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代谢综合征患者的C反应蛋白和活性氧代谢产物

C-reactive protein and reactive oxygen metabolites in subjects with metabolic syndrome.

作者信息

Kotani K, Sakane N

机构信息

Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Centre, 1-1 Fukakusa Mukaihata, Fushimi-ku, Kyoto 612-8555, Japan.

出版信息

J Int Med Res. 2012;40(3):1074-81. doi: 10.1177/147323001204000326.

Abstract

OBJECTIVE

This cross-sectional study investigated the correlation between diacron reactive oxygen metabolites (d-ROMs) and high-sensitivity C-reactive protein (hs-CRP) in subjects with or without metabolic syndrome.

METHODS

Cardiometabolic risk factors, d-ROMs and hs-CRP were determined in 457 women: 123 with metabolic syndrome and 334 without metabolic syndrome. The correlation between d-ROMs and hs-CRP levels was compared between the two groups.

RESULTS

The group with metabolic syndrome had significantly higher d-ROMs and hs-CRP levels than the group without metabolic syndrome. While the d-ROMs level was significantly and positively correlated with the hs-CRP level in both groups, the correlation level between the two groups was significantly different. Multiple linear regression analysis adjusted for other cardiometabolic risk factors also showed significant positive correlation between dROMs and hs-CRP levels in both groups.

CONCLUSION

Subjects with metabolic syndrome may have a closer relationship between inflammation and oxidative stress than subjects without metabolic syndrome, possibly reflecting their increased predisposition to atherosclerosis. Further studies are necessary to confirm the observed relationship.

摘要

目的

本横断面研究调查了患有或未患有代谢综合征的受试者中,戴克隆活性氧代谢产物(d-ROMs)与高敏C反应蛋白(hs-CRP)之间的相关性。

方法

测定了457名女性的心脏代谢危险因素、d-ROMs和hs-CRP:123名患有代谢综合征,334名未患有代谢综合征。比较了两组中d-ROMs与hs-CRP水平之间的相关性。

结果

患有代谢综合征的组比未患有代谢综合征的组d-ROMs和hs-CRP水平显著更高。虽然两组中d-ROMs水平均与hs-CRP水平显著正相关,但两组之间的相关程度显著不同。在对其他心脏代谢危险因素进行校正的多元线性回归分析中,两组中d-ROMs与hs-CRP水平也均显示出显著正相关。

结论

与未患有代谢综合征的受试者相比,患有代谢综合征的受试者炎症与氧化应激之间的关系可能更密切,这可能反映出他们患动脉粥样硬化的易感性增加。需要进一步研究来证实所观察到的关系。

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