Is high-sensitivity C-reactive protein associated with carotid atherosclerosis in healthy Koreans?

Sung Hee Choi, Hyeon Chang Kim, Chul Woo Ahn, Hong Keun Cho, Bong Soo Cha, Yoon Sok Chung, Kwan Woo Lee, Hyun Chul Lee, Kap Bum Huh, Dae Jung Kim

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)


BACKGROUND: There is a positive association between chronic inflammation and the risk of cardiovascular disease, but whether there is an association between C-reactive protein (CRP) and carotid atherosclerosis is controversial. We investigated the relationship between high-sensitivity CRP (hsCRP) levels and carotid intima-media thickness (IMT) in healthy Koreans. DESIGN: We measured hsCRP levels, the carotid IMT, and conventional cardiovascular risk factors including obesity parameters, blood pressure, lipid profiles, insulin resistance, and smoking habits in 820 volunteers (35-79 years old) in a cross-sectional study. RESULTS: Higher hsCRP quartile groups had higher mean IMTs, as compared with the lowest quartile (P<0.001 for the trend across quartiles). However, after adjustment for age, the relationship between hsCRP level and IMT was substantially weaker (P=0.018). After additional adjustments for conventional cardiovascular risk factors, no significant association was observed (P=0.548). The unadjusted risk for a high carotid IMT value (≥1.0 mm) was also positively related to hsCRP quartile, but this relationship was not significant after adjustment for age and other cardiovascular risk factors. CONCLUSIONS: Both hsCRP levels and the carotid IMT were strongly correlated with conventional cardiovascular risk factors, but there was no independent association between hsCRP levels and carotid IMT in healthy Korean adults.

Original languageEnglish
Pages (from-to)548-554
Number of pages7
JournalEuropean Journal of Cardiovascular Prevention and Rehabilitation
Issue number6
Publication statusPublished - 2005 Dec

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Cardiology and Cardiovascular Medicine


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