Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data

Abstract Background Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes. High-sensitivity C-reactive protein (hs-CRP) is a biomarker of systemic inflammation, but its relationship with MetS and its components remains...

Full description

Saved in:
Bibliographic Details
Main Authors: Bo-Min Kim, So-Yeon Ryu, Mi-Ah Han, Seong-Woo Choi
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Physiological Anthropology
Subjects:
Online Access:https://doi.org/10.1186/s40101-025-00396-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850136871725694976
author Bo-Min Kim
So-Yeon Ryu
Mi-Ah Han
Seong-Woo Choi
author_facet Bo-Min Kim
So-Yeon Ryu
Mi-Ah Han
Seong-Woo Choi
author_sort Bo-Min Kim
collection DOAJ
description Abstract Background Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes. High-sensitivity C-reactive protein (hs-CRP) is a biomarker of systemic inflammation, but its relationship with MetS and its components remains unclear. This study investigates the association between hs-CRP and MetS in a representative Korean population. Methods Using data from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES), we analyzed 4,823 adults. MetS was defined according to revised NCEP-ATP III criteria. Multivariate analyses were conducted, adjusting for confounders such as sex, age, income, education, smoking, alcohol consumption, physical activity, and waist circumference. Results Among the study population, 1,784 participants (37.0%) were diagnosed with MetS. hs-CRP levels were significantly higher in individuals with MetS (1.06 mg/L vs. 0.79 mg/L, p < 0.001) and increased with the number of MetS components (p for trend < 0.001). Significant associations were observed between hs-CRP and all MetS components. However, after adjusting for waist circumference, these associations lost statistical significance. Conclusion This study confirms a strong association between hs-CRP and MetS, primarily influenced by central obesity. The findings highlight abdominal obesity as a key contributor to systemic inflammation in MetS. Further longitudinal studies are needed to explore the causal relationship and underlying mechanisms.
format Article
id doaj-art-15fef80e085945d8a5f6b1926bc87909
institution OA Journals
issn 1880-6805
language English
publishDate 2025-06-01
publisher BMC
record_format Article
series Journal of Physiological Anthropology
spelling doaj-art-15fef80e085945d8a5f6b1926bc879092025-08-20T02:31:00ZengBMCJournal of Physiological Anthropology1880-68052025-06-014411710.1186/s40101-025-00396-5Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey dataBo-Min Kim0So-Yeon Ryu1Mi-Ah Han2Seong-Woo Choi3Department of Public Health, Graduate School of Health Science, Chosun UniversityDepartment of Preventive Medicine, Chosun University Medical SchoolDepartment of Preventive Medicine, Chosun University Medical SchoolDepartment of Preventive Medicine, Chosun University Medical SchoolAbstract Background Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes. High-sensitivity C-reactive protein (hs-CRP) is a biomarker of systemic inflammation, but its relationship with MetS and its components remains unclear. This study investigates the association between hs-CRP and MetS in a representative Korean population. Methods Using data from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES), we analyzed 4,823 adults. MetS was defined according to revised NCEP-ATP III criteria. Multivariate analyses were conducted, adjusting for confounders such as sex, age, income, education, smoking, alcohol consumption, physical activity, and waist circumference. Results Among the study population, 1,784 participants (37.0%) were diagnosed with MetS. hs-CRP levels were significantly higher in individuals with MetS (1.06 mg/L vs. 0.79 mg/L, p < 0.001) and increased with the number of MetS components (p for trend < 0.001). Significant associations were observed between hs-CRP and all MetS components. However, after adjusting for waist circumference, these associations lost statistical significance. Conclusion This study confirms a strong association between hs-CRP and MetS, primarily influenced by central obesity. The findings highlight abdominal obesity as a key contributor to systemic inflammation in MetS. Further longitudinal studies are needed to explore the causal relationship and underlying mechanisms.https://doi.org/10.1186/s40101-025-00396-5High-sensitivity C-reactive protein (hs-CRP)Components of metabolic syndromeAdults in South Korea
spellingShingle Bo-Min Kim
So-Yeon Ryu
Mi-Ah Han
Seong-Woo Choi
Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
Journal of Physiological Anthropology
High-sensitivity C-reactive protein (hs-CRP)
Components of metabolic syndrome
Adults in South Korea
title Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
title_full Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
title_fullStr Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
title_full_unstemmed Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
title_short Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data
title_sort loss of significant association between high sensitivity c reactive protein hs crp and metabolic syndrome after adjustment for waist circumference found in 2022 korea national health and nutrition examination survey data
topic High-sensitivity C-reactive protein (hs-CRP)
Components of metabolic syndrome
Adults in South Korea
url https://doi.org/10.1186/s40101-025-00396-5
work_keys_str_mv AT bominkim lossofsignificantassociationbetweenhighsensitivitycreactiveproteinhscrpandmetabolicsyndromeafteradjustmentforwaistcircumferencefoundin2022koreanationalhealthandnutritionexaminationsurveydata
AT soyeonryu lossofsignificantassociationbetweenhighsensitivitycreactiveproteinhscrpandmetabolicsyndromeafteradjustmentforwaistcircumferencefoundin2022koreanationalhealthandnutritionexaminationsurveydata
AT miahhan lossofsignificantassociationbetweenhighsensitivitycreactiveproteinhscrpandmetabolicsyndromeafteradjustmentforwaistcircumferencefoundin2022koreanationalhealthandnutritionexaminationsurveydata
AT seongwoochoi lossofsignificantassociationbetweenhighsensitivitycreactiveproteinhscrpandmetabolicsyndromeafteradjustmentforwaistcircumferencefoundin2022koreanationalhealthandnutritionexaminationsurveydata