C-reactive protein and alcohol consumption: Is there a U-shaped association? Results from a population-based study in Russia
Abstract
Background Little is known about association between markers of inflammation and alcohol consumption in Russian population where binge drinking pattern is prevalent.Methods and results C-reactive protein was measured by a highly sensitive particle-enhanced immunoturbidimetric assay (hsCRP) in 1963 men and 1734 women, aged 18-90 years, in a population-based cross-sectional study. Total alcohol consumption consisted mainly of binge vodka intake. A revealed U-shaped association between hsCRP and total alcohol intake was due to high hsCRP levels in ex-drinkers. Ex-drinkers of both sexes were older and reported more diseases than non-abstainers. This U-shaped association became non-significant in both sexes after adjustment for age, BMI, smoking status, diabetes mellitus and cardiovascular medication. When analysis was performed separately only for non-abstainers, hsCRP showed a positive linear association with total weekly alcohol consumption and with weekly vodka consumption in both sexes.Conclusions The U-shaped association between hsCRP and weekly alcohol consumption was due to higher hsCRP levels in ex-drinkers than in non-abstainers. Factors other than the current level of alcohol consumption might be responsible for high hsCRP levels in ex-drinkers. When abstainers were excluded from analyses, the results indicated a pro-inflammatory effect of binge alcohol consumption in non-abstainers.
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From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [628]
Cites
Ridker, P. M., Hennekens, C. H., Buring, J. E., & Rifai, N. (2000) · New England Journal of Medicine · doi:10.1056/nejm200003233421202 · Cited by 5,850 · see citing works
Ridker, P. M., Rifai, N., Rose, L., Buring, J. E., & Cook, N. R. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa021993 · Cited by 3,604 · see citing works
Köenig, W., Sund, M., Fröhlich, M., Fischer, H.-G., Löwel, H., Döring, A., Hutchinson, W. L., & Pepys, M. B. (1999) · Circulation · doi:10.1161/01.cir.99.2.237 · Cited by 1,952 · see citing works
Inhibition of oxidation of human low-density lipoprotein by phenolic substances in red wine
Frankel, E. N., German, J. B., Kinsella, J. E., Parks, E. J., & Kanner, J. (1993) · The Lancet · doi:10.1016/0140-6736(93)90206-v · Cited by 1,646 · see citing works
Rost, N. S., Wolf, P. A., Kase, C. S., Kelly‐Hayes, M., Silbershatz, H., Massaro, J. M., D’Agostino, R. B., Franzblau, C., & Wilson, P. W. F. (2001) · Stroke · doi:10.1161/hs1101.098151 · Cited by 799 · see citing works
Effect of alcohol consumption on systemic markers of inflammation
Imhof, A., Froehlich, M., Brenner, H., Boeing, H., Pepys, M. B., & Koenig, W. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04170-2 · Cited by 559 · see citing works
Albert, C. M., Ma, J., Rifai, N., Stampfer, M. J., & Ridker, P. M. (2002) · Circulation · doi:10.1161/01.cir.0000017493.03108.1c · Cited by 532 · see citing works
Ridker, P. M., Rifai, N., Rose, L. M., Buring, J. E., & Cook, N. R. (2003) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000058687.18516.14 · Cited by 390 · see citing works
Alcohol Consumption and Plasma Concentration of C-Reactive Protein
