Mediation effect of C-reactive protein in the relationship between abdominal obesity and intermediate hyperglycemia in Kuwaiti adolescents

Hend Alqaderi, Ebaa Al-Ozairi, Saadoun Bin-Hasan, Mary Tavares, Jo M. Goodson, Aishah Alsumait, Mohamed Abu-Farha, Jehad Abubaker, Sriraman Devarajan, Nourah Almuhana, Fahd Al-Mulla

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aim: This study aimed to investigate the mediating effect of C-reactive protein (CRP) on obesity and hyperglycemia. Materials methods: Fasting blood glucose, high-sensitivity CRP (hs-CRP) levels and waist circumference (WC) were measured on 353 participants. Multilevel regression modeling and mediation analyses were used to investigate the link between abdominal obesity, hs-CRP and hyperglycemia. Results: Elevation in hs-CRP was predictive of hyperglycemia in nonobese individuals (OR = 1.3, p = 0.03). With every 1-mg/l increase in hs-CRP, there was a 1-cm increase in WC (B = 0.87, p = 0.001). hs-CRP was a full mediator in the relationship between WC and hyperglycemia. Conclusion: hs-CRP predicts hyperglycemia development in nonobese individuals and the effect of increased WC on hyperglycemia was fully mediated by hs-CRP.

Original languageEnglish
Pages (from-to)1427-1437
Number of pages11
JournalBiomarkers in Medicine
Volume14
Issue number15
DOIs
StatePublished - Oct 2020

Keywords

  • adolescents
  • C-reactive protein
  • diabetes
  • hyperglycemia
  • obesity
  • prevention

Funding Agency

  • Kuwait Foundation for the Advancement of Sciences

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