Obesity

In which common chronic conditions can (or cannot) obesity and lifestyle factors explain higher concentrations of C‐reactive protein?

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

In diabetes, MI, hypertension and sleep apnoea and elevated CRP appears to be accounted for by the greater adiposity typically evident in these conditions. However, for the other conditions, systemic inflammation cannot be explained by excess adiposity alone.

Study context

Population
UK Biobank participants with 10 chronic conditions reported at baseline, excluding potential acute infection
Participants
292,772 participants
Exposure
Chronic conditions vs without the condition; C-reactive protein (CRP) unadjusted and adjusted for sociodemographic confounders, lifestyle, body mass index (BMI) and adiposity
Outcome
CRP concentration (lnCRP) in each chronic condition, unadjusted and adjusted
Follow-up
Baseline

Main finding

As reported in the abstract

CRP concentration by chronic condition

Diabetes vs without diabetes, unadjusted: higher CRP

42%

Diabetes vs without diabetes, unadjusted: lnCRP β

0.35

95% CI 0.32–0.37p < 0.001

Diabetes vs without diabetes, BMI-adjusted: lnCRP β (95% CI −0.09-0.05, p < 0.001); completely attenuated

−0.07

Observational data: associations, not effects.

Original publication

In which common chronic conditions can (or cannot) obesity and lifestyle factors explain higher concentrations of C‐reactive protein? Diabetes Obes Metab. Published 20 September 2024. doi:10.1111/dom.15949

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