Cited by 105Religion, Spirituality, and PsychologyReligion and Society InteractionsHealth disparities and outcomes

C-Reactive Protein, Diabetes, and Attendance at Religious Services

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King, Dana E., Mainous, Arch G., Pearson, William S.·2002·Diabetes Care

Abstract

OBJECTIVE—Previous studies have shown an association between attendance at religious services and health, particularly cardiovascular morbidity and mortality. People with diabetes have higher risk of cardiovascular mortality and higher C-reactive protein (CRP) levels than people without diabetes. The purpose of this study was to explore the relationship between religious attendance and CRP in people with diabetes. RESEARCH DESIGN AND METHODS—This study used cross-sectional survey and examination of a nationally representative sample of noninstitutionalized U.S. adults aged ≥40 years, derived from the National Health and Nutrition Examination Survey III 1988–1994 (n = 10,059). There were 556 people with diabetes. The primary outcome measure was the presence of elevated CRP. RESULTS—There were no differences between people with diabetes compared with people without diabetes in the percentage of those who attended religious services (62.29 vs. 62.0%, P = 0.36). Religious service nonattenders with diabetes were more likely than attenders to have an elevated CRP (odds ratio [OR] 2.17 [95% CI 1.15–4.09]). In people without diabetes, the association between attendance and CRP was not significant (P > 0.05). Among people with diabetes, after adjusting for demographic variables, health status, smoking, social support, mobility, and BMI, the association between religious attendance and CRP remained significant for respondents with diabetes (1.90 [1.03–3.51]). CONCLUSIONS—These findings revealed that people with diabetes who have not attended religious services in the previous year are more likely to have elevated levels of CRP. Further research should be conducted to evaluate this association to improve our understanding of the psychological and religious factors that influence diabetes.

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  • Of 16 cardiovascular function studies, 11 (69%) reported that R/S was significantly related to positive cardiovascular functions or outcomes or to lower levels of inflammatory markers such as C-reactive protein and fibrinogen.

    “Of those, 11 studies (69%) reported that R/S was significantly related to positive cardiovascular functions or outcomes [367–374] or to lower levels of inflammatory markers such as C-reactive protein [375–377] and fibrinogen [378] that place individuals at high risk for cardiovascular disease.”

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Authors
King, D. E., Mainous, A. G., & Pearson, W. S.
Affiliations
Medical University of South Carolina (US)
Venue
Diabetes Care
Published
2002-07-01
Volume
25
Issue
7
Pages
1172-1176
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2104963693
Cited by
105
References
32
Citations by year
2025: 1 · 2023: 41 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 1 · 2012: 6
FWCI
2.29
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Health Resources and Services Administration
  • U.S. Public Health Service (1D12HP00023-01)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Social Sciences › Sociology and Political Science › Religion and Society Interactions
  • Social Sciences › Health › Health disparities and outcomes
Keywords
C-reactive protein, religious service attendance, diabetes mellitus, inflammation, cardiovascular risk, social support, older adults
MeSH terms
Adult, C-Reactive Protein, Cross-Sectional Studies, Demography, Diabetes Mellitus, Female, Health Status, Humans, Male, Reference Values, Religion, Smoking, United States

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