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C reactive protein and its determinants in healthy men and women from European regions at different risk of coronary disease : the IMMIDIET Project

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Arcari, A., Zito, F., Di Castelnuovo, A., De Curtis, A., Dirckx, C., Arnout, J., Cappuccio, Francesco, van Dongen, Martien C. J. M., de Lorgeril, M., Krogh, V., Siani, A., Donati, M. B., de Gaetano, G. and Iacoviello, L. (2008) C reactive protein and its determinants in healthy men and women from European regions at different risk of coronary disease : the IMMIDIET Project. Journal of Thrombosis and Haemostasis, Vol.6 (No.3). pp. 436-443. doi:10.1111/j.1538-7836.2007.02851.x ISSN 1538-7933.

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Official URL: http://dx.doi.org/10.1111/j.1538-7836.2007.02851.x

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Abstract

Aim: Differences in C-reactive protein (CRP) levels and its determinants in three European populations at different risk of coronary artery disease (CAD) were studied.Methods: Subjects were recruited randomly in Limburg (Belgium), Abruzzo (Italy) and south-west (SW) London (England).Results: Ten-year risk of fatal coronary events (estimated using risk equations provided by the SCORE Project) was lower both in men and women from Abruzzo, intermediate in people from Limburg and higher in subjects from SW London. Within each country, high sensitivity (hs)-CRP levels were higher in the high-risk class in men but not in women. Men from Abruzzo had higher hs-CRP levels than those from Limburg and SW London. Women always had higher hs-CRP levels than men. The strongest hs-CRP determinant was body mass index (BMI, R2 = 0.14) in women and waist circumference (WC, R2 = 0.046) in men. The highest hs-CRP levels were observed in subjects with both high BMI and high WC. Metabolic syndrome was associated with high levels of CRP both in men and women, even after adjustment for confounders. Discussion: Difference in CRP levels cannot explain the European gradient of CVD risk, although CRP levels are associated with the calculated SCORE risk of fatal coronary events within each country.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Journal of Thrombosis and Haemostasis
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1538-7933
Official Date: March 2008
Dates:
DateEvent
March 2008Published
Volume: Vol.6
Number: No.3
Page Range: pp. 436-443
DOI: 10.1111/j.1538-7836.2007.02851.x
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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