Author/Authors :
Demirbas, Berrin Associate Professor - Departement of Endocrinology - MESA Hospital, Ankara, Turkey , Gürsoy, Gül Associate Professor, Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey , Esbah, Onur Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey , Kirnap, Nazli Gulsoy Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey , Cetiner, Hacer Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey , Acar, Yasar Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey , Bayram, Murat Department of Internal Medicine - Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey
Abstract :
BACKGROUND: The association between C-reactive protein, homocysteine, uric acid levels and cardiovascular risk
have been debated for decades. Resistin is a newly discovered adipocyte derived cytokine. Smoking besides its effect on
atherosclerosis, is shown to alter adipocytokine levels. Bearing in mind, these complex relationship of resistin with
smoking, C-reactive protein, homocysteine and uric acid, we planned to investigate the association of resistin and these
cardiovascular risk factors in smoker and non-smoker subjects.
METHODS: We conducted a cross-sectional randomized study including 52 smoking and 33 non-smoking men. After
making comparisons of C-reactive protein, homocysteine, uric acid and resistin between the two groups, we classified
the subjects according to their insulin resistance and body mass and made again the comparisons..
RESULTS: Resistin levels were higher in smokers than in non-smokers (p<0.001) and also in insulin resistant than in
non-insulin resistant smokers (p<0.05). Resistin levels were indifferent in non-smokers as insulin resistance was
concerned and in smoker or non-smokers as body mass index was concerned. As all subjects were grouped based on
homeostasis model assesment index and body mass index, neither C-reactive protein nor homocysteine and uric acid
levels differred.
CONCLUSIONS: We found that smoking may have influence on resistin levels and in smokers, insulin resistance is
related to resistin levels, but in smoker and non-smokers body mass may not have any association with resistin. Resistin
also may not have a role in C-reactive protein, homocysteine and uric acid levels both in smokers and non-smokers
Keywords :
CRP , Homocysteine , Uric Acid , Resistin , Smoking