Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents

Aim. To study the associations of abdominal obesity (AO), levels of biochemical markers of chronic and acute inflammation, and post-COVID syndrome (PCS) in coronavirus disease 2019 (COVID-19) con­valescents.Material and methods. The cross-sectional observational study included 166 people aged 18-84...

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Main Authors: A. A. Karaseva, A. D. Afanaseva, E. V. Garbuzova, E. V. Kashtanova, Ya. V. Polonskaya, V. S. Shramko, I. I. Logvinenko, Yu. I. Ragino
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Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2024-11-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/4131
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author A. A. Karaseva
A. D. Afanaseva
E. V. Garbuzova
E. V. Kashtanova
Ya. V. Polonskaya
V. S. Shramko
I. I. Logvinenko
Yu. I. Ragino
author_facet A. A. Karaseva
A. D. Afanaseva
E. V. Garbuzova
E. V. Kashtanova
Ya. V. Polonskaya
V. S. Shramko
I. I. Logvinenko
Yu. I. Ragino
author_sort A. A. Karaseva
collection DOAJ
description Aim. To study the associations of abdominal obesity (AO), levels of biochemical markers of chronic and acute inflammation, and post-COVID syndrome (PCS) in coronavirus disease 2019 (COVID-19) con­valescents.Material and methods. The cross-sectional observational study included 166 people aged 18-84 (44,6% men) who were COVID-19 convalescents. In all patients, medical history and anthropometric data were collected. AO was defined as waist circumference >80 cm in women and >94 cm in men. In the blood serum, the concentrations of following biochemical markers of chronic and acute inflammation were determined by the enzyme immunoassay method: interferon alpha, interleukins (IL) 1 beta (IL-1β), IL-6, IL-8, monocyte chemoattractant protein-1 (MCP-1), insulin, C-peptide, high-sensitivity C-reactive protein (hsCRP).Results. COVID-19 convalescents with PCS and AO had significantly higher levels of IL-6 (3,13 [2,26;4,98] and 1,74 [1,10;3,04] pg/ml, p<0,0001, respectively) and hsCRP (3,83 [2,42;10,16] and 2,34 [0,70;5,79] mg/l, p=0,028, respectively) than without AO. Insulin and C-peptide demonstrated significant differences in COVID-19 convalescents with AO regardless of PCS. Multivariate logistic regression analysis showed that the odds of having AO in COVID-19 convalescents with PCS increased by 1,6 times with an increase in blood IL-6 by 1 pg/ml (odds ratio (OR) 1,581, 95% confidence interval (CI): 1,001-2,416; p=0,047) and by 1,2 times with an increase in blood insulin by 1 pg/ml (OR 1,168, 95% CI: 1,015-1,343; p=0,030). AO in men with PCS is associated with the concentration of IL-6 (OR 1,943, 95% CI: 1,018-3,709; p=0,044) and IL-1β (OR 0,591, 95% CI: 0,362-0,967; p=0,036). PCS in women with AO and cardiovascular diseases is associated with the level of MCP-1 (OR 0,991, 95% CI: 0,983-0,999; p=0,035).Conclusion. In COVID-19 convalescents with PCS, the AO probability is associated with an increase in blood IL-6 and insulin. In men, the AO probability is associated with an increase in IL-6 and a decrease in IL-1β. In women with AO and a history of cardiovascular diseases, PCS is associated with the level of MCP-1 in the blood.
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issn 1728-8800
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-414854e27b9a494bbc836cdbb9c487fc2025-08-20T03:57:18Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252024-11-01231010.15829/1728-8800-2024-41313089Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescentsA. A. Karaseva0A. D. Afanaseva1E. V. Garbuzova2E. V. Kashtanova3Ya. V. Polonskaya4V. S. Shramko5I. I. Logvinenko6Yu. I. Ragino7Research Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsResearch Institute for Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and GeneticsAim. To study the associations of abdominal obesity (AO), levels of biochemical markers of chronic and acute inflammation, and post-COVID syndrome (PCS) in coronavirus disease 2019 (COVID-19) con­valescents.Material and methods. The cross-sectional observational study included 166 people aged 18-84 (44,6% men) who were COVID-19 convalescents. In all patients, medical history and anthropometric data were collected. AO was defined as waist circumference >80 cm in women and >94 cm in men. In the blood serum, the concentrations of following biochemical markers of chronic and acute inflammation were determined by the enzyme immunoassay method: interferon alpha, interleukins (IL) 1 beta (IL-1β), IL-6, IL-8, monocyte chemoattractant protein-1 (MCP-1), insulin, C-peptide, high-sensitivity C-reactive protein (hsCRP).Results. COVID-19 convalescents with PCS and AO had significantly higher levels of IL-6 (3,13 [2,26;4,98] and 1,74 [1,10;3,04] pg/ml, p<0,0001, respectively) and hsCRP (3,83 [2,42;10,16] and 2,34 [0,70;5,79] mg/l, p=0,028, respectively) than without AO. Insulin and C-peptide demonstrated significant differences in COVID-19 convalescents with AO regardless of PCS. Multivariate logistic regression analysis showed that the odds of having AO in COVID-19 convalescents with PCS increased by 1,6 times with an increase in blood IL-6 by 1 pg/ml (odds ratio (OR) 1,581, 95% confidence interval (CI): 1,001-2,416; p=0,047) and by 1,2 times with an increase in blood insulin by 1 pg/ml (OR 1,168, 95% CI: 1,015-1,343; p=0,030). AO in men with PCS is associated with the concentration of IL-6 (OR 1,943, 95% CI: 1,018-3,709; p=0,044) and IL-1β (OR 0,591, 95% CI: 0,362-0,967; p=0,036). PCS in women with AO and cardiovascular diseases is associated with the level of MCP-1 (OR 0,991, 95% CI: 0,983-0,999; p=0,035).Conclusion. In COVID-19 convalescents with PCS, the AO probability is associated with an increase in blood IL-6 and insulin. In men, the AO probability is associated with an increase in IL-6 and a decrease in IL-1β. In women with AO and a history of cardiovascular diseases, PCS is associated with the level of MCP-1 in the blood.https://cardiovascular.elpub.ru/jour/article/view/4131post-covid syndromecovid-19 convalescentsabdominal obesityinsulininterleukin-6interleukin-1betamcp-1
spellingShingle A. A. Karaseva
A. D. Afanaseva
E. V. Garbuzova
E. V. Kashtanova
Ya. V. Polonskaya
V. S. Shramko
I. I. Logvinenko
Yu. I. Ragino
Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
Кардиоваскулярная терапия и профилактика
post-covid syndrome
covid-19 convalescents
abdominal obesity
insulin
interleukin-6
interleukin-1beta
mcp-1
title Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
title_full Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
title_fullStr Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
title_full_unstemmed Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
title_short Associations of levels of biochemical markers of chronic and acute inflammation, abdominal obesity and post-COVID syndrome in COVID-19 convalescents
title_sort associations of levels of biochemical markers of chronic and acute inflammation abdominal obesity and post covid syndrome in covid 19 convalescents
topic post-covid syndrome
covid-19 convalescents
abdominal obesity
insulin
interleukin-6
interleukin-1beta
mcp-1
url https://cardiovascular.elpub.ru/jour/article/view/4131
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