Table 4

Adjusted odds ratio (95% CIs) of elevated hs-CRP associated with CVD risk factors among adolescents, 2015–2020 NHANES

OR (95% CI) for elevated hs-CRP
Low/average risk (≤3.0 mg/L)High risk (>3.0 mg/L)
Obesity
Unadjusted1.006.10 (4.62, 8.06)
Multivariable model 1*1.006.58 (4.90, 8.83)
Multivariable model 21.006.64 (4.90, 9.01)
Multivariable model 31.006.39 (4.64, 8.79)
Overweight
Unadjusted1.001.82 (1.12, 2.95)
Multivariable model 1*1.001.82 (1.14, 2.90)
Multivariable model 21.001.85 (1.13, 3.02)
Multivariable model 31.001.87 (1.12, 3.14)
A1c≥5.7% (≥39 mmol/mol)
Unadjusted1.002.46 (1.67, 3.63)
Multivariable model 1*1.002.52 (1.63, 3.90)
Multivariable model 21.002.17 (1.35, 3.49)
Multivariable model 31.001.79 (1.05, 3.06)
FPG≥100 mg/dL
Unadjusted1.001.07 (0.67, 1.71)
Multivariable model 1*1.001.28 (0.79, 2.06)
Multivariable model 21.001.22 (0.75, 1.98)
Multivariable model 31.000.89 (0.49, 1.62)
Hypertension
Unadjusted1.002.30 (1.05, 5.03)
Multivariable model 1*1.002.62 (1.22, 5.64)
Multivariable model 21.002.46 (1.08, 5.60)
Multivariable model 31.001.56 (0.59, 4.14)
Hyperlipidemia§
Unadjusted1.002.61 (1.65, 4.13)
Multivariable model 1*1.002.52 (1.62, 3.94)
Multivariable model 21.002.19 (1.36, 3.54)
Multivariable model 31.001.55 (0.85, 2.80)
Total cholesterol≥170 mg/dL
Unadjusted1.001.62 (1.22, 2.15)
Multivariable model 1*1.001.46 (1.09, 1.95)
Multivariable model 21.001.40 (1.03, 1.92)
Multivariable model 31.001.20 (0.83, 1.73)
  • *Multivariable model 1 adjusted for age, race/ethnicity and sex (demographics).

  • †Multivariable model 2 additionally adjusted for poverty income ratio, food security (other social determinants of health).

  • ‡Multivariable model 3 additionally adjusted for: Obesity: additionally adjusted for A1c≥5.7% (≥39 mmol/mol), hypertension, total cholesterol. Hyperlipidemia is defined as any elevated cholesterol marker (total, LDL, HDL or triglyceride); fasting sample. Overweight: additionally adjusted for A1c≥5.7% (≥39 mmol/mol), hypertension, total cholesterol. A1c ≥5.7% (≥39 mmol/mol): additionally adjusted for obesity, overweight, hypertension, total cholesterol. FPG ≥100 mg/dL: additionally adjusted for obesity, overweight, hypertension, total cholesterol. Hypertension: additionally adjusted for obesity, overweight, A1c≥5.7% (≥39 mmol/mol), total cholesterol. Hyperlipidemia: additionally adjusted for obesity, overweight, A1c≥5.7% (≥39 mmol/mol), hypertension. Total cholesterol: additionally adjusted for obesity, overweight, A1c≥5.7% (≥39 mmol/mol), hypertension.

  • §Hyperlipidemia is defined as any elevated cholesterol marker (total, LDL, HDL or triglyceride); fasting sample.

  • CRP, C reactive protein; CVD, cardiovascular disease; FPG, fasting plasma glucose; HDL, high-density lipoprotein; hs-CRP, high-sensitivity CRP; LDL, low-density lipoprotein; NHANES, National Health and Nutrition Examination Survey.