Klisic Aleksandra N, Vasiljevic Nadja D, Simic Tatjana P, Djukic Tatjana I, Maksimovic Milos Z, Matic Marija G
Lab Med. 2014 Winter;45(1):12-6. doi: 10.1309/lmi6i2rn7ampeuul.
Although C-reactive protein (CRP) is among the best cardiovascular disease risk predictors, data regarding the association of CRP and menopause are controversial. In this study, we measured CRP by a high-sensitivity method (hsCRP), cholesterol, lipoproteins, and triglycerides in normal and overweight postmenopausal women.
Body weight, height, waist circumference (WC), hsCRP, total cholesterol, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), triglycerides, and lipoprotein (a) were measured in 30 normal weight and 60 overweight healthy postmenopausal women.
Significantly higher triglyceride and hsCRP levels (P = 0.005 and P < 0.001 respectively), together with lower HDL-c levels (P = 0.001) were found in overweight compared to normal weight women. In the overweight group, positive correlations of hsCRP were observed with age, body mass index and WC (P = 0.016, P = 0.001, and P < 0.001, respectively) and a negative correlation was observed with HDL-c (P = 0.007). In the normal weight group, positive correlations were found for hsCRP with age and WC (P = 0.023 and P = 0.014, respectively). WC was the best predictor of hsCRP level in both groups (P < 0.001).
Elevated hsCRP levels in conjunction with abnormal lipid profiles may be strongly associated with weight gain in postmenopausal women. Efforts to reduce obesity and inflammation in this group may help correct abnormal levels of hsCRP and lipids.
尽管C反应蛋白(CRP)是最佳的心血管疾病风险预测指标之一,但关于CRP与绝经之间关联的数据存在争议。在本研究中,我们采用高敏方法(hsCRP)测量了正常体重和超重绝经后女性的CRP、胆固醇、脂蛋白及甘油三酯水平。
对30名正常体重和60名超重的健康绝经后女性测量了体重、身高、腰围(WC)、hsCRP、总胆固醇、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇(LDL-c)、甘油三酯及脂蛋白(a)。
与正常体重女性相比,超重女性的甘油三酯和hsCRP水平显著更高(分别为P = 0.005和P < 0.001),HDL-c水平更低(P = 0.001)。在超重组中,观察到hsCRP与年龄、体重指数和腰围呈正相关(分别为P = 0.016、P = 0.001和P < 0.001),与HDL-c呈负相关(P = 0.007)。在正常体重组中,hsCRP与年龄和腰围呈正相关(分别为P = 0.023和P = 0.014)。腰围是两组中hsCRP水平的最佳预测指标(P < 0.001)。
绝经后女性hsCRP水平升高与血脂异常可能与体重增加密切相关。在该群体中努力减轻肥胖和炎症可能有助于纠正hsCRP和血脂的异常水平。