Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study

Abstract Background Chronic obstructive pulmonary disease (COPD) is a widespread condition that significantly endangers human health. The C-reactive protein to albumin ratio (CAR) has been utilized as an important marker for the occurrence and development of various diseases. Nevertheless, the assoc...

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Main Authors: Ting Ao, Yingxiu Huang, Peng Zhen, Ming Hu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-024-03469-w
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author Ting Ao
Yingxiu Huang
Peng Zhen
Ming Hu
author_facet Ting Ao
Yingxiu Huang
Peng Zhen
Ming Hu
author_sort Ting Ao
collection DOAJ
description Abstract Background Chronic obstructive pulmonary disease (COPD) is a widespread condition that significantly endangers human health. The C-reactive protein to albumin ratio (CAR) has been utilized as an important marker for the occurrence and development of various diseases. Nevertheless, the association between CAR and COPD remains inadequately explored. This research aimed to examine the link between the CAR and COPD. Methods This cross-sectional study examined data from adult participants in the National Health and Nutrition Examination Survey between 1999 and 2010. The identification of COPD relied on data obtained directly from self-reported information. Logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence interval (CI) for the association between CAR and COPD. Additionally, subgroup and sensitivity analyses were performed to evaluate the stability of the observed relationship. Results The study comprised 24,627 participants, among whom 1,809 had COPD. After adjusting for potential confounders, CAR was found to be associated with COPD (OR 1.37; 95% CI, 1.12–1.69; P = 0.003). In the analysis comparing individuals in the lowest CAR tertile (T1) with those in the highest, the adjusted OR for COPD was 1.39 (95% CI, 1.17–1.65; P < 0.001). Validation through subgroup and sensitivity analyses further strengthened the stability and consistency of the study’s findings. Conclusion Elevated levels of the CAR were correlated with an increased risk of COPD. Clinical trial number : not applicable.
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spelling doaj-art-5f35744f19b2419b9c4a0055dd5aafd12025-01-05T12:07:26ZengBMCBMC Pulmonary Medicine1471-24662025-01-0125111010.1186/s12890-024-03469-wAssociation between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional studyTing Ao0Yingxiu Huang1Peng Zhen2Ming Hu3Department of Infectious Diseases, Beijing Luhe Hospital, Capital Medical UniversityDepartment of Infectious Diseases, Beijing Luhe Hospital, Capital Medical UniversityDepartment of Infectious Diseases, Beijing Luhe Hospital, Capital Medical UniversityDepartment of Infectious Diseases, Beijing Luhe Hospital, Capital Medical UniversityAbstract Background Chronic obstructive pulmonary disease (COPD) is a widespread condition that significantly endangers human health. The C-reactive protein to albumin ratio (CAR) has been utilized as an important marker for the occurrence and development of various diseases. Nevertheless, the association between CAR and COPD remains inadequately explored. This research aimed to examine the link between the CAR and COPD. Methods This cross-sectional study examined data from adult participants in the National Health and Nutrition Examination Survey between 1999 and 2010. The identification of COPD relied on data obtained directly from self-reported information. Logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence interval (CI) for the association between CAR and COPD. Additionally, subgroup and sensitivity analyses were performed to evaluate the stability of the observed relationship. Results The study comprised 24,627 participants, among whom 1,809 had COPD. After adjusting for potential confounders, CAR was found to be associated with COPD (OR 1.37; 95% CI, 1.12–1.69; P = 0.003). In the analysis comparing individuals in the lowest CAR tertile (T1) with those in the highest, the adjusted OR for COPD was 1.39 (95% CI, 1.17–1.65; P < 0.001). Validation through subgroup and sensitivity analyses further strengthened the stability and consistency of the study’s findings. Conclusion Elevated levels of the CAR were correlated with an increased risk of COPD. Clinical trial number : not applicable.https://doi.org/10.1186/s12890-024-03469-wChronic obstructive pulmonary diseaseC-reactive protein to albumin ratioInflammationNutritional statusNational Health and Nutrition Examination Survey
spellingShingle Ting Ao
Yingxiu Huang
Peng Zhen
Ming Hu
Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
BMC Pulmonary Medicine
Chronic obstructive pulmonary disease
C-reactive protein to albumin ratio
Inflammation
Nutritional status
National Health and Nutrition Examination Survey
title Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
title_full Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
title_fullStr Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
title_full_unstemmed Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
title_short Association between C-reactive protein to albumin ratio and chronic obstructive pulmonary disease: a cross-sectional study
title_sort association between c reactive protein to albumin ratio and chronic obstructive pulmonary disease a cross sectional study
topic Chronic obstructive pulmonary disease
C-reactive protein to albumin ratio
Inflammation
Nutritional status
National Health and Nutrition Examination Survey
url https://doi.org/10.1186/s12890-024-03469-w
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AT yingxiuhuang associationbetweencreactiveproteintoalbuminratioandchronicobstructivepulmonarydiseaseacrosssectionalstudy
AT pengzhen associationbetweencreactiveproteintoalbuminratioandchronicobstructivepulmonarydiseaseacrosssectionalstudy
AT minghu associationbetweencreactiveproteintoalbuminratioandchronicobstructivepulmonarydiseaseacrosssectionalstudy