Serum high C reactive protein concentrations are related to the intake of dietary macronutrients and fiber: Findings from a large representative Persian population sample

Clin Biochem. 2017 Sep;50(13-14):750-755. doi: 10.1016/j.clinbiochem.2017.03.016. Epub 2017 Mar 21.

Abstract

Objective: Serum high-sensitivity CRP is a marker of inflammation and an independent predictor of chronic diseases. However, the effect of diet on serum hs-CRP is unclear. The aim of this study was to investigate the relationship between dietary macronutrient intake and serum hs-CRP.

Design and methods: We recruited 9778 adults, aged 35-65years as part of the MASHAD study. Dietary intake was determined using 24-hour dietary recall and several biochemical parameters including serum hs-CRP were measured. Analysis of covariance was used for assessment of crude and energy-adjusted nutrients across quartiles of serum hs-CRP. To find the association of dietary nutrients intake and serum hs-CRP level, we used logistic regression in different model.

Results: Unadjusted and adjusted multivariate analyses indicate that there was a significant positive association between dietary protein and sodium intake and serum hs-CRP concentrations. There was also a positive association with dietary fat and cholesterol and serum hs-CRP in the adjusted models. There was a significant inverse association between dietary carbohydrate and fiber consumption and serum hs-CRP in both crude and adjusted models.

Conclusion: We have found a significant positive association between the dietary intake of fat, protein, cholesterol and sodium and hs-CRP level, and an inverse correlation between dietary carbohydrate and fiber and serum hs-CRP in a large representative Iranian population.

Keywords: Cardiovascular disease; Dietary intake; Fiber; Inflammation; hs-CRP.

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood
  • C-Reactive Protein / analysis*
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / ethnology
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Diet, Healthy* / ethnology
  • Diet, High-Fat / adverse effects
  • Dietary Fiber / therapeutic use*
  • Dietary Proteins / adverse effects
  • Energy Intake / ethnology
  • Female
  • Humans
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Compliance* / ethnology
  • Risk
  • Self Report
  • Sodium, Dietary / adverse effects
  • Up-Regulation*
  • Urban Health* / ethnology

Substances

  • Biomarkers
  • Dietary Fiber
  • Dietary Proteins
  • Sodium, Dietary
  • C-Reactive Protein