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Carcinoembryonic antigen level can be overestimated in metabolic syndrome.

Authors
Kim, KN; Joo, NS; Je, SH; Kim, KM; Kim, BT; Park, SB; Cho, DY; Park, RW; Lee, DJ
Citation
Journal of Korean medical science, 26(6):759-764, 2011
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
Carcinoembryonic antigen (CEA) levels can be affected by many factors and metabolic syndrome is also a candidate. This study examined the relationship between CEA levels and metabolic syndrome using the data of 32,897 healthy Koreans. Fecal occult blood tests were also performed. Subjects with colorectal carcinoma were excluded. Subjects were classified by their smoking status, metabolic syndrome and its components. Prevalence of metabolic syndrome and its all components showed a significant increase according to the quartile of serum CEA concentration (P < 0.001). Increased numbers of metabolic syndrome components showed a positive association with CEA levels (P-trend < 0.001). The odds ratios for the highest CEA quartile vs the lowest serum CEA quartile significantly increased in the presence of metabolic syndrome and its components. After adjusting for age, gender and smoking status, metabolic syndrome, low high density lipoprotein cholesterol and elevated blood pressure had higher odds ratios (OR) of the highest CEA quartile compared with the lowest serum CEA quartile (OR = 1.125, 95% CI = 1.030 to 1.222, P = 0.009; OR = 1.296, 95% CI = 1.195 to 1.405, P < 0.001; OR = 1.334, 95% CI = 1.229 to 1.448, P < 0.001, respectively). These results indicate that metabolic syndrome is associated with CEA value, which may lead to a misunderstanding of the CEA levels.
MeSH terms
AdolescentAdultAgedAged, 80 and overBlood PressureCarcinoembryonic Antigen/*bloodChildCholesterol, LDL/bloodFemaleHumansMaleMetabolic Syndrome X/*blood/epidemiology/pathologyMiddle AgedOccult BloodOdds RatioPrevalenceSmoking
DOI
10.3346/jkms.2011.26.6.759
PMID
21655061
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Family Practice & Community Health
Journal Papers > School of Medicine / Graduate School of Medicine > Medical Informatics
AJOU Authors
김, 규남주, 남석제, 상현김, 광민김, 범택박, 샛별조, 두연박, 래웅이, 득주
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