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Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:961-967

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:961.)
© 2001 American Heart Association, Inc.


Atherosclerosis and Lipoproteins

Elevated C-Reactive Protein

Another Component of the Atherothrombotic Profile of Abdominal Obesity

Isabelle Lemieux; Agnès Pascot; Denis Prud’homme; Natalie Alméras; Peter Bogaty; André Nadeau; Jean Bergeron; Jean-Pierre Després

From the Québec Heart Institute (I.L., A.P., N.A., P.B., J.-P.D.), Laval Hospital Research Center; the Lipid Research Center (I.L., A.P., D.P., N.A., J.B., J.-P.D.) and the Diabetes Research Unit (A.N.), CHUL Research Center; and the Division of Kinesiology (D.P.), Faculty of Medicine, Laval University, Ste-Foy, Québec, Canada.

Correspondence to Jean-Pierre Després, PhD, Director of Research, Québec Heart Institute, Laval Hospital Research Center, Pavilion Mallet, 2nd Floor, 2725, chemin Sainte-Foy, Sainte-Foy, Québec G1V 4G5, Canada. E-mail jean-pierre.despres{at}crchul.ulaval.ca

Abstract—Recent studies have suggested that elevated plasma C-reactive protein (CRP) levels are associated with the features of insulin resistance syndrome. In the present study, we have examined the contribution of body composition measured by hydrostatic weighing and of abdominal adipose tissue (AT) accumulation assessed by computed tomography to the variation in plasma CRP levels associated with atherogenic dyslipidemia of the insulin resistance syndrome in a sample of 159 men, aged 22 to 63 years, covering a wide range of adiposity (body mass index values from 21 to 41 kg/m2). Plasma CRP levels showed positive and significant correlations with body fat mass (r=0.41, P<0.0001), waist girth (r=0.37, P<0.0001), and visceral AT accumulation measured by computed tomography at L4 to L5 (r=0.28, P<0.0003). Although CRP levels were associated with plasma insulin levels measured in the fasting state and after a 75-g oral glucose load, no significant correlations were found with plasma lipoprotein levels. Finally, comparison of body fatness, of abdominal fat accumulation, and of the features of the insulin resistance syndrome across quintiles of CRP revealed major differences in body fatness and in indices of abdominal AT accumulation between the lowest and the highest CRP quintiles, whereas no significant differences were found for variables of the plasma lipoprotein-lipid profile. These results suggest that obesity and abdominal AT accumulation are the critical correlates of elevated plasma CRP levels found in men with atherogenic dyslipidemia of the insulin resistance syndrome.


Key Words: C-reactive protein • lipoprotein-lipid profile • glucose-insulin homeostasis • body composition




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CirculationHome page
T. McLaughlin, F. Abbasi, C. Lamendola, L. Liang, G. Reaven, P. Schaaf, and P. Reaven
Differentiation Between Obesity and Insulin Resistance in the Association With C-Reactive Protein
Circulation, December 3, 2002; 106(23): 2908 - 2912.
[Abstract] [Full Text] [PDF]


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JAMAHome page
G. Davi, M. T. Guagnano, G. Ciabattoni, S. Basili, A. Falco, M. Marinopiccoli, M. Nutini, S. Sensi, and C. Patrono
Platelet Activation in Obese Women: Role of Inflammation and Oxidant Stress
JAMA, October 23, 2002; 288(16): 2008 - 2014.
[Abstract] [Full Text] [PDF]


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CirculationHome page
U. Riserus, S. Basu, S. Jovinge, G. N. Fredrikson, J. Arnlov, and B. Vessby
Supplementation With Conjugated Linoleic Acid Causes Isomer-Dependent Oxidative Stress and Elevated C-Reactive Protein: A Potential Link to Fatty Acid-Induced Insulin Resistance
Circulation, October 8, 2002; 106(15): 1925 - 1929.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
H. M. Colhoun, C. Schalkwijk, M. B. Rubens, and C. D.A. Stehouwer
C-Reactive Protein in Type 1 Diabetes and Its Relationship to Coronary Artery Calcification
Diabetes Care, October 1, 2002; 25(10): 1813 - 1817.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
R. P. Tracy
Is Visceral Adiposity the "Enemy Within"?
Arterioscler Thromb Vasc Biol, June 1, 2001; 21(6): 881 - 883.
[Full Text] [PDF]


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CirculationHome page
P. Ziccardi, F. Nappo, G. Giugliano, K. Esposito, R. Marfella, M. Cioffi, F. D'Andrea, A. M. Molinari, and D. Giugliano
Reduction of Inflammatory Cytokine Concentrations and Improvement of Endothelial Functions in Obese Women After Weight Loss Over One Year
Circulation, February 19, 2002; 105(7): 804 - 809.
[Abstract] [Full Text] [PDF]