Elevated C-reactive protein is a predictor of the development of diabetes in a general Japanese population: The Hisayama study

Yasufumi Doi, Yutaka Kiyohara, Michiaki Kubo, Toshiharu Ninomiya, Yoshiyuki Wakugawa, Koji Yonemoto, Masanori Iwase, Mitsuo Iida

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Abstract

OBJECTIVE - We examined the association between high-sensitivity C-reactive protein (CRP) levels and the development of diabetes in a general Japanese population. RESEARCH DESIGN AND METHODS - A total of 1,759 Japanese subjects, aged 40-79 years and without diabetes (according to American Diabetes Association fasting criteria), were stratified into three groups according to CRP tertiles by sex and followed up prospectively for a mean of 9.0 years. RESULTS - During the follow-up, 131 subjects (67 men and 64 women) developed diabetes. In both sexes, the age-adjusted cumulative incidence of diabetes increased significantly as the tertiles of CRP levels increased. In multivariate analyses, the risk of developing diabetes was significantly higher in the highest CRP tertile than in the lowest after adjustment for a number of confounding factors (odds ratio 2.63 [95% CI 1.23-5.65] for men and 2.25 [1.01-5.01] for women). In stratified analyses, this CRP-diabetes association was stronger in subjects without obesity or other risk factors related to insulin resistance and in nondrinking subjects. CONCLUSIONS - Our findings suggest that elevated CRP concentration is a significant predictor of diabetes in the general Japanese population, independent of obesity and insulin resistance.

Original languageEnglish
Pages (from-to)2497-2500
Number of pages4
JournalDiabetes care
Volume28
Issue number10
DOIs
Publication statusPublished - 01-10-2005

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C-Reactive Protein
Population
Insulin Resistance
Obesity
Fasting
Research Design
Multivariate Analysis
Odds Ratio
Incidence

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialised Nursing

Cite this

Doi, Yasufumi ; Kiyohara, Yutaka ; Kubo, Michiaki ; Ninomiya, Toshiharu ; Wakugawa, Yoshiyuki ; Yonemoto, Koji ; Iwase, Masanori ; Iida, Mitsuo. / Elevated C-reactive protein is a predictor of the development of diabetes in a general Japanese population : The Hisayama study. In: Diabetes care. 2005 ; Vol. 28, No. 10. pp. 2497-2500.
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Elevated C-reactive protein is a predictor of the development of diabetes in a general Japanese population : The Hisayama study. / Doi, Yasufumi; Kiyohara, Yutaka; Kubo, Michiaki; Ninomiya, Toshiharu; Wakugawa, Yoshiyuki; Yonemoto, Koji; Iwase, Masanori; Iida, Mitsuo.

In: Diabetes care, Vol. 28, No. 10, 01.10.2005, p. 2497-2500.

Research output: Contribution to journalArticle

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AU - Doi, Yasufumi

AU - Kiyohara, Yutaka

AU - Kubo, Michiaki

AU - Ninomiya, Toshiharu

AU - Wakugawa, Yoshiyuki

AU - Yonemoto, Koji

AU - Iwase, Masanori

AU - Iida, Mitsuo

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N2 - OBJECTIVE - We examined the association between high-sensitivity C-reactive protein (CRP) levels and the development of diabetes in a general Japanese population. RESEARCH DESIGN AND METHODS - A total of 1,759 Japanese subjects, aged 40-79 years and without diabetes (according to American Diabetes Association fasting criteria), were stratified into three groups according to CRP tertiles by sex and followed up prospectively for a mean of 9.0 years. RESULTS - During the follow-up, 131 subjects (67 men and 64 women) developed diabetes. In both sexes, the age-adjusted cumulative incidence of diabetes increased significantly as the tertiles of CRP levels increased. In multivariate analyses, the risk of developing diabetes was significantly higher in the highest CRP tertile than in the lowest after adjustment for a number of confounding factors (odds ratio 2.63 [95% CI 1.23-5.65] for men and 2.25 [1.01-5.01] for women). In stratified analyses, this CRP-diabetes association was stronger in subjects without obesity or other risk factors related to insulin resistance and in nondrinking subjects. CONCLUSIONS - Our findings suggest that elevated CRP concentration is a significant predictor of diabetes in the general Japanese population, independent of obesity and insulin resistance.

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