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Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study
Abstract
AIMS: To study the effect of exercise training on plasma C-reactive protein, a marker of inflammation. METHODS AND RESULTS: We performed a 20 week standardized exercise training programme in 652 sedentary healthy white and black men and women. C-reactive protein was measured with a high sensitivity assay. The study sample was stratified according to baseline C-reactive protein levels using a recommended classification (low <1.0 mg/L, n=265; moderate 1.0-3.0 mg/L, n=225; high >3.0 mg/L, n=162). The median C-reactive protein reduction was 1.34 mg/L in the high baseline C-reactive protein group. C-reactive protein levels did not change in the low or moderate baseline C-reactive protein groups. The difference among the C-reactive protein groups was significant adjusting for all correlates of baseline C-reactive protein (P<0.001) and additionally for changes in body weight, glucose, insulin, LDL cholesterol, HDL cholesterol, triglycerides, systolic and diastolic blood pressure, and maximal oxygen uptake (P<0.001). The C-reactive protein reduction in the high baseline C-reactive protein group was consistent across all population groups (P<0.001 for difference among baseline C-reactive protein groups). CONCLUSION: Plasma C-reactive protein levels are reduced in response to exercise training in sedentary healthy adults with high initial C-reactive protein levels. This finding may partly explain the effectiveness of regular physical activity in the prevention and treatment of cardiovascular and metabolic diseases.
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“In another study, low plasma vitamin C concentrations were related to central fat distribution, independent of BMI (758) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [758]
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Pearson, T. A., Mensah, G. A., Alexander, R. W., Anderson, J. L., Cannon, R. O., Criqui, M., Fadl, Y. Y., Fortmann, S. P., Hong, Y., Myers, G. L., et al. (2003) · Circulation · doi:10.1161/01.cir.0000052939.59093.45 · Cited by 6,401
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
Yudkin, J. S., Stehouwer, C. D. A., Emeis, J. J., & Coppack, S. W. (1999) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/01.atv.19.4.972 · Cited by 2,465
Chronic Subclinical Inflammation as Part of the Insulin Resistance Syndrome
Festa, A., D’Agostino, R., Howard, G., Mykkänen, L., Tracy, R. P., & Haffner, S. M. (2000) · Circulation · doi:10.1161/01.cir.102.1.42 · Cited by 2,366
Ridker, P. M., Buring, J. E., Cook, N. R., & Rifai, N. (2003) · Circulation · doi:10.1161/01.cir.0000055014.62083.05 · Cited by 2,292
Thompson, P. D., Buchner, D., Piña, I. L., Balady, G. J., Williams, M. A., Marcus, B. H., Berra, K., Blair, S. N., Costa, F., Franklin, B., et al. (2003) · Circulation · doi:10.1161/01.cir.0000075572.40158.77 · Cited by 2,132
Paffenbarger, R. S., Hyde, R. T., Wing, A. L., Lee, I.-M., Jung, D. L., & Kampert, J. B. (1993) · New England Journal of Medicine · doi:10.1056/nejm199302253280804 · Cited by 1,972
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
Esposito, K., Pontillo, A., Di Palo, C., Giugliano, G., Masella, M., Marfella, R., & Giugliano, D. (2003) · JAMA · doi:10.1001/jama.289.14.1799 · Cited by 1,511
Ridker, P. M., Rifai, N., Pfeffer, M. A., Sacks, F. M., Moye, L. A., Goldman, S., Flaker, G. C., & Braunwald, E. (1998) · Circulation · doi:10.1161/01.cir.98.9.839 · Cited by 1,389
Effect of Exercise on Coronary Endothelial Function in Patients with Coronary Artery Disease
Hambrecht, R., Wolf, A., Gielen, S., Linke, A., Hofer, J., Erbs, S., Schoene, N., & Schuler, G. (2000) · New England Journal of Medicine · doi:10.1056/nejm200002173420702 · Cited by 1,340
