@article{3113084,
    title = "Association between low-grade systemic inflammation and type 2 diabetes mellitus among men and women from the ATTICA study",
    author = "Pitsavos, C. and Tampourlou, M. and Panagiotakos, D.B. and Skoumas, Y. and Chrysohoou, C. and Nomikos, T. and Stefanadis, C.",
    journal = "The Review of Diabetic Studies : RDS",
    year = "2007",
    volume = "4",
    number = "2",
    pages = "98-104",
    issn = "1613-6071, 1614-0575",
    doi = "10.1900/RDS.2007.4.98",
    keywords = "amyloid A protein;  C reactive protein;  glucose;  homocysteine;  interleukin 6;  tumor necrosis factor alpha, adult;  aged;  article;  diet;  female;  glucose blood level;  human;  hypercholesterolemia;  hypertension;  inflammation;  major clinical study;  male;  non insulin dependent diabetes mellitus;  obesity;  physical activity;  prevalence;  smoking",
    abstract = "AIM: The aim is to investigate the relationship between low-grade inflammation and several glycemic indices in a population-based sample of men and women. METHODS: The ATTICA study is a population-based cohort that randomly enrolled 1514 men and 1528 women (aged >18 years old), stratified by age and gender, from the Greater Athens area, during 2001-2002. Among several characteristics, inflammation markers (high sensitivity C-reactive protein, interleukin-6, tumor necrosis factor-alpha, homocysteine and amyloid A) and glycemic control indices (fasting blood glucose, insulin, HOMA) were measured in the participants. RESULTS: The prevalence of diabetes was 7.8% in men and 6.0% in women. The prevalence of impaired fasting glucose (IFG) was 21% in men and 12% in women. Diabetic subjects had 57% higher mean levels of C-reactive protein (p < 0.001), 22% higher mean levels of interleukin-6 (p < 0.001) and 60% higher levels of tumor necrosis factor-alpha (p < 0.001) compared to non-diabetic subjects. Homocysteine and serum amyloid A levels did not show significant differences among groups. CONCLUSION: Our study supports a positive association between low-grade inflammation and diabetes in a population-based sample of men and women without any evidence of cardiovascular disease, which is independent of demographic, clinical and lifestyle characteristics, including physical activity and dietary factors. Copyright © by the SBDR."
}