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Sex-differentiated changes in C-reactive protein from ages 9 to 21: the contributions of BMI and physical/sexual maturation.

Abstract：

BACKGROUND:Sex differences in levels of C-reactive protein (CRP) are well established in adulthood, but little is known about when and why they emerge. Here, we tested longitudinal models of CRP levels from ages 9 to 21, when marked physical and behavioral changes could contribute to growing sex disparities in CRP. METHODS:Data from the community-based prospective-longitudinal Great Smoky Mountains Study (N=1420) were used. Participants were 9-13 years old at intake and were followed through age 21. High-sensitivity C-reactive protein (CRP) was assayed from up to nine bloodspot collections per person. BMI, physical/sexual maturation, substance use, and control variables were assessed during yearly interviews to age 16, and at ages 19 and 21. RESULTS:Multilevel models revealed that the development of CRP in females was best described by a quadratic trend: after slow increases in CRP until age 15, the rate of increase accelerated thereafter. Changes in CRP in males were best described by a smaller, linear increase. After sex-differentiated associations with BMI, physical/sexual maturation, and substance use variables had been accounted for, increases in CRP after age 15 no longer differed by sex. CONCLUSION:Physical/sexual maturation and behavioral changes during adolescence could initiate life-long sex disparities in CRP.

journal_name

Psychoneuroendocrinology

journal_title

Psychoneuroendocrinology

authors

Shanahan L,Copeland WE,Worthman CM,Erkanli A,Angold A,Costello EJ

doi

10.1016/j.psyneuen.2013.04.010

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

2209-17

issue

10

eissn

0306-4530

issn

1873-3360

pii

S0306-4530(13)00128-5

journal_volume

38

pub_type

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