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. 2010 Nov;16(6):1104-12.
doi: 10.1016/j.healthplace.2010.07.001. Epub 2010 Jul 18.

Cross-sectional and longitudinal associations of neighborhood characteristics with inflammatory markers: findings from the multi-ethnic study of atherosclerosis

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Cross-sectional and longitudinal associations of neighborhood characteristics with inflammatory markers: findings from the multi-ethnic study of atherosclerosis

Aydin Nazmi et al. Health Place. 2010 Nov.

Abstract

We investigated cross-sectional associations of neighborhood deprivation, problems, safety, and cohesion with circulating levels of fibrinogen, interleukin-6, and C-reactive protein (n = 5370) and longitudinal associations with changes in IL-6 over a 3-4 year period (n = 946). In cross-sectional analyses, higher levels of neighborhood deprivation and problems were associated with higher levels of all three inflammatory markers, whereas higher levels of safety were associated with lower levels. Fibrinogen remained associated with all neighborhood characteristics except cohesion and IL-6 remained associated with safety after adjustment for race and SES. In longitudinal analyses, higher levels of neighborhood deprivation and problems, and lower levels of safety were associated with greater longitudinal increases in IL-6 after adjustment for age, sex, race, and SES. These findings were not substantially modified by further risk factor adjustment. Although findings regarding different inflammatory markers were mixed, the longitudinal results that are less limited by race confounding suggest that inflammatory pathways may contribute to neighborhood differences in cardiovascular disease risk.

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Figures

Figure 1
Figure 1
Mean fibrinogen levels (mg/dL) per quartile of neighborhood characteristic according to sex among MESA participants (N=5370). Age-adjusted P values for trend across quartiles are shown at the highest quartile.
Figure 2
Figure 2
Geometric mean interleukin-6 levels (pg/mL) per quartile of neighborhood characteristic according to sex among MESA participants (N=5370). Age-adjusted P values for trend across quartiles are shown at the highest quartile.
Figure 3
Figure 3
Geometric mean C-reactive protein levels (mg/L) per quartile of neighborhood characteristic according to sex among MESA participants (N=5370). Age-adjusted P values for trend across quartiles are shown at the highest quartile.
Figure 4
Figure 4
Mean annual change in interleukin-6 levels (pg/mL) in a sub-sample of MESA participants (N=946). Age-adjusted P values for trend across quartiles are shown at the highest quartile.

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References

    1. Abramson JL, Vaccarino V. Relationship Between Physical Activity and Inflammation Among Apparently Healthy Middle-aged and Older US Adults. Arch Intern Med. 2002;162:1286–1292. - PubMed
    1. Acevedo-Garcia D. Residential segregation and the epidemiology of infectious diseases. Soc Sci Med. 2000;51:1143–1161. - PubMed
    1. Ainsworth BE, Irwin ML, Addy CL, Whitt MC, Stolarczyk LM. Moderate physical activity patterns of minority women: the Cross-Cultural Activity Participation Study. J Womens Health Gend Based Med. 1999;8:805–813. - PubMed
    1. Auchincloss AH, Diez Roux AV, Brown DG, Erdmann CA, Bertoni AG. Neighborhood Resources for Physical Activity and Healthy Foods and Their Association With Insulin Resistance. Epidemiology. 2008;19:146–157. - PubMed
    1. Balagopal P, George D, Patton N, Yarandi H, Roberts WL, Bayne E, Gidding S. Lifestyle-only intervention attenuates the inflammatory state associated with obesity: A randomized controlled study in adolescents. J Pediatr. 2005;146:342–348. - PubMed

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