Diet and Supplements Lower Levels of C-Reactive Protein, Inflammation

By Jack Challem - The Nutrition Reporter

A recent article in the New England Journal of Medicine touted the benefits of statin drugs, such as Lipitor, for lowering levels of C-reactive protein (CRP), a marker and promoter of inflammation. But dietary changes and supplements work just as well as drugs -- and without side effects -- according to several recent studies.

Helene Jacques, PhD, of Laval University, Quebec, Canada, and her colleagues asked 19 middle-aged men and women to consume a diet with cod (fish) as their primary source of protein for four weeks. All of the subjects were overweight and insulin resistant.

They were then switched to a diet in which they consumed lean beef, pork, eggs, and dairy products for four weeks. Both diets were essentially the same in fiber and monounsaturated fat, polyunsaturated fat, and saturated fat.

The high-cod diet led to a 25 percent decrease in CRP levels, whereas the other diet tended to increase CRP levels.

Cod protein tends to be low in omega-3 fats, suggesting that the benefits were from the protein. Jacques wrote that "insulin-resistant individuals could benefit from including dietary cod protein in their diets."

In another study Ahmad Esmaillzadeh, PhD, of Isfahan University, Iran, analyzed the dietary consumption of fats of 486 women and the relationship of specific dietary fats to inflammation.

He found that women consuming the most partially- hydrogenated vegetable oils (the principal source of trans fats) had much higher levels of several markers of inflammation compared with women who consumed few or no hydrogenated vegetable oils.

Women consuming the most hydrogenated vegetable oils had 45 percent higher levels of CRP, 66 percent higher levels of tumor necrosis factor alpha, and 72 percent higher levels of interleukin-6 compared with women who consumed little or no hydrogenated vegetable oils.

In a third study, Gladys Block, PhD, of the University of California, Berkeley, and her colleagues asked 396 healthy nonsmoking men and women to take 1,000 mg of vitamin C, 800 IU of vitamin E, or placebos daily for two months. Most of the subjects in the study had low CRP levels to start, although obese subjects tended to have higher levels compared with thin subjects.

Vitamin C reduced CRP levels by 25 percent. Although vitamin E did not lower CRP levels in this study, several other studies have found that it does lower CRP levels.

References: Ouellet V, Weisnagel J, Marois J, et al. "Dietary cod protein reduces plasma C-reactive protein in insulin-resistant men and women." Journal of Nutrition, 2008;138: 2386-2391. Esmaillzadeh A, Azadbakht L. "Home use of vegetable oils, markers of systemic inflammation, and endothelial function among women." American Journal of Clinical Nutrition, 2008;88:913-921. Block G, Jensen CD, Dalvi TB, et al. "Vitamin C treatment reduces elevated C-reactive protein." Free Radical Biology & Medicine, 2008; epub ahead of print.

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