Objective: Previous studies have suggested that C-reactive protein (CRP) was associated with risk of stroke. There were few studies in Asian population, or on stroke subtypes other than ischemic stroke. We thus investigated the relationship between CRP and the risks of all stroke and its subtypes in a Chinese adult population. Methods: In the current study, we included 90,517 Chinese adults free of stroke and myocardial infarction at baseline (June 2006 to October 2007) in analyses. Strokes were classified as ischemic stroke (IS), intracranial heamorrhage (ICH) and subarachnoid heamorrhage (SAH). High-sensitivity CRP (hs-CRP) were categorized into three groups: <1 mg/L, 1 to 3 mg/L, and >3 mg/L. Cox proportional hazards regression was used to calculate the association between hs-CRP concentrations and all stroke, as well as its subtypes. Results: During a median follow-up time of 49 months, we documented 1,472 incident stroke cases. Of which 1,049 (71.3%) were IS, 383 (26.0%) were ICH, and 40 (2.7%) were SAH. After multivariate adjustment, hs-CRP concentrations >= 1 mg/L were associated with increased risks of all stroke (hs-CRP 1-3 mg/L: hazard ratio (HR) 1.17, 95% confidential interval (CI) 1.03-1.33; hs-CRP>3 mg/L: HR 1.25, 95% CI 1.07-1.46) and IS (hs-CRP 1-3 mg/L: HR 1.17, 95% CI 1.01-1.36; hs-CRP>3 mg/L: HR 1.33, 95% CI 1.11-1.60), but not with ICH and SAH. Subgroup analyses showed that higher hs-CRP concentration was more prone to be a risk factor for all stroke and IS in non-fatal stroke, male and hypertensive participants. Conclusion: We found that higher hs-CRP concentrations were associated with a higher risk of IS, particularly for non-fatal stroke, male and hypertensive subjects. In contrast, we did not observe significant associations between hs-CRP and ICH/SAH.
基金:
Ministry of Science and TechnologyMinistry of Education, Culture, Sports, Science and Technology, Japan (MEXT); Ministry of Health of the People's Republic of China [2008BAI52B03]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81202279]; Beijing Municipal ST Commission [D101107049310005, Z121100005512016]; National Science and Technology Major Project of China [2011BAI08B02]; Capital Health research and Development of Special [Capital 2011-2004-03]; Beijing Municipal Science & Technology CommissionBeijing Municipal Science & Technology Commission [D111107003111007]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;
通讯作者:
通讯机构:[6]Hebei United Univ, Kailuan Hosp, Dept Cardiol, Tangshan, Peoples R China
推荐引用方式(GB/T 7714):
Liu Yanfang,Wang Jing,Zhang Liqun,et al.Relationship between C-Reactive Protein and Stroke: A Large Prospective Community Based Study[J].PLOS ONE.2014,9(9):-.doi:10.1371/journal.pone.0107017.
APA:
Liu, Yanfang,Wang, Jing,Zhang, Liqun,Wang, Chunxue,Wu, Jianwei...&Zhao, Xingquan.(2014).Relationship between C-Reactive Protein and Stroke: A Large Prospective Community Based Study.PLOS ONE,9,(9)
MLA:
Liu, Yanfang,et al."Relationship between C-Reactive Protein and Stroke: A Large Prospective Community Based Study".PLOS ONE 9..9(2014):-