Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Internal Medicine "C", "D" and "E", Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Clin Chim Acta. 2020 Feb;501:33-41. doi: 10.1016/j.cca.2019.12.002. Epub 2019 Dec 6.
C-reactive protein (CRP) is considered a marker of inflammation. We sought to evaluate the association between CRP level and commonly use blood tests in apparently healthy population.
A cross-sectional study of all visits in a routine health examination center between 1/2002 and 7/2018. CRP, complete blood count and chemistry blood panel were evaluated in each visit. Visits of individuals who had CRP above the 99th percentile or use statins were excluded. Correlation between CRP and blood tests was evaluated in the whole cohort as well as in sub-populations.
Blood parameters of 33,261 visits were included. Moderate positive correlation between CRP and white blood cells count (r = 0.269), neutrophils count (r = 0.275), triglycerides (r = 0.275), alkaline phosphatase (r = 0.221) and gamma glutamyl transpeptidase (r = 0.220) was evaluated. Correlation with triglycerides was stronger in female then in males (r = 0.38 vs. 0.25). Uric acid was positively correlated in females and males. In participants under 30 years, inverse correlation with hemoglobin, creatinine and albumin levels and positive correlation with cholesterol were documented.
Significant moderate association between CRP and several blood tests was evaluated in apparently healthy population. This information should be used for further studies of the relationship between inflammation and biological processes.
C 反应蛋白(CRP)被认为是炎症的标志物。我们旨在评估 CRP 水平与普通人群中常用血液检测之间的关联。
这是一项在 2002 年 1 月至 2018 年 7 月期间在常规健康检查中心进行的所有就诊的横断面研究。在每次就诊时评估 CRP、全血细胞计数和化学血液分析。排除 CRP 高于第 99 百分位数或使用他汀类药物的就诊者。在整个队列以及亚人群中评估 CRP 与血液检测之间的相关性。
共纳入 33261 次就诊的血液参数。CRP 与白细胞计数(r=0.269)、中性粒细胞计数(r=0.275)、甘油三酯(r=0.275)、碱性磷酸酶(r=0.221)和γ-谷氨酰转肽酶(r=0.220)之间呈中度正相关。在女性中,与甘油三酯的相关性强于男性(r=0.38 比 0.25)。尿酸在女性和男性中均呈正相关。在 30 岁以下的参与者中,血红蛋白、肌酐和白蛋白水平与 CRP 呈负相关,胆固醇与 CRP 呈正相关。
在普通人群中,CRP 与几种血液检测之间存在显著的中度关联。这些信息应该用于进一步研究炎症与生物过程之间的关系。