Albert, M. A., Glynn, R. J., & Ridker, P. M. (2003) · Circulation · doi:10.1161/01.cir.0000045669.16499.ec · Cited by 325 · see citing works
Kauhanen, J., Kaplan, G. A., Goldberg, D. E., & Salonen, J. T. (1997) · BMJ · doi:10.1136/bmj.315.7112.846 · Cited by 278 · see citing works
Estruch, R., Sacanella, E., Badı́a, E., Antúnez, E., Nicolas, J. M., Fernández‐Solà, J., Rotilio, D., de Gaetano, G., Rubin, E., & Urbano-Márquez, A. (2004) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2004.03.006 · Cited by 269 · see citing works
Murray, R. P., Connett, J. E., Tyas, S. L., Bond, R., Ekuma, O., Silversides, C. K., & Barnes, G. E. (2002) · American Journal of Epidemiology · doi:10.1093/aje/155.3.242 · Cited by 266 · see citing works
Alcohol consumption in a national sample of the Russian population
Bobák, M., McKee, M., Rose, R., & Marmot, M. G. (1999) · Addiction · doi:10.1046/j.1360-0443.1999.9468579.x · Cited by 229 · see citing works
IMHOF, A., WOODWARD, M., DOERING, A., HELBECQUE, N., LOEWEL, H., AMOUYEL, P., LOWE, G., & KOENIG, W. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.09.032 · Cited by 204 · see citing works
Volpato, S., Pahor, M., Ferrucci, L., Simonsick, E. M., Guralnik, J. M., Kritchevsky, S. B., Fellin, R., & Harris, T. B. (2004) · Circulation · doi:10.1161/01.cir.0000109503.13955.00 · Cited by 176 · see citing works
Eda, S., Kaufmann, J., Roos, W., & Pohl, S. (1998) · Journal of Clinical Laboratory Analysis · doi:10.1002/(sici)1098-2825(1998)12:3 · Cited by 162 · see citing works
Alcohol is Implicated in the Fluctuations in Cardiovascular Disease in Russia Since the 1980s
McKee, M., Школьников, В. М., & Leon, D. A. (2001) · Annals of Epidemiology · doi:10.1016/s1047-2797(00)00080-6 · Cited by 124 · see citing works
Development and validation of a particle-enhanced turbidimetric immunoassay for C-reactive protein
Price, C. P., Trull, A. K., Berry, D., & Gorman, E. G. (1987) · Journal of Immunological Methods · doi:10.1016/0022-1759(87)90129-3 · Cited by 124 · see citing works
Increased mortality related to heavy alcohol intake pattern
Laatikainen, T. K., Manninen, L., Poikolainen, K., & Vartiainen, E. (2003) · Journal of Epidemiology & Community Health · doi:10.1136/jech.57.5.379 · Cited by 116 · see citing works
Sun, A. Y., Ingelman‐Sundberg, M., Neve, E. P. A., Matsumoto, H., Nishitani, Y., Minowa, Y., Fukui, Y., Bailey, S. M., Patel, V. B., CUNNINGHAM, C. C., et al. (2001) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2001.tb02402.x · Cited by 104 · see citing works
Sun, A. Y., Ingelman‐Sundberg, M., Neve, E. P. A., Matsumoto, H., Nishitani, Y., Minowa, Y., Fukui, Y., Bailey, S. M., Patel, V. B., CUNNINGHAM, C. C., et al. (2001) · Alcoholism Clinical and Experimental Research · doi:10.1097/00000374-200105051-00038 · Cited by 100 · see citing works
Lowe, G. D. O., Shaper, G., Whincup, P. H., Rumley, A., Walker, M., LENNON, L. T., & Wannamethee, S. G. (2003) · Thrombosis and Haemostasis · doi:10.1160/th03-04-0221 · Cited by 80 · see citing works
Cardiovascular risk factors in the former communist countries
GINTER, E. (1995) · European Journal of Epidemiology · doi:10.1007/bf01719488 · Cited by 77 · see citing works
Relation between alcohol consumption and C-reactive protein levels in the adult US population.
