Inside Out: C-reactive Protein (CRP) as Clinical Biomarker with Lipid Profile and Lactate Dehydrogenase in Metabolic Syndrome
DOI:
https://doi.org/10.51273/esc25.251321130Keywords:
C-reactive protein, lactate dehydrogenase, metabolic syndrome, body mass index, Basal metabolic rateAbstract
Abstract
Objective: To evaluate and compare the levels of C-reactive protein (CRP) and its correlation with lactate
dehydrogenase (LDH) and abnormal lipid profiles in patients with metabolic syndrome versus healthy
control.
Material and Methods: This was a case-control study and was conducted at the pathology laboratory of
Jinnah Medical and Dental College from May 27, 2023 to December 27, 2023, receiving approval from the
Ethical Review Committee of Sohail University in Karachi. Involved 300 participants, comprising 150
individuals diagnosed with metabolic syndrome and 150 healthy controls, representing the elderly age group
and both genders. Following the acquisition of informed consent, demographic information and
anthropometric measurements were documented, and blood samples were collected after an overnight fast to
assess fasting blood sugar, lipid profiles, lactate dehydrogenase (LDH), and C-reactive protein (CRP)
utilizing Bioscience and Oet-N10 kits, respectively.
Results: The results obtained in this study were compared between metabolic syndrome and control samples.
Using the students't-test, the positive correlation was found between CRP and LDH in patients with
metabolic syndrome with dyslipidemia as compared to healthy controls. The statistically significant
difference was noted in BMI, WC, HC and WHR ratio between metabolic syndrome patients and controls,
Conclusion: This current study found that individuals with metabolic syndrome had higher basal metabolic
rates, along with elevated CRP and LDH levels, which were independently associated with metabolic
syndrome; Clinical monitoring and public health interventions are needed to reduce metabolic syndrome and
its associated complications.
Keywords: C-reactive protein (CRP), lactate dehydrogenase (LDH), metabolic syndrome, body mass index
(BMI), Basal metabolic rate (BMR)
How to cite: Inside Out: C-reactive Protein (crp) as Clinical Biomarker with Lipid Profile and Lactate Dehydrogenase
in Metabolic Syndrome Comparison of the Efficacy of Gabapentin with Loratadine in Patients of Chronic Kidney
Disease with Uremic Pruritus. Esculapio - JSIMS 2025;21(01): 168-173
DOI: https://doi.org/10.51273/esc25.251321130
References
References
Aguilar-Salinas CA, Viveros-Ruiz T. Recent
advances in managing/understanding the metabolic
syndrome. F1000Research. 2019;8. doi:
12688/f1000research.17122.1.
Wang Z, Wang B, Li X, Zhang S, Wu S, Xia Y.
Metabolic syndrome, high-sensitivity C-reactive
protein levels and the risk of new-onset atrial
fibrillation: results from the Kailuan study. Nutrition,
Metabolism and Cardiovascular Diseases. 2021 Jan
;31(1):102-9. https://doi.org/10.1016/-j.numecd.
06.026.
Syed Mehmood ul Hassan, Rafique Malik B, Ali Y,
Asghar U, Qadir A, M. Tayyab R. Obstructive Sleep
Apnea in patients with Metabolic syndrome - A
hospital Based Cross-Sectional Survey. Esculapio -
JSIMS [Internet]. 2023 Jul. 30 [cited 2025 Feb.
;16(1):52-6., DOI: https://doi.org/10.51273/
esc20.716113.
Pan H, Yan D, Xu M, Li F, Ren M, Zhang J, Wu M.
Interaction between lactate and uric acid is associated
with a higher prevalence of metabolic syndrome: a
community-based study. Experimental and Clinical
Endocrinology & Diabetes. 2019 Sep;127(08):557
DOI: 10.1055/a-0672-0908.
Hummayun H, Naz T, Waheed SS. Metabolic
Syndrome and Hyperandrogenemia in Polycystic
Ovarian Syndrome. Esculapio - JSIMS.
;18(02):169-173. Available from: https://
doi.org/10.51273/esc22.25182131-3.
Boncler M, Wu Y, Watala C. The multiple faces of C
reactive protein—physiological and pathop
hysiological implications in cardiovascular disease.
Molecules. 2019 May 30;24(11):2062.
doi.org/10.3390/molecules24112062.
Jimenez RV, Szalai AJ. Therapeutic lowering of C
reactive protein. Frontiers in immunology. 2021 Jan
;11:619564. doi.org/10.3389/-fimmu.20
619564.
Hoyas I, Leon-Sanz M. Nutritional challenges in
metabolic syndrome. Journal of clinical medicine.
Aug 24;8(9):1301. doi.org/10.3390/
jcm8091301.
Silveira Rossi JL, Barbalho SM, Reverete de Araujo
R, Bechara MD, Sloan KP, Sloan LA. Metabolic
syndrome and cardiovascular diseases: Going
beyond traditional risk factors. Diabetes/metabolism
research and reviews. 2022 Mar;38(3):e3502.
doi.org/10.1002/dmrr.3502.
Villasante Fricke AC, Iacobellis G. Epicardial
adipose tissue: clinical biomarker of cardio
metabolic risk. International journal of molecular
sciences. 2019 Nov 28;20(23):5989. doi.org/10
.3390/ijms20235989.
