Hs-CRP is associated with weight, BMI, and female sex but not with endothelial function in children with type 1 diabetes.

作者: Karen E MacKenzie , Esko J Wiltshire , Alexia S Peña , Roger Gent , Craig Hirte

DOI: 10.1111/J.1399-5448.2008.00456.X

关键词: Sex characteristicsInflammationMedicineEndocrinologyInternal medicineDiseaseType 1 diabetesDiabetes mellitusEndotheliumBody mass indexCase-control study

摘要: MacKenzie KE, Wiltshire EJ, Pen˜a AS, Gent R, Hirte C, Piotto L,Couper JJ. Hs–CRP is associated with weight, BMI, and female sex butnot endothelial function in children type 1 diabetes.Pediatric Diabetes 2009: 10: 44–51.Background: Atherosclerosis an inflammatory process, high-sensitivity C-reactive protein (Hs-CRP), a marker of inflammation,predicts cardiovascular events adults. Vascular smoothmuscle dysfunction, measurable precursors atherosclerosis, begin inchildhood. Therefore, we sought to determine if Hs-CRP associatedwith vascular smooth muscle dysfunction withtype diabetes mellitus (T1DM) healthy control subjects.Methods: assessed by flow-mediateddilatation (FMD) glyceryl-trinitrate (GTN)-induced dilatation were measured 121 subjects withT1DM aged 14.1 (2.9) yr, whom 31 also studied at 4 8 wk,and 33 controls 14.2 (3.6) yr.Results: did not differ between T1DM andhealthy, age-matched controls. In both T1DM,Hs-CRP relate FMD or GTN baseline intervals over8 wk T1DM. change over time. T1DM, but nothealthy controls, related body mass index (BMI) z-score(r ¼ 0.47, p , 0.001), weight z-score (r 0.41, femalesex (p 0.008).Conclusions: early inchildren However, adolescents was higher BMI,suggesting that these groups may be greater risk.Maintenance BMI important the prevention ofvascular disease

参考文章(43)
R A Cohen, DISFUNCTION OF VASCULAR ENDOTHELIUM IN DIABETES MELLITUS Monograph - American Heart Association. ,vol. 87, pp. 67- 76 ,(1993)
Paul M Ridker, Mary Cushman, Meir J Stampfer, Russell P Tracy, Charles H Hennekens, None, Inflammation, Aspirin, and the Risk of Cardiovascular Disease in Apparently Healthy Men The New England Journal of Medicine. ,vol. 336, pp. 973- 979 ,(1997) , 10.1056/NEJM199704033361401
Russell Ross, Atherosclerosis — An Inflammatory Disease The New England Journal of Medicine. ,vol. 340, pp. 115- 126 ,(1999) , 10.1056/NEJM199901143400207
D. Sidi, T. Abdel Massih, D. Bonnet, M. Dabbas-Tyan, Y. Aggoun, J.-P. Girardet, P. Tounian, C. Ricour, Arterial rigidity and endothelial dysfunction in obese children Archives Des Maladies Du Coeur Et Des Vaisseaux. ,vol. 95, pp. 631- 635 ,(2002)
KS Woo, P Chook, CW Yu, RYT Sung, M Qiao, SSF Leung, CWK Lam, C Metreweli, DS Celermajer, None, Overweight in children is associated with arterial endothelial dysfunction and intima-media thickening. International Journal of Obesity. ,vol. 28, pp. 852- 857 ,(2004) , 10.1038/SJ.IJO.0802539
Alexia Sophie Peña, Esko Wiltshire, Roger Gent, Craig Hirte, Jennifer Couper, None, Folic acid improves endothelial function in children and adolescents with type 1 diabetes. The Journal of Pediatrics. ,vol. 144, pp. 500- 504 ,(2004) , 10.1016/J.JPEDS.2003.12.049
A. Picardi, M. G. Valorani, U. Vespasiani Gentilucci, S. Manfrini, O. Ciofini, M. Cappa, C. Guglielmi, P. Pozzilli, , Raised C-reactive protein levels in patients with recent onset type 1 diabetes. Diabetes-metabolism Research and Reviews. ,vol. 23, pp. 211- 214 ,(2007) , 10.1002/DMRR.671
ES Kilpatrick, BG Keevil, C Jagger, RJ Spooner, M Small, Determinants of raised C-reactive protein concentration in type 1 diabetes QJM: An International Journal of Medicine. ,vol. 93, pp. 231- 236 ,(2000) , 10.1093/QJMED/93.4.231
Yacine Aggoun, Damien Bonnet, Daniel Sidi, Jean Philippe Girardet, Eric Brucker, Michel Polak, Michel E. Safar, Bernard I. Levy, Arterial Mechanical Changes in Children With Familial Hypercholesterolemia Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 20, pp. 2070- 2075 ,(2000) , 10.1161/01.ATV.20.9.2070
Wolfgang Koenig, Malte Sund, Margit Fröhlich, Hans-Günther Fischer, Hannelore Löwel, Angela Döring, Winston L. Hutchinson, Mark B. Pepys, C-Reactive Protein, a Sensitive Marker of Inflammation, Predicts Future Risk of Coronary Heart Disease in Initially Healthy Middle-Aged Men Results From the MONICA (Monitoring Trends and Determinants in Cardiovascular Disease) Augsburg Cohort Study, 1984 to 1992 Circulation. ,vol. 99, pp. 237- 242 ,(1999) , 10.1161/01.CIR.99.2.237