Significant Correlation Between Visceral Adiposity and High-sensitivity C-reactive Protein (hs-CRP) in Japanese Subjects

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概要

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• Objective High-sensitivity C-reactive protein (hs-CRP) is a marker for low-grade inflammation, as well as atherosclerosis, obesity, hyperglycemia and hypertension. Because the factor showing the strongest association with inflammation is currently unknown, we investigated the associations between hs-CRP and clinical and biochemical characteristics in Japanese subjects with mild obesity or impaired glucose tolerance. Methods Subjects aged <65 years old, attending the Seirei Medical Examination Center, underwent complete physical and laboratory examinations. A total of 112 subjects (mean age 59.9±5.9 years old, males/females: n=50/62) with a waist circumference of >85 cm in males and >90 cm in females, homeostasis model assessment-insulin resistance (HOMA-IR) ≥1.7, or impaired glucose tolerance were eligible for this study. All subjects had normal albuminuria. Results Log-transformed hs-CRP concentrations were significantly correlated with BMI (r=0.278, p<0.01), HOMA-IR (r=0.296, p<0.005), 2-h post-challenge IRI during an oral glucose tolerance test (r=0.218, p<0.05), maximum intima-media thickness (r=0.240, p<0.05), visceral fat area evaluated by computed tomography (r=0.423, p<0.0001) and subcutaneous fat area (r=0.231, p<0.05). Multiple linear regression analysis showed that visceral fat was the most significantly correlated factor with hs-CRP. Conclusion Visceral fat mass was a significant and independent predictor for serum hs-CRP levels in Japanese subjects with mild obesity and/or impaired glucose tolerance.

著者

• Oki Yutaka

  The Second Department Of Internal Medicine Hamamatsu University

• Nakamura Hirotoshi

  The Second Department Of Internal Medicine

• Ito Takeshi

  The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan

• Tsuriya Daisuke

  The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan

• Morita Hiroshi

  The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan

• Morioka Tetsu

  The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan

• Takahashi Norio

  The Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Japan

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