Münzel T, Hahad O, Sørensen M, Lelieveld J, Duerr
GD, Nieuwenhuijsen M, Daiber A. Environmental
risk factors and cardiovascular diseases: a
comprehensive expert review. Cardiovascular
research. 2022 Oct 1;118(14):2880-902.
https://doi.org/10.1093/cvr/cvab316.
Fahed G, Aoun L, Bou Zerdan M, Allam S, Bou
Zerdan M, Bouferraa Y, Assi HI. Metabolic
syndrome: updates on pathophysiology and
management in 2021. International journal of
molecular sciences. 2022 Jan 12;23(2):786.
doi.org/10.3390/ijms23020786.
Kumari R, Kumar S, Kant R. An update on metabolic
syndrome: Metabolic risk markers and adipokines in
the development of metabolic syndrome. Diabetes &
Metabolic Syndrome: Clinical Research & Reviews.
Jul 1;13(4):2409-17. doi.org/10.1016/
j.dsx.2019.06.005.
Guembe MJ, Fernandez-Lazaro CI, Sayon-Orea C,
Toledo E, Moreno-Iribas C. Risk for cardiovascular
disease associated with metabolic syndrome and its
components: a 13-year prospective study in the
RIVANA cohort. Cardiovascular diabetology. 2020
Dec;19:1-4. doi.org/10.1186/s12933-020-01166-6.
Fan W, Huang Y, Zheng H, Li S, Li Z, Yuan L, Cheng
X, He C, Sun J. Ginsenosides for the treatment of
metabolic syndrome and cardiovascular diseases:
Pharmacology and mechanisms. Biomedicine &
Pharmacotherapy. 2020 Dec 1;132:110915.
https://doi.org/10.1016/j.biopha.2020.110915.
Lee M.K, Han K, Kim M.K, Koh E.S, Kim E.S, Nam
G, E, Kwon H.S. Changes in metabolic syndrome and
its components and the risk of type 2 diabetes: a
nationwide cohort study. Sci Rep, 2020, 10(1):2313.
doi:10.1038/s41598-020-59203-z.
Zeller J, Bogner B, McFadyen JD, Kiefer J, Braig D,
Pietersz G, Krippner G, Nero TL, Morton CJ, Shing
KC, Parker MW. Transitional changes in the structure
of C-reactive protein create highly pro-inflammatory
molecules: Therapeutic implications for
cardiovascular diseases. Pharmacology &
Therapeutics. 2022 Jul 1;235:108165.
https://doi.org/10.1016/j.pharmthera.2022.108165
Rifai N. High-sensitivity C-reactive protein: a useful
marker for cardiovascular disease risk prediction and
the metabolic syndrome. Clinical chemistry. 2005
Mar 1;51(3):504-5. https://doi.org/10.1373/
clinchem.2004.044990
Chang SH, Chang YY, Wu LY. Gender differences in
lifestyle and risk factors of metabolic syndrome: Do
women have better health habits than men?. Journal
of clinical nursing. 2019 Jun;28(11-12):2225-34.
doi.org/10.1111/jocn.14824.
Suwała S, Junik R. Body mass index and waist
circumference as predictors of above-average
increased cardiovascular risk assessed by the
SCORE2 and SCORE2-OP calculators and the
proposition of new optimal cut-off values: cross
sectional single-center study. J Clin Med. 2024 Mar
;13(7):1931. doi:10.3390/jcm13071931. PMID:
; PMCID: PMC11012561.
Primo D, Izaola O, de Luis DA. Triglyceride-glucose
index cutoff point is an accurate marker for predicting
the prevalence of metabolic syndrome in obese
Caucasian subjects. Ann Nutr Metab.
;79(2):238-245. doi:10.1159/000530144.
Tewari A, Kumar G, Maheshwari A, Tewari V, Tewari
J. Comparative evaluation of waist-to-height ratio
and BMI in predicting adverse cardiovascular
outcome in people with diabetes: a systematic review.
Cureus. 2023 May 9;15(5)doi: 10.7759/
cureus.38801. PMID: 37303408; PMCID:
PMC10250251.
Ramírez-Manent JI, Jover AM, Martinez CS, Tomás
Gil P, Martí-Lliteras P, López-González ÁA. Waist
Circumference Is an Essential Factor in Predicting
Insulin Resistance and Early Detection of Metabolic
Syndrome in Adults. Nutrients. 2023 Jan
;15(2):257. doi: 10.3390/nu15020257. PMID:
; PMCID: PMC9861022.
Paredes S, Fonseca L, Ribeiro L, et al. Novel and
traditional lipid profiles in Metabolic Syndrome
reveal a high atherogenicity. Sci Rep. 2019;9:11792.
doi:10.1038/s41598-019-48120-5.
Gesteiro E, Megía A, Guadalupe-Grau A, Fernandez
Veledo S, Vendrell J, González-Gross M. Early
identification of metabolic syndrome risk: A review
of reviews and proposal for defining pre-metabolic
syndrome status. Syst Rev Meta-Anal.
;12(5):120-132. doi:10.1016/-j.srma.2021
.05.003. **C-Reactive Protein and Lactate
Dehydrogenase: Risk Markers in Metabolic
Syndrome vs. Healthy Controls
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