Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults

Elevated serum high-sensitivity C-reactive protein (hs-CRP) and low serum 25-hydroxyvitamin D [25(OH)D] are associated with increased cardiovascular disease (CVD) risk. Ethnic differences in serum hs-CRP and 25(OH)D concentrations and CVD are known. Objectives: to investigate the ethnic differences...

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Main Authors: Ambika P. Ashraf, Gordon Fisher, Jessica Alvarez, Tanja Dudenbostel, David A. Calhoun, Alexander J. Szalai, Barbara A. Gower
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2012/475975
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author Ambika P. Ashraf
Gordon Fisher
Jessica Alvarez
Tanja Dudenbostel
David A. Calhoun
Alexander J. Szalai
Barbara A. Gower
author_facet Ambika P. Ashraf
Gordon Fisher
Jessica Alvarez
Tanja Dudenbostel
David A. Calhoun
Alexander J. Szalai
Barbara A. Gower
author_sort Ambika P. Ashraf
collection DOAJ
description Elevated serum high-sensitivity C-reactive protein (hs-CRP) and low serum 25-hydroxyvitamin D [25(OH)D] are associated with increased cardiovascular disease (CVD) risk. Ethnic differences in serum hs-CRP and 25(OH)D concentrations and CVD are known. Objectives: to investigate the ethnic differences in hs-CRP concentrations, to assess the influence of 25(OH)D on these ethnic differences and to examine the influence of 25(OH)D on association between hs-CRP and cardiovascular health indices. Subjects: 62 healthy adults [26 African Americans (AA), 26 European Americans (EA), and 10 Hispanic Americans (HA)], ages 18–55 years. Serum hs-CRP and 25(OH)D as well as pulse wave velocity (PWV), augmentation index (AIx), and flow-mediated dilatation (FMD) were measured. hs-CRP was inversely associated with 25(OH)D (r=−0.25, P=0.049), and hs-CRP was positively associated with PWV (r=0.29, P=0.04). The association of hs-CRP with PWV attenuated after adjustment for 25(OH)D (P=0.15). hs-CRP was higher in AA compared to EA (P=0.05); this differences was reduced by 32% after adjusting for serum 25(OH)D. Conclusion: eventhough the inverse association between serum 25(OH)D and CRP does not infer causality, lower serum 25(OH)D may increase risk for inflammation and endothelial dysfunction. The lower 25(OH)D in AA may predispose to greater inflammation and associated vascular dysfunction.
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spelling doaj-art-6dd43cd6d7254ecc8d86a52658af46032025-08-20T03:33:50ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322012-01-01201210.1155/2012/475975475975Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy AdultsAmbika P. Ashraf0Gordon Fisher1Jessica Alvarez2Tanja Dudenbostel3David A. Calhoun4Alexander J. Szalai5Barbara A. Gower6Division of Pediatric Endocrinology and Metabolism, Department of Pediatrics, The Children's Hospital, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USAVascular Biology and Hypertension Program, University of Alabama at Birmingham, Birmingham, AL 35233, USAVascular Biology and Hypertension Program, University of Alabama at Birmingham, Birmingham, AL 35233, USADivision of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USAElevated serum high-sensitivity C-reactive protein (hs-CRP) and low serum 25-hydroxyvitamin D [25(OH)D] are associated with increased cardiovascular disease (CVD) risk. Ethnic differences in serum hs-CRP and 25(OH)D concentrations and CVD are known. Objectives: to investigate the ethnic differences in hs-CRP concentrations, to assess the influence of 25(OH)D on these ethnic differences and to examine the influence of 25(OH)D on association between hs-CRP and cardiovascular health indices. Subjects: 62 healthy adults [26 African Americans (AA), 26 European Americans (EA), and 10 Hispanic Americans (HA)], ages 18–55 years. Serum hs-CRP and 25(OH)D as well as pulse wave velocity (PWV), augmentation index (AIx), and flow-mediated dilatation (FMD) were measured. hs-CRP was inversely associated with 25(OH)D (r=−0.25, P=0.049), and hs-CRP was positively associated with PWV (r=0.29, P=0.04). The association of hs-CRP with PWV attenuated after adjustment for 25(OH)D (P=0.15). hs-CRP was higher in AA compared to EA (P=0.05); this differences was reduced by 32% after adjusting for serum 25(OH)D. Conclusion: eventhough the inverse association between serum 25(OH)D and CRP does not infer causality, lower serum 25(OH)D may increase risk for inflammation and endothelial dysfunction. The lower 25(OH)D in AA may predispose to greater inflammation and associated vascular dysfunction.http://dx.doi.org/10.1155/2012/475975
spellingShingle Ambika P. Ashraf
Gordon Fisher
Jessica Alvarez
Tanja Dudenbostel
David A. Calhoun
Alexander J. Szalai
Barbara A. Gower
Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
Journal of Nutrition and Metabolism
title Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
title_full Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
title_fullStr Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
title_full_unstemmed Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
title_short Associations of C-Reactive Protein to Indices of Vascular Health and the Influence of Serum 25(OH)D Status in Healthy Adults
title_sort associations of c reactive protein to indices of vascular health and the influence of serum 25 oh d status in healthy adults
url http://dx.doi.org/10.1155/2012/475975
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