Association between high-sensitivity C-reactive protein and both cardiovascular, total mortality events in middle-aged Chinese adults.
10.3760/cma.j.issn.0254-6450.2018.04.008
- Author:
Y DONG
1
;
Z W WANG
1
;
X WANG
1
;
Y TIAN
1
;
L F ZHANG
1
;
Z CHEN
1
;
H Q CAO
2
Author Information
1. Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 102308, China.
2. Institute of Molecular Medicine, Peking University, Beijing 100871, China.
- Publication Type:Journal Article
- Keywords:
All-cause mortality events;
Cardiovascular events;
High-sensitivity C-reactive protein;
Middle aged population
- MeSH:
Adult;
Asian People;
C-Reactive Protein/metabolism*;
Cardiovascular Diseases/mortality*;
China/epidemiology*;
Female;
Hospital Mortality;
Humans;
Incidence;
Male;
Middle Aged;
Proportional Hazards Models;
Risk Factors
- From:
Chinese Journal of Epidemiology
2018;39(4):428-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To estimate the association between high-sensitivity C-reactive protein (hs-CRP) and cardiovascular events as well as all-cause mortality events. Methods: During 2009- 2010, out of the 11 623 individuals, 1 000 participants aged 35-64 years, were recruited and divided into 12 age-groups, to have received a study on CVD risk factors. Information on the risk factors of cardiovascular diseases was also collected. Fasting blood sample was gathered for all the participants, with hs-CRP tested. Participants in 7 out of the 12 sites were followed, with 6.21 years (36 075 person-years) as the median follow-up period. Cardiovascular and all-cause mortality events were collected. A total of 6 177 participants had been followed after excluding participants who had baseline infections, or did not take hs-CRP test/physical examination at the baseline. Finally, 5 984 participants were included for analysis. Participants were categorized into three groups based on the hs-CRP (mg/L) values: <1, 1-3 and >3, respectively. Cox proportional hazards regression model was used to analyze the relationships between hs-CRP with cardiovascular events or all-cause mortality events, after adjusting for confounding factors. Results: Mean age of the participants was 50.2 years. The incidence rates of cardiovascular disease events were 3.6/1 000 person-years, 7.1/1 000 person-years,and 10.4/1 000 person-years among three groups and 3.0/1 000 person-years, 5.7/1 000 person-years, 9.1/1 000 person-years for all-cause mortality events, respectively. After adjusting for confounding factors, the hazard risks (HR) for cardiovascular events were 1.33 (95%CI: 0.95-1.84) in the hs-CRP 1-3 mg/L group and 1.76 (95%CI: 1.20-2.60) in the hs-CRP>3 mg/L group when comparing with the hs-CRP<1 mg/L group (trend test P=0.003). The HRs for all-cause mortality events were 1.76 (95%CI: 1.23-2.54) and 2.64 (95%CI: 1.74-4.01) (trend test P<0.001), respectively. Conclusion: Hs-CRP appeared an independent predictor for cardiovascular events and all-cause mortality events.