Stewart, S., Mainous, A. G., & Gilbert, G. E. (2002) · PubMed · Cited by 63 · see citing works
ADVANCED GLYCATION END-PRODUCTS IN PATIENTS WITH CHRONIC ALCOHOL MISUSE
Marta, K. (2004) · Alcohol and Alcoholism · doi:10.1093/alcalc/agh058 · Cited by 53 · see citing works
Nv, P., Оганов, Р. Г., Williams, D. H., Irving, S. H., Abernathy, J. R., Деев, А. Д., Шестов, Д. Б., Zhukovsky, G., DAVIS, C. E., & Tyroler, H. A. (1995) · Annals of Epidemiology · doi:10.1016/1047-2797(94)00104-2 · Cited by 47 · see citing works
Averina, M., Nilssen, O., Brenn, T., Brox, J. H., Kalinin, A. G., & Arkhipovsky, V. L. (2003) · European Journal of Epidemiology · doi:10.1023/a:1025626202235 · Cited by 46 · see citing works
Self-citationALCOHOL MISUSE INCREASES SERUM ANTIBODIES TO OXIDIZED LDL AND C-REACTIVE PROTEIN
Alho, H. (2004) · Alcohol and Alcoholism · doi:10.1093/alcalc/agh059 · Cited by 38 · see citing works
Anti-oxidized LDL Antibodies and Wine Consumption
Bari, M. D., Zacchei, S., Kritchevsky, S. B., Anichini, M., Cesaretti, S., Chiarlone, M., Masotti, G., & Marchionni, N. (2003) · Annals of Epidemiology · doi:10.1016/s1047-2797(02)00262-4 · Cited by 12 · see citing works
Lowe, G. D. O., Wannamethee, S. G., Shaper, A. G., Whincup, P. H., Rumley, A., Walker, M., & LENNON, L. T. (2003) · UCL Discovery (University College London) · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Dietary factors and low-grade inflammation in relation to overweight and obesity
Calder, P. C., Ahluwalia, N., Brouns, F., Buetler, T., Clement, K., Cunningham, K., Esposito, K., Jönsson, L. S., Kolb, H., Lansink, M., et al. (2011) · British Journal of Nutrition · doi:10.1017/s0007114511005460 · Cited by 1,098 · see citing works
Fruit Polyphenols: A Review of Anti-inflammatory Effects in Humans
Joseph, S. V., Edirisinghe, I., & Burton‐Freeman, B. M. (2015) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2013.767221 · Cited by 282 · see citing works
“Binge drinking of alcohol has been associated with increased systemic inflammation and cardiovascular morbidity (de Lange et al., 2004; Averina et al., 2006).”
BackgroundExposure-dependent effects of ethanol on the innate immune system
Goral, J., Karavitis, J., & Kovacs, E. J. (2008) · Alcohol · doi:10.1016/j.alcohol.2008.02.003 · Cited by 152 · see citing works
Alcohol consumption: Risks and benefits
Mukamal, K. J., & Rimm, E. B. (2008) · Current Atherosclerosis Reports · doi:10.1007/s11883-008-0083-2 · Cited by 109 · see citing works
“When assessed across a broad spectrum of alcohol intake, the general relationship is a U-shaped association for most markers of infl ammation [16].”
BackgroundHigh Sensitivity C-reactive Protein (hsCRP) and its Implications in Cardiovascular Outcomes
Denegri, A., & Boriani, G. (2020) · Current Pharmaceutical Design · doi:10.2174/1381612826666200717090334 · Cited by 92 · see citing works
Prevalence of the metabolic syndrome and its components in Northwest Russia: the Arkhangelsk study
Sidorenkov, O., Nilssen, O., Brenn, T., Martiushov, S., Arkhipovsky, V. L., & Grjibovski, A. M. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-23 · Cited by 70 · see citing works
“More details about the study, recruitment details, sample and data collection protocols are presented elsewhere [21, 22 ].”
Self-citationWakasugi, M., Kazama, J. J., Narita, I., Iseki, K., Moriyama, T., Yamagata, K., Fujimoto, S., Tsuruya, K., Asahi, K., Konta, T., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0108718 · Cited by 65 · see citing works
Socioeconomic position, health behaviors, and C-reactive protein: A moderated-mediation analysis.
