Cattafesta Monica, Bissoli Nazaré Souza, Salaroli Luciane Bresciani
Postgraduate Program in Nutrition and Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
Postgraduate Program in Physiological Sciences, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
Diabetes Metab Syndr Obes. 2016 May 10;9:137-44. doi: 10.2147/DMSO.S101283. eCollection 2016.
The ultrasensitive C-reactive protein (us-CRP) is used for the diagnosis of cardiovascular disease, but it is not well described as a marker for the diagnosis of metabolic syndrome (MS).
An observational and transversal study of bank employees evaluated anthropometric, hemodynamic, and biochemical data. CRP values were determined using commercial kits from Roche Diagnostics Ltd, and MS criteria were analyzed according to National Cholesterol Education Program's - Adult Treatment Panel III (NCEP/ATP III).
A total of 88 individuals had MS, and 77.3% (n=68) of these showed alterations of us-CRP (P=0.0001, confidence interval [CI] 0.11-0.34). Individuals with MS had higher mean values of us-CRP in global measures (P=0.0001) and stratified by sex (P=0.004) than individuals without the syndrome. This marker exhibited significant differences with varying criteria for MS, such as waist circumference (P=0.0001), triglycerides (P=0.002), and diastolic blood pressure (P=0.007), and the highest levels of us-CRP were found in individuals with more MS criteria.
us-CRP was strongly associated with the presence of MS and MS criteria in this group of workers. us-CRP is a useful and effective marker for identifying the development of MS and may be used as a reference in routine care.
超敏C反应蛋白(us-CRP)用于心血管疾病的诊断,但作为代谢综合征(MS)诊断标志物的相关描述并不充分。
对银行员工进行了一项观察性横断面研究,评估人体测量学、血流动力学和生化数据。使用罗氏诊断有限公司的商用试剂盒测定CRP值,并根据美国国家胆固醇教育计划成人治疗小组第三次报告(NCEP/ATP III)分析MS标准。
共有88人患有MS,其中77.3%(n = 68)的人us-CRP有改变(P = 0.0001,置信区间[CI]0.11 - 0.34)。患有MS的个体在总体测量中(P = 0.0001)以及按性别分层(P = 0.004)时,其us-CRP的平均值高于无该综合征的个体。该标志物在不同的MS标准方面存在显著差异,如腰围(P = 0.0001)、甘油三酯(P = 0.002)和舒张压(P = 0.007),并且在符合更多MS标准的个体中发现了最高水平的us-CRP。
在这组工作人员中,us-CRP与MS的存在及MS标准密切相关。us-CRP是识别MS发生发展的有用且有效的标志物,可作为常规护理的参考。