Journal
BRAIN BEHAVIOR AND IMMUNITY
Volume 17, Issue 4, Pages 268-275Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/S0889-1591(03)00056-4
Keywords
obesity; C-reactive protein; depression; atherosclerosis
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We studied concentrations of C-reactive proteins (CRP) in a population-based sample of 3204 men aged 45-74 years. Obesity was identified in 726 (23%) men (body mass index (BMI) >30 kg/m(2)). Stratification of the sample into three levels of depressive mood revealed a significant association between increased CRP in the obese sample with highest level of depression in comparison to the low level obese depression group (p = .013). The obesity x depression interaction was significant (p = .021). Multivariate analysis confirmed this effect after adjusting for possible confounding variables (age, high blood pressure, smoking, physical inactivity, low social class, and low alcohol intake) (p = .008). In the non-obese sample, there was no association between depressive mood and concentrations of CRP. These findings. suggest a possible synergistic effect of obesity and depressive mood on chronic low level inflammation which may play a crucial role in the pathogenesis of atherosclerosis. (C) 2003 Elsevier Science (USA). All rights reserved.
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