Oda Eiji, Kawai Ryu
Medical Check-up Center, Tachikawa Medical Center, Nagaoka.
Intern Med. 2009;48(13):1127-34. doi: 10.2169/internalmedicine.48.2138. Epub 2009 Jul 1.
Low-grade systemic inflammation is proposed as a component of metabolic syndrome (MS) and is reported as a predictor of diabetes. We studied the association between white blood cell count (WBC) and MS and diabetes in Japanese men and women.
Cross-sectional associations between WBC and metabolic syndrome (MS) defined by revised NCEP criteria for Japanese, Japanese MS (JMS) defined by the Examination Committee for Criteria of Metabolic Syndrome, and diabetes were examined using medical check-up data from 1,880 men and 1,079 women.
The prevalence of MS, JMS, and diabetes was 6.4%, 5.5%, and 4.3%,13.2%, 11.5%, and 5.5%, 15.1%, 13.8%, and 5.1%, and 24.3%, 21.3%, and 8.5%, respectively through the quartiles of WBC in men (p<0.0001, <0.0001, and <0.01, respectively in comparison between the lowest quartile of WBC and the highest quartile of WBC) and 2.2%, 0.4%, and 0.4%, 4.5%, 0.7%, and 1.1%, 9.3%, 1.9%, and 1.5%, and 12.3%, 4.8%, and 3.3%, respectively through the quartiles of WBC in women (p<0.0001, <0.01, and <0.05, respectively in comparison between the lowest quartile of WBC and the highest quartile of WBC).
The prevalence of MS, JMS, and diabetes increases through the quartiles of WBC in Japanese men and women. Thus, WBC may be useful as a marker of cardiovascular disease risk.
低度全身性炎症被认为是代谢综合征(MS)的一个组成部分,并被报道为糖尿病的一个预测指标。我们研究了日本男性和女性白细胞计数(WBC)与MS及糖尿病之间的关联。
使用来自1880名男性和1079名女性的体检数据,研究WBC与根据日本修订的NCEP标准定义的代谢综合征(MS)、由代谢综合征标准审查委员会定义的日本代谢综合征(JMS)以及糖尿病之间的横断面关联。
男性中,通过WBC四分位数分组,MS、JMS和糖尿病的患病率分别为6.4%、5.5%和4.3%,13.2%、11.5%和5.5%,15.1%、13.8%和5.1%,24.3%、21.3%和8.5%(WBC最低四分位数与最高四分位数相比,p分别<0.0001、<0.0001和<0.01);女性中,通过WBC四分位数分组,MS、JMS和糖尿病的患病率分别为2.2%、0.4%和0.4%,4.5%、0.7%和1.1%,9.3%、1.9%和1.5%,12.3%、4.8%和3.3%(WBC最低四分位数与最高四分位数相比,p分别<0.0001、<0.01和<0.05)。
日本男性和女性中,MS、JMS和糖尿病的患病率随WBC四分位数增加而升高。因此,WBC可能作为心血管疾病风险的一个标志物。