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高敏C反应蛋白对老年人群代谢综合征的影响:来自印度查谟和克什米尔一项基于医院的横断面研究的结果

Impact of high-sensitivity C-reactive protein on metabolic syndrome in an elderly population: Findings from a hospital-based cross-sectional study in J&K, India.

作者信息

Masoodi Abdul Basit, Khuroo Suhaib A

机构信息

Department of Accidents and Emergency, Government Medical College, Baramulla, Jammu and Kashmir, India.

Department of Surgery, Government Medical College, Baramulla, Jammu and Kashmir, India.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4173-4180. doi: 10.4103/jfmpc.jfmpc_888_23. Epub 2024 Oct 18.

Abstract

BACKGROUND

Due to affluent lifestyles, primary care physicians are concerned about metabolic syndrome (MetS). Inflammation and insulin resistance are caused by extra adipose tissue. Our study seeks to evaluate, taking into account numerous variables, the relationship between high-sensitivity C-reactive protein (hsCRP) levels and MetS in adults aged 50+ in Northern Kashmir, India.

MATERIALS AND METHODS

In Northern Kashmir, India, a hospital-based cross-sectional study looked into the relationship between hsCRP and MetS in people over 50. The recruitment process included people looking for basic healthcare services. Utilising modified NCEP-ATP III criteria, MetS was established. The association between MetS and hsCRP levels was evaluated statistically while taking into account various variables.

RESULTS

The waist circumference, body mass index, systolic and diastolic blood pressure, as well as the prevalence of hypertension, diabetes mellitus (DM), and dyslipidemia were all greater in those with MetS. While demonstrating decreased levels of high-density lipoprotein cholesterol (HDL-C), they also showed higher levels of high-sensitive C-reactive protein (hsCRP) and fasting plasma glucose. A study of correlations revealed a substantial inverse relationship between hsCRP and HDL-C. Elevated hsCRP levels were found to be substantially linked with MetS by the use of logistic regression, along with obesity, uric acid levels, hypertension, DM, and dyslipidemia. These results underline how crucial it is to keep an eye on these variables in order to recognize and treat MetS as soon as possible.

CONCLUSION

Among this investigation, we found strong evidence that high- hsCRP, an independent risk factor for MetS, was present among middle-aged and elderly residents of the northern Kashmir region of India.

摘要

背景

由于生活方式富足,基层医疗医生对代谢综合征(MetS)颇为关注。额外的脂肪组织会引发炎症和胰岛素抵抗。我们的研究旨在综合考虑众多变量,评估印度克什米尔地区北部50岁及以上成年人中高敏C反应蛋白(hsCRP)水平与代谢综合征之间的关系。

材料与方法

在印度克什米尔地区北部,一项基于医院的横断面研究探讨了50岁以上人群中hsCRP与代谢综合征之间的关系。招募过程涵盖了寻求基本医疗服务的人群。采用改良的NCEP-ATP III标准来确定代谢综合征。在考虑各种变量的同时,对代谢综合征与hsCRP水平之间的关联进行了统计学评估。

结果

代谢综合征患者的腰围、体重指数、收缩压和舒张压,以及高血压、糖尿病(DM)和血脂异常的患病率均更高。他们在高密度脂蛋白胆固醇(HDL-C)水平降低的同时,高敏C反应蛋白(hsCRP)和空腹血糖水平也更高。相关性研究显示hsCRP与HDL-C之间存在显著的负相关关系。通过逻辑回归分析发现,hsCRP水平升高与代谢综合征、肥胖、尿酸水平、高血压、糖尿病和血脂异常密切相关。这些结果凸显了监测这些变量对于尽早识别和治疗代谢综合征的至关重要性。

结论

在本次调查中,我们发现有力证据表明,hsCRP升高作为代谢综合征的一个独立危险因素,存在于印度克什米尔地区北部的中老年居民中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/11610817/bf3a22eedb71/JFMPC-13-4173-g001.jpg

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