Lindahl, B., Toss, H., Siegbahn, A., Venge, P., & Wallentin, L. C. (2000) · New England Journal of Medicine · doi:10.1056/nejm200010193431602 · Cited by 1,218
C-Reactive Protein and the Risk of Developing Hypertension
Sesso, H. D. (2003) · JAMA · doi:10.1001/jama.290.22.2945 · Cited by 1,013
Plasma Concentration of C-Reactive Protein and Risk of Developing Peripheral Vascular Disease
Ridker, P. M., Cushman, M., Stampfer, M. J., Tracy, R. P., & Hennekens, C. H. (1998) · Circulation · doi:10.1161/01.cir.97.5.425 · Cited by 973
Exercise-based rehabilitation for coronary heart disease
Jolliffe, J., Rees, K., Taylor, R. R., Thompson, D. R., Oldridge, N., & Ebrahim, S. (2001) · The Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001800 · Cited by 963
Leon, A. S. (1987) · JAMA · doi:10.1001/jama.258.17.2388 · Cited by 842
Self-citationRost, 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 806
Lakka, T. A., Venalainen, J. M., Rauramaa, R., Salonen, R., Tuomilehto, J., & Salonen, J. T. (1994) · New England Journal of Medicine · doi:10.1056/nejm199406023302201 · Cited by 793
Self-citationFreeman, D. J., Norrie, J. D., CASLAKE, M. J., Gaw, A., Ford, I., Lowe, G. D. O., O’Reilly, D. S. J., Packard, C. J., Sattar, N. A., & for the West of Scotland Coronary Prevention Study Group (2002) · Diabetes · doi:10.2337/diabetes.51.5.1596 · Cited by 727
Laaksonen, D. E., Lakka, H.-M., Salonen, J. T., Niskanen, L. K., Rauramaa, R., & Lakka, T. A. (2002) · Diabetes Care · doi:10.2337/diacare.25.9.1612 · Cited by 657
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Laaksonen, D. E., Lindström, J., Lakka, T. A., Eriksson, J. G., Niskanen, L., Wikström, K., Aunola, S., Keinänen-Kiukaanniemi, S., Laakso, M., Valle, T. T., et al. (2005) · Diabetes · doi:10.2337/diabetes.54.1.158 · Cited by 614
Self-citationAssociation between Physical Activity and Markers of Inflammation in a Healthy Elderly Population
Geffken, D. F., Cushman, M., Burke, G. L., Polak, J. F., Sakkinen, P. A., & Tracy, R. P. (2001) · American Journal of Epidemiology · doi:10.1093/aje/153.3.242 · Cited by 599
Does Exercise Reduce Inflammation? Physical Activity and C-Reactive Protein Among U.S. Adults
Ford, E. S. (2002) · Epidemiology · doi:10.1097/00001648-200209000-00012 · Cited by 575
Exercise Training for Claudication
Stewart, K. J., Hiatt, W. R., Regensteiner, J. G., & Hirsch, A. T. (2002) · New England Journal of Medicine · doi:10.1056/nejmra021135 · Cited by 536
Abramson, J. L., & Vaccarino, V. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.11.1286 · Cited by 513
Exercise training-induced alterations in skeletal muscle antioxidant capacity: a brief review
Powers, S. K., Ji, L. L., & Leeuwenburgh, C. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199907000-00011 · Cited by 501
Physical Activity and Hemostatic and Inflammatory Variables in Elderly Men
Wannamethee, S. G., Lowe, G. D. O., Whincup, P. H., Rumley, A., Walker, M., & Lennon, L. (2002) · Circulation · doi:10.1161/01.cir.0000016346.14762.71 · Cited by 487
Resistance exercise decreases skeletal muscle tumor necrosis factor α in frail elderly humans
GREIWE, J. S., CHENG, B., RUBIN, D. C., YARASHESKI, K. E., & SEMENKOVICH, C. F. (2001) · The FASEB Journal · doi:10.1096/fj.00-0274com · Cited by 454
C-reactive protein and the risk of developing hypertension
Sesso, H. D., Buring, J. E., Rifai, N., Blake, G., Gaziano, J. M., & Ridker, R. M. (2004) · ACC Current Journal Review · doi:10.1016/j.accreview.2004.02.025 · Cited by 430
Smith, J. K. (1999) · JAMA · doi:10.1001/jama.281.18.1722 · Cited by 420
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
Leisure-Time Physical Activity and Ischemic Stroke Risk
Sacco, R. L., Gan, R., Boden-Albala, B. M., Lin, I., Kargman, D. E., Hauser, W. A., Shea, S., & Paik, M. C. (1998) · Stroke · doi:10.1161/01.str.29.2.380 · Cited by 389
The HERITAGE family study. Aims, design, and measurement protocol.
