Document Detail


C-reactive protein and hormones but not IL-6 are associated to body mass index in first trimester of pregnancy.
MedLine Citation:
PMID:  20976603     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To investigate if body mass index (BMI) is related to inflammatory markers and hormones in early pregnancy.
METHODS: A prospective study with 190 pregnant women evaluated at 10 weeks when leptin, insulin, homeostatic model assessment-insulin resistance (HOMA-IR), C-reactive protein (CRP) and interleukin-6 (IL-6) were measured. Median and inter-quartile values of hormones and inflammatory markers are presented according to BMI quintiles. Spearman correlations and Kruskal-Wallis analysis of variance were implemented followed by Mann-Whitney post hoc pair-wise tests.
RESULTS: Leptin (P < 0.001), insulin (P = 0.005), HOMA-IR (P = 0.015), and CRP (P = 0.026) assumed higher and significantly median values as BMI quintiles increases, but no differences were observed for IL-6 (P = 0.859). Pair-wise comparisons among quintiles (Q) of BMI were significant for leptin (Q1 × Q3, Q1 × Q4, Q1 × Q5, Q2 × Q4, Q2 × Q5, Q3 × Q5), insulin (Q1 × Q5, Q2 × Q5, Q3 × Q5, Q4 × Q5) and for CRP (Q1 × Q4, Q1 × Q5, Q2 × Q5). Spearman correlation coefficients between BMI showed significant results for leptin (r (s) = 0.58, P < 0.001), insulin (r (s) = 0.19, P = 0.018), HOMA-IR (r (s) = 0.22, P = 0.007), CRP (r (s) = 0.26, P < 0.001), but not for IL-6 (r (s) = -0.06, P = 0.526). Median (mg/L) values of CRP were higher in overweight (35.26) than in normal weight women (21.28, P = 0.051).
CONCLUSIONS: The present investigation provides evidences on the positive relationship between BMI, leptin, insulin, HOMA-IR and CRP in early pregnancy. CRP but not IL-6 demonstrated a strong relation with overweight in pregnant women, as early as the tenth week.
Authors:
Gilberto Kac; Juliana Dos Santos Vaz; Michael Maia Schlüssel; Anibal Sanchez Moura
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Publication Detail:
Type:  Journal Article     Date:  2010-10-26
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  284     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  567-73     Citation Subset:  IM    
Affiliation:
Department of Social and Applied Nutrition, Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, kacetal@gmail.com.
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