Kershaw, K. N., Mezuk, B. R., Abdou, C. M., Rafferty, J. A., & Jackson, J. S. (2010) · Health Psychology · doi:10.1037/a0019286 · Cited by 62 · see citing works
Iakunchykova, O. P., Averina, M., Kudryavtsev, A. V., Wilsgaard, T., Soloviev, A. G., Schirmer, H., Cook, S., & Leon, D. A. (2019) · Journal of the American Heart Association · doi:10.1161/jaha.119.014491 · Cited by 31 · see citing works
Self-citationIakunchykova, O. P., Averina, M., Wilsgaard, T., Watkins, H. C., Malyutina, S. K., Ragino, Y. I., Keogh, R. H., Kudryavtsev, A. V., Govorun, V. M., Cook, S., et al. (2020) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2020-213885 · Cited by 21 · see citing works
Self-citationSidorenkov, O., Nilssen, O., Nieboer, E., Kleshchinov, N., & Grjibovski, A. M. (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyr145 · Cited by 20 · see citing works
Self-citationZhang, Y., Zeng, C., Wei, J., Li, H., Yang, T., Yang, Y., Deng, Z., Ding, X., & Lei, G. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010763 · Cited by 13 · see citing works
He, K., & Huang, H. (2024) · Journal of Nutrition · doi:10.1016/j.tjnut.2024.01.009 · Cited by 9 · see citing works
Katsuura‐Kamano, S., Uemura, H., Yamaguchi, M., Nakamoto, M., Bahari, T., Miki, K., Ishizu, M., Sawachika, F., & Arisawa, K. (2017) · Journal of Clinical Biochemistry and Nutrition · doi:10.3164/jcbn.17-48 · Cited by 8 · see citing works
Алексеевна, М. О., Kholmatova, K., Постоева, А. В., Николаевна, К. Г., Malyutina, S. K., & Kudryavtsev, A. V. (2023) · Biomolecules · doi:10.3390/biom13050835 · Cited by 5 · see citing works
Alcohol consumption and heart failure: a dose-response meta-analysis
Wong, B., Ryan, C. A., Fagbamigbe, A. F., Bray, J. J. H., McNamee, B., Niranjan, V. R., Zhou, S., Bogdanet, D., Reddin, C., McDonald, K., et al. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015398 · Cited by 3 · see citing works
Alcohol consumption and binge drinking as risk factors for cardiovascular diseases and depression
Sundell, L. (2010) · STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) · Cited by 3 · see citing works
Relationship between hs-CRP and cardiac efficiency in chronic alcoholics
Latha, R., & Shenoy, K. C. (2008) · Indian Journal of Clinical Biochemistry · doi:10.1007/s12291-008-0063-x · Cited by 2 · see citing works
“The U-shaped association between hs-CRP and alcohol consumption has been reported from studies conducted in Russia ( 14 ).”
The Longitudinal Relationship between Moderate Alcohol Use and Cognitive Aging among Older Adults.
Herring, D. (2016) · Journal of International Crisis and Risk Communication Research · Cited by 2 · see citing works
С-reactive Protein and Its Role in Pathogenesis of Heart Disorders (Literature Review and Own Data)
Strilchuk, L. M. (2019) · Family Medicine · doi:10.30841/2307-5112.2.2019.175680 · Cited by 1 · see citing works
Shukla, D. P., Joshi, B., Singh, S., & Kumar, A. (2022) · Panacea Journal of Medical Sciences · doi:10.18231/j.pjms.2022.097
Alam, A. B., Toledo, E., Romaguera, D., Alonso‐Gómez, Á. M., Martínez‐González, M. Á., Tojal‐Sierra, L., Razquín, C., Mora, M. N., Li, L., Subramanya, V., et al. (2026) · British Journal Of Nutrition · doi:10.1017/s0007114526107922
Biscetti, F., Rando, M. M., Danese, M., Nicolazzi, M. A., Massetti, M., Gasbarrini, A., Addolorato, G., & Flex, A. (2026) · Scientific Reports · doi:10.1038/s41598-026-44431-6
Sendrowski, D., Sendrowska, M. K., & Kozłowski, D. (2026) · Sci · doi:10.3390/sci8090221
- Authors
- Averina, M., Nilssen, O., Arkhipovsky, V. L., Kalinin, A. G., & Brox, J.
- Affiliations
- UiT The Arctic University of Norway (NO)
- Central Clinical Hospital No 2 named Semashko (RU)
- Northern State Medical University (RU)
- University Hospital of North Norway (NO)
- Corresponding author
- Averina, Maria
- Venue
- Atherosclerosis
- Publisher
- Elsevier BV
- Published
- 2006-10
- Volume
- 188
- Issue
- 2
- Pages
- 309-315
- ISSN
- 0021-9150 (ISSN-L)
- OpenAlex
- W127986995
- Cited by
- 24
- References
- 30
- Citations by year
- 2026: 3 · 2024: 2 · 2023: 1 · 2022: 1 · 2020: 2 · 2019: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Atherosclerosis (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norges Forskningsråd
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- C-reactive protein, alcohol consumption, binge drinking, vodka, inflammation, ex-drinkers, alcohol abstinence, U-shaped relationship, Russian population
- MeSH terms
- Adolescent, Adult, Age Factors, Alcohol Drinking, C-Reactive Protein, Female, Humans, Male, Middle Aged, Nephelometry and Turbidimetry, Russia, Smoking, Body Mass Index
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