Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation

Background Rising global obesity rates are linked with inflammation and associated morbidities. These negative outcomes are generally more common in low-resource communities within high-income countries; however, it is unclear how frequent infectious disease exposures in these settings may influence...

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Main Authors: Theresa E. Gildner, Samuel S. Urlacher, Katherine L. Nemeth, Jade A. Beauregard, Marcela Pfaff Nash, Angela Zhang, Sophie Waimon, Tara J. Cepon-Robins
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Annals of Human Biology
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Online Access:https://www.tandfonline.com/doi/10.1080/03014460.2024.2368851
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author Theresa E. Gildner
Samuel S. Urlacher
Katherine L. Nemeth
Jade A. Beauregard
Marcela Pfaff Nash
Angela Zhang
Sophie Waimon
Tara J. Cepon-Robins
author_facet Theresa E. Gildner
Samuel S. Urlacher
Katherine L. Nemeth
Jade A. Beauregard
Marcela Pfaff Nash
Angela Zhang
Sophie Waimon
Tara J. Cepon-Robins
author_sort Theresa E. Gildner
collection DOAJ
description Background Rising global obesity rates are linked with inflammation and associated morbidities. These negative outcomes are generally more common in low-resource communities within high-income countries; however, it is unclear how frequent infectious disease exposures in these settings may influence the relationship between adiposity and inflammation.Aim We test associations between adiposity measures and distinct forms of inflammation among adults (n = 80) living in low-resource U.S. communities experiencing high levels of obesity and pathogen exposure.Subjects and methods Adiposity measures included BMI and percent body fat. Inflammation measures included systemic inflammation (C-reactive protein [CRP]) and localised intestinal inflammation (faecal calprotectin [FC]). The relationship between a condition characterised by elevated inflammation (Helicobacter pylori infection) and adiposity was also considered.Results Adiposity was not significantly related to FC concentration. However, both adiposity measures were positively related with odds of CRP elevation and H. pylori infection was associated with significantly lower adiposity measures (all p < 0.05).Conclusion For this disadvantaged U.S. sample, the association between adiposity and inflammation varies by the systemic/localised nature of inflammation and the likely underlying cause of inflammation. Defining these associations will improve understanding of how rising obesity rates shape long-term health inequities, with implications for more effective intervention design.
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spelling doaj-art-2af8c7ac336f4620bda655cbdbbe7f552024-12-26T09:21:17ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332024-12-0151110.1080/03014460.2024.2368851Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammationTheresa E. Gildner0Samuel S. Urlacher1Katherine L. Nemeth2Jade A. Beauregard3Marcela Pfaff Nash4Angela Zhang5Sophie Waimon6Tara J. Cepon-Robins7Department of Anthropology, Washington University in St. Louis, St. Louis, MO, USADepartment of Anthropology, Baylor University, Waco, TX, USADepartment of Anthropology, Washington University in St. Louis, St. Louis, MO, USADepartment of Anthropology, Washington University in St. Louis, St. Louis, MO, USADepartment of Anthropology, Baylor University, Waco, TX, USADepartment of Anthropology, Washington University in St. Louis, St. Louis, MO, USADepartment of Anthropology, Washington University in St. Louis, St. Louis, MO, USADepartment of Anthropology, University of Colorado Colorado Springs, Colorado Springs, CO, USABackground Rising global obesity rates are linked with inflammation and associated morbidities. These negative outcomes are generally more common in low-resource communities within high-income countries; however, it is unclear how frequent infectious disease exposures in these settings may influence the relationship between adiposity and inflammation.Aim We test associations between adiposity measures and distinct forms of inflammation among adults (n = 80) living in low-resource U.S. communities experiencing high levels of obesity and pathogen exposure.Subjects and methods Adiposity measures included BMI and percent body fat. Inflammation measures included systemic inflammation (C-reactive protein [CRP]) and localised intestinal inflammation (faecal calprotectin [FC]). The relationship between a condition characterised by elevated inflammation (Helicobacter pylori infection) and adiposity was also considered.Results Adiposity was not significantly related to FC concentration. However, both adiposity measures were positively related with odds of CRP elevation and H. pylori infection was associated with significantly lower adiposity measures (all p < 0.05).Conclusion For this disadvantaged U.S. sample, the association between adiposity and inflammation varies by the systemic/localised nature of inflammation and the likely underlying cause of inflammation. Defining these associations will improve understanding of how rising obesity rates shape long-term health inequities, with implications for more effective intervention design.https://www.tandfonline.com/doi/10.1080/03014460.2024.2368851ObesityC-reactive proteinfaecal calprotectinHelicobacter pylori
spellingShingle Theresa E. Gildner
Samuel S. Urlacher
Katherine L. Nemeth
Jade A. Beauregard
Marcela Pfaff Nash
Angela Zhang
Sophie Waimon
Tara J. Cepon-Robins
Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
Annals of Human Biology
Obesity
C-reactive protein
faecal calprotectin
Helicobacter pylori
title Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
title_full Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
title_fullStr Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
title_full_unstemmed Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
title_short Dual burden of infectious and chronic disease in low-resource U.S. communities: examining relationships between infection, adiposity, and inflammation
title_sort dual burden of infectious and chronic disease in low resource u s communities examining relationships between infection adiposity and inflammation
topic Obesity
C-reactive protein
faecal calprotectin
Helicobacter pylori
url https://www.tandfonline.com/doi/10.1080/03014460.2024.2368851
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