performed. These examinations consisted of medical examinations, the administration of a questionnaire on physical activity, and an exercise test to evaluate aerobic exercise capacity. Based on the results of these evaluations, indusCirc J 2005; 69: 452 -457 (Received November 12, 2004; revised manuscript received January 17, 2005; accepted January 28, 2005 Background Increased levels of inflammation markers, such as C-reactive protein (CRP) and tumor necrosis factor-, have been found in insulin resistance syndrome. Those with elevated levels of high-sensitive CRP (hs-CRP) are at a higher risk for coronary heart disease. In the present study, we evaluated whether maximum oxygen uptake and insulin resistance are related to hs-CRP for the primary prevention of coronary heart disease. Methods and ResultsThe subjects were 50 subjects who did not have diabetes mellitus. A multi-step treadmill exercise test was performed to obtain the maximum oxygen uptake when assessed by computerized breathby-breath analysis. As an index of insulin resistance, the homeostasis model insulin resistance index (HOMA-R; fasting glucose × fasting insulin/405) was used. In addition, bodyweight, body mass index, subcutaneous fat thickness, total cholesterol, high-density lipoprotein (HDL) cholesterol, and triglyceride were measured. Multivariate analysis revealed that hs-CRP was significantly correlated with HDL-cholesterol, uric acid, -glutamyl transpeptidase and maximum oxygen uptake. The maximum oxygen uptake showed the smallest odds ratio was in terms of the relationship with hs-CRP. Conclusions The present study suggests that the development of exercising habits increases the maximum oxygen uptake. Furthermore, an elevated maximum oxygen uptake decreases HOMA-R and reduces the inflammatory marker CRP, suggesting that exercising habit plays an important role in the primary prevention of coronary heart disease. (Circ J 2005; 69: 452 -457)

Abstract.We report a 49-year-old man with primary hyperthyroidism who presented with pancytopenia.

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