Sabzevar University of Medical Scinces , akooshki.nutr@yahoo.com
Abstract: (9376 Views)
Background and Objectives: High-Sensitivity C-reactive protein (hs-CRP) is the most reliable means of diagnosing and controlling hidden inflammation and infection in the body. poor nutritional status in older adults with increased serum levels of CRP, followed by systemic inflammation is linked. It appears that diet has an significant effect on chronic inflammation affecting the progression of the disease. This study aimed to examine the association between macronutrients intake with serum High sensitivity C-reactive protein in elderly located in nursing homes in Sabzevar.
Materials & Methods: This cross-sectional analytical study included 105 nursing home residents from Sabzevar city, stratified sampling method was performed. Anthropometric indexes, BMI and WHR were measuremed according standard methods. Nutrientional intake per person was collected and determined by using the N4 software. Blood samples were collected for measurement of serum hs-CRP. Data were analyzed by using SPSS software descriptive statistics and regression.
Results: In the present study, a significant positive correlation between total fat and cholesterol intake and a significant inverse correlation between fiber intake and serum high sensitivity C- reactive protein was observed. Among Anthropometric indexes, hs-CRP has a statistically significant relationship with BMI.
Conclusion: According to results of this study, diets high in fiber, low in fat, low cholesterol should be the first level of prevention in this age group and it can reduce inflammation remarkably.
Aarchahi Z, Kooshki A, Rakhshani M, Tofighiyan T. 1.Salehi L, Selki S, Alizadeh L. Evaluation of health-related quality of life of elderly members aged care center in Tehran in 2009. Iranian Journal of Epidemiology 2012;8(1):14-20. 2.Minichiello V, Coulson I. Contemporary issues in gerontology:promoting positive aging. Crows Nest, N.S.W: Allen & Unwin; 2005. 3.Blake G.J, Ridker P.M. Inflammatory bio-marker and cardiovascular risk prediction: J Intern Med 2002;252 (4):283-94. 4.Bhatt DL, Steg PG, Ohman EM, Hirsch AT, Ikeda Y, Mas JL, et al. REACH Registry Investigators:International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis. JAMA 2006; 295(2):180-89. 5.Nayebifar S, Afzalpour M, Saghebjoo M, Hedayati M, Shirzaee P. The effect of aerobic and resistance trainings on serum C- Reactive Protein, lipid profile and body composition in overweight women. J Birjand Univ Med Sci 2012;8(4):186-96.[in Persian] 6.Mogharnasi M, Gaeini A, Sheikholeslami Vatani D. Comparing the effects of two training methods of aerobic and anaerobic on some pre-inflammatory cytokines in adult male rats. Iran J Endocrinol Metab 2010;11(2):191-98.[in Persian] 7.Wilund KR. Is the anti-inflammatory effect of regular exercise responsible for reduced cardiovascular disease? Clin Sci (Lond) 2007;112(11):543-55. 8.Anderson GP. Chronic Obstructive Pulmonary Disease, asthma and C-reactive protein. Eur Respir J 2006;27(5):874-6. 9.Pakzad Pervez. Serologic and Clinical Principles of interpretation. Tehran: Noore Danesh; 1392.[in Persian] 10.Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 2006 Dec;84(6):1489-97. 11.Khalil Hosseini, Nick Varz Naemeh, Eliasi Sepideh. Drug Treatment Of Diseases Of The Elderly. Tehran: Arjmand; 1392.[in Persian] 12.Spittle MA, Hoenich NA, Handelman GJ, Adhikarla R, Homel P, Levin NW. Oxidative stress and inflammation in hemodialysis patients. Am J Kidney Dis2001;38:1408-73. 13.Fung TT, McCullough ML, Newby PK, Manson JE, Meigs JB, Rifai N, et al. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr 2005 Jul;82(1):163-73. 