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High-sensitivity C-reactive protein is a good marker of cardiovascular risk in obese children and adolescents.

Abstract：

OBJECTIVE:We intend to assess the utility of the high-sensitivity C-reactive protein (hs-CRP) as a marker of cardiovascular risk in obese children and adolescents. METHODS:The study included children and adolescents between 6 and 18 years of age with a body mass index (BMI) higher than 2 SDS. All the patients had their blood pressure taken and hs-CRP, hepatic function, lipid profile and uric acid were determined after 12 h of fasting. Likewise, an oral glucose tolerance test was performed, determining basal glucose and insulin levels, and after stimulus. We considered the presence of metabolic syndrome when the obese children and teenagers showed at least two of the following conditions: decreased high density lipoprotein (HDL)-cholesterol, hypertriglyceridemia, hypertension or alteration in glucose metabolism. RESULTS:Out of the 115 obese children studied, 24% showed signs of metabolic syndrome. Those with metabolic syndrome presented higher levels of hs-CRP (mean: 3.8 mg/l; 95% CI: 2.8-4.8) in comparison with the obese patients who did not show signs of metabolic syndrome (mean: 2 mg/l; 95% CI: 1.5-2.5). After a multivariate analysis, the variables that appear to influence the changes in hs-CRP were BMI, triglycerides and HDL-cholesterol levels. CONCLUSION:The hs-CRP is a useful tool for early diagnosis of cardiovascular risk in obese children and teenagers.

journal_name

Eur J Endocrinol

journal_title

European journal of endocrinology

authors

Soriano-Guillén L,Hernández-García B,Pita J,Domínguez-Garrido N,Del Río-Camacho G,Rovira A

doi

10.1530/EJE-08-0212

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

R1-4

issue

1

eissn

0804-4643

issn

1479-683X

pii

EJE-08-0212

journal_volume

159

pub_type

杂志文章

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