Résumé :
|
[BDSP. Notice produite par INIST 43cR0x78. Diffusion soumise à autorisation]. One explanation for discrepant results between epidemiologic studies and randomized trials of bêta-carotene and cardiovascular disease may be a failure to consider inflammation as a confounder. To evaluate the potential for such confounding, the authors relate the serum concentrations of five carotenoids (alpha-carotene, bêta-carotene, bêta-cryptoxanthin, lycopene, and lutein/zeaxanthin) to levels of three inflammatory markers (C-reactive protein, fibrinogen, and white blood cell count) measured during the Third National Health and Nutrition Survey, 1988-1994. The analysis included 4,557 nonsmoking participants aged 25-55 years. Adjusted concentrations of all five carotenoids were significantly lower in those with C-reactive protein levels above 0.88 mg/dl (p=0.001). There was a trend toward lower adjusted bêta-cryptoxanthin concentrations with increasing level of fibrinogen (p value test for trend=0.01), but other carotenoids were not related. Many of the carotenoid concentrations were lower among participants with high white blood cell counts. After log transformation, only adjusted mean bêta-carotene levels were significantly lower in those with white blood cell counts above 7.85 x 109/liter (p<0.01). (...)
|