14. Esmaillzadeh A, Azadbakht L. Association consumption of fruits and vegetables with plasma CRP levels and the prevalence of metabolic syndrome in women. Iranian Journal of Diabetes and Lipid 1386; 6 (3): 271-83.[in Persian] 15.Ahra K, Hyesook K, Chan-Jung H, Ji-Myung K, Hye-Won C, Namsoo C. Association between high sensitivity C-reactive protein and dietary intake in Vietnamese young women. Nutrition Research and Practice. 2014;8(4):445-52. 16.Ghaffarpour M, Hoshyarrad A, Kianfar H.Guidlines of home measurement, conversation coefficient and percent of edible of foods.Tehran: Agriculture Science Publisher; 1999.[in Persian] 17.Esfahani FH, Asghari G, Mirmiran P, Azizi F.Reproducibility and relative validity of food groupintake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010; 20(2): 150-8.[in Persian] 18.Malekshah AF, Kimiagar M, Saadatian-Elahi M, Pourshams A, Nouraie M, Goglani G, et al. Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. Eur J Clin Nutr 2006;60(8):971-77.[in Persian] 19.Fredrikson GN, Hedblad B, Nilsson JA, Alm R, Berglund G, Nilsson J. Association between diet, lifestyle, metabolic cardiovascular risk factors, and plasma C-reactive protein levels. Metabolism 2004;53:1436-42. 20.Paknahad Z, Heidari beni M, Shaygan Nejhad V. Association between dietary fats with lipid profiles and CRP level in Multiple Sclerosis women patients. Journal of Health System Research 1392; 1434-41.[in Persian] 21.Tannock LR, Kevin DO, Robert HK, Barbara R, Brian F, Mark HW, et al. Cholesterol Feeding Increases C-Reactive Protein and Serum Amyloid A Levels in Lean Insulin-Sensitive Subjects. Circulation. 2005;111:3058-62. 22.Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Frank B Hu, Walter CW. Dietary Patterns and Markers of Systemic Inflammation among Iranian Women. J Nutr 2007;137:992–8. 23.King DE, Egan BM, Woolson RF. Effect of a highfiber diet vs a fiber supplemented diet on C-reactive protein level. Arch Intern Med 2007; 167(5): 502-6. 24. Kafeshani O, Entezari M, Hoseini M, Mohebrasool M, Sohrabi F, Torabi A. Correlation of inflammatory and nutrients intake in Isfahan hemodialysis patients. Journal of Health System Research 1389; 6(2): 344-50.[in Persian] 25. Taghdir M, Ashourpour M, Ghandchi Z, Pourghaderi M, Sepandi M, Alavi Naini. Assessment of Energy and Protein Intake and Some of the Related Factors in Hemodialysis Patients Referred to ImammKhomeini Hospital. Iranian Journal of Endocrinology and Metabolism 1390; 13(6): 690-96.[in Persian] 26.Santos FL, Esteves SS, da Costa Pereira A, Yancy WS Jr, Nunes JP. Systematic review and meta-analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors. Obes Rev 2012;13(11):1048-66. 27.Due A, Toubro S, Stender S, Skov AR, Astrup A. The effect of diets high in protein or carbohydrate on inflammatory markers in overweight subjects. Diabetes Obes Metab 2005; 7:223-9. 28.Mohammad shahi M, Heidari F, Moula K, Helli B, Ijadi M, Amirian Z, et al. Association of Dietary Patterns and Indicators of Disease Activity in Patients with Rheumatoid Arthritis. Iranian Journal of Nutrition Sciences & Food Technology 1393; 9(3): 9-20.[in Persian] 29.Pahlavani N, Sadeghi O, Rasad H, Azizi soleiman F. The Relationship between Inflammation, Oxidative Stress, Blood Sugar, Blood Lipid, Body Mass Index, Fat Mass, and Body Weight in Patients with Type 2 Diabetes. Journal of Diabetes Nursing and Midwifery Zabol 1393; 2(2): 42-51.[in Persian] 30.Bertran N, Camps J, Fernandez-Ballart J, Arija V, Ferre N, Tous M, et al. Diet and lifestyle are associated with serum C-reactive protein concentrations in a population-based study. J Lab Clin Med 2005;145(1):41-6 . Iranian J Nutr Sci Food Technol 2017; 12 (2) :1-8 URL: http://nsft.sbmu.ac.ir/article-1-2268-en.html