• Preventive medicine · Aug 2015

    The association of C-reactive protein and physical activity among a church-based population of African Americans.

    • Swann Arp Adams, Michael D Wirth, Samira Khan, E Angela Murphy, Sue P Heiney, Lisa C Davis, Briana Davis, Ruby F Drayton, Thomas G Hurley, Steven N Blair, and James R Hébert.
    • College of Nursing and the Department of Epidemiology and Biostatistics, Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA. Electronic address: swann.adams@sc.edu.
    • Prev Med. 2015 Aug 1; 77: 137140137-40.

    ObjectiveRegular physical activity can reduce systemic inflammation and, thereby, the burden of chronic inflammatory-related conditions. This study examined whether regular physical activity, measured subjectively (Rapid Assessment of Physical Activity [RAPA]) and objectively (Bodymedia's SenseWear® activity monitor [SWA]), is associated with inflammatory or glycemic control markers.MethodsSubjects were 345 participants of the Healthy Eating and Active Living in the Spirit (HEALS) lifestyle intervention among African American (AA) churches in South Carolina from 2009 to 2012. Linear regression analyses were performed to assess the relationship between both subjectively and objectively measured physical activity and inflammatory markers including high sensitivity C-reactive protein (CRP), interleukin-6 (IL-6), and glycosylated hemoglobin (HbA1c).ResultsThose who participated in regular physical activity (from RAPA) had lower CRP values compared to those who were sedentary (2.3 vs. 3.8mg/L, p<0.01). Lower levels of CRP or IL-6 were observed among those in the highest quartile of active energy expenditure (CRP: 2.0 vs. 3.6 mg/L, p=0.01) or moderate-vigorous physical activity minutes (CRP=1.7 vs. 4.5mg/L, p<0.01; IL-6=1.5 vs. 2.1pg/mL, p=0.01) compared to their lowest respective quartiles as measured by the SWA.ConclusionPhysical activity may improve chronic inflammation, which is a primary pathophysiological mechanism for numerous chronic disorders, especially among minority populations.Copyright © 2015 Elsevier Inc. All rights reserved.

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