>LAMONTE, Michael J</creator><creator>DURSTINE, J. 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Larry</creatorcontrib><creatorcontrib>YANOWITZ, Frank G</creatorcontrib><creatorcontrib>LIM, Tobin</creatorcontrib><creatorcontrib>DUBOSE, Katrina D</creatorcontrib><creatorcontrib>DAVIS, Paul</creatorcontrib><creatorcontrib>AINSWORTH, Barbara E</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 Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LAMONTE, Michael J</au><au>DURSTINE, J. Larry</au><au>YANOWITZ, Frank G</au><au>LIM, Tobin</au><au>DUBOSE, Katrina D</au><au>DAVIS, Paul</au><au>AINSWORTH, Barbara E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiorespiratory fitness and C-reactive protein among a tri-ethnic sample of women</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2002-07-23</date><risdate>2002</risdate><volume>106</volume><issue>4</issue><spage>403</spage><epage>406</epage><pages>403-406</pages><issn>0009-7322</issn><issn>1524-4539</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Elevated C-reactive protein (CRP) is associated with increased coronary heart disease (CHD) risk. Cardiorespiratory fitness ("fitness") is related with lower CHD risk; however, its relationship with CRP is relatively unknown. 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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Biological and medical sciences
Black or African American
Black People
Body Mass Index
C-Reactive Protein - analysis
Cardiology. Vascular system
Coronary Disease - ethnology
Coronary Disease - etiology
Coronary heart disease
Cross-Sectional Studies
Exercise Test
Female
Heart
Humans
Indians, North American
Medical sciences
Middle Aged
Physical Fitness
Risk Factors
White People
title Cardiorespiratory fitness and C-reactive protein among a tri-ethnic sample of women
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