Bouchard, C., Leon, A. S., Rao, D. C., Skinner, J. S., Wilmore, J. H., & Gagnon, J. (1995) · PubMed · Cited by 331
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Laukkanen, J. A., Lakka, T. A., Rauramaa, R., Kuhanen, R., Venäläinen, J. M., Salonen, R. M., & Salonen, J. T. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.6.825 · Cited by 299
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Wannamethee, S. G. (2002) · Circulation · doi:10.1161/hc1502.107117 · Cited by 296
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BOUCHARD, C., LEON, A. S., RAO, D. C., SKINNER, J. S., WlLMORE, J. H., & GAGNON, J. (1995) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199505000-00015 · Cited by 271
Self-citationYou, T., Berman, D. M., Ryan, A. S., & Nicklas, B. J. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031310 · Cited by 231
Wilmore, J. H., Després, J., Stanforth, P. R., Mandel, S., Rice, T., Gagnon, J., Leon, A. S., Rao, D. C., Skinner, J. S., & Bouchard, C. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/70.3.346 · Cited by 188
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Albert, M. A., Glynn, R. J., & Ridker, P. M. (2004) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2003.09.046 · Cited by 178
Leon, A. S., Rice, T., Mandel, S., Despres, J.-P., Bergeron, J., Gagnon, J., Rao, D. C., Skinner, J. S., Wilmore, J. H., & Bouchard, C. (2000) · Metabolism · doi:10.1016/s0026-0495(00)80018-9 · Cited by 176
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Okita, K., Nishijima, H., Murakami, T., Nagai, T., Morita, N., Yonezawa, K., Iizuka, K., Kawaguchi, H., & Kitabatake, A. (2004) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/01.atv.0000140199.14930.32 · Cited by 169
Cardiorespiratory Fitness and the Risk for Stroke in Men
Kurl, S., Laukkanen, J. A., Rauramaa, R., Lakka, T. A., Sivenius, J., & Salonen, J. T. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.14.1682 · Cited by 166
Self-citationHeart rate and blood pressure changes with endurance training: The HERITAGE Family Study
Wilmore, J. H., Stanforth, P. R., Gagnon, J., Rice, T., Mandel, S., Leon, A. S., Rao, D. C., Skinner, J. S., & Bouchard, C. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200101000-00017 · Cited by 157
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Rauramaa, R., Halonen, P. M., Väisänen, S., Lakka, T. A., Schmidt‐Trucksäss, A., Berg, A., Penttilä, I., Rankinen, T., & Bouchard, C. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-12-200406150-00010 · Cited by 151
Self-citationThe Multiple Risk Factor Intervention Trial
Stamler, J. (1985) · Springer eBooks · doi:10.1007/978-3-642-70296-9_2 · Cited by 128
Reduced oxidized LDL levels after a 10-month exercise program
Vasankari, T. J., Kujala, U. M., Vasankari, T., & Ahotupa, M. O. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199810000-00005 · Cited by 116
Pitsavos, C. E., Chrysohoou, C. A., Panagiotakos, D. B., Skoumas, J., Zeimbekis, A., Kokkinos, P. F., Stefanadis, C., & TOUTOUZAS, P. K. (2003) · The American Journal of Cardiology · doi:10.1016/s0002-9149(02)03175-2 · Cited by 100
Febbraio, M. A., Steensberg, A., Starkie, R. L., McConell, G. K., & Kingwell, B. A. (2003) · Metabolism · doi:10.1016/s0026-0495(03)00105-7 · Cited by 82
Lakka, T. A., Rankinen, T., Weisnagel, S. J., Chagnon, Y. C., Lakka, H.-M., Ukkola, O. H., Boulé, N. G., Rice, T., Leon, A. S., Skinner, J. S., et al. (2004) · Diabetes · doi:10.2337/diabetes.53.6.1603 · Cited by 77
Self-citationModerate exercise leads to decreased expression of ?1 and ?2 integrins on leucocytes
Jordan, J., Beneke, R., tler, M. H., Veith, A., Haller, H. G., & Luft, F. C. (1997) · European Journal of Applied Physiology · doi:10.1007/s004210050234 · Cited by 27
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Metadata
- Authors
- Lakka, T. A., Lakka, H.-M., Rankinen, T., Leon, A. S., Rao, D. C., Skinner, J. S., Wilmore, J. H., & Bouchard, C.
- Affiliations
- Pennington Biomedical Research Center (US)
- Louisiana State University (US)
- Washington University in St. Louis (US)
- Indiana University Bloomington (US)
- Texas A&M University (US)
- Corresponding author
- Lakka, Timo A.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-06-29
- Volume
- 26
- Issue
- 19
- Pages
- 2018-2025
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W2144871493
- Cited by
- 206
- References
- 49
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 10 · 2020: 3 · 2019: 11 · 2018: 10 · 2017: 7 · 2016: 10 · 2015: 13 · 2014: 6 · 2013: 9 · 2012: 10
- FWCI
- 17.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Heart, Lung, and Blood Institute (R01HL047327, HL 47321, HL 45670, HL47323, R01HL047317, HL 47327, R01HL047323, HL47317, R01HL045670, R01HL047321)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- C-reactive protein, exercise training, inflammation, sedentary adults, high-sensitivity C-reactive protein, cardiovascular disease prevention, metabolic disorders, physical activity, HERITAGE Family Study
- MeSH terms
- Adult, Aged, Blood, C-Reactive Protein, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Exercise, Risk Reduction Behavior, Black People, White People
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