Kwon Yu-Jin, Lee Hye-Sun, Shim Jae-Yong, Lee Yong-Jae
Department of Family Medicine, Yong-in Severance Hospital, Yonsei University College of Medicine, Yong-in, Korea.
Department of Medicine, Gradauate School of Yonsei University College of Medicine, Seoul, Korea.
J Clin Lab Anal. 2018 Mar;32(3). doi: 10.1002/jcla.22291. Epub 2017 Jun 27.
Emerging evidence shows that serum carcinoembryonic antigen (CEA) levels may modestly be increased in non-neoplastic conditions such as cardiometabolic diseases, which are increasingly being seen as inflammatory diseases. Leukocyte count is widely evaluated marker of inflammation in clinical practice and a useful predictor of cardiometabolic disease. In this study, we aimed to determine the relationship between serum CEA levels and leukocyte counts in Korean adults.
This cross-sectional study included a total of 19 834 individuals enrolled from a health promotion center between November 2006 and July 2010. Multiple linear regression analysis was performed to investigate the association between serum CEA levels and leukocyte counts after adjusting for confounding variables.
According to both stepwise-method and enter-method multiple linear regression analyses, serum CEA levels were positively and independently associated with leukocyte counts (P<.001) after adjusting for age, sex, body mass index, systolic blood pressure, diastolic blood pressure, total cholesterol, triglyceride, HDL-cholesterol, cigarette smoking, alcohol ingestion, physical activity, diabetes mellitus, and anti-inflammatory drugs.
We demonstrate a positive relationship between serum CEA levels and leukocyte counts in Korean adults. Our results suggested that an elevated serum CEA level may reflect chronic inflammation state.
新出现的证据表明,在诸如心脏代谢疾病等非肿瘤性疾病中,血清癌胚抗原(CEA)水平可能会适度升高,而心脏代谢疾病越来越被视为炎症性疾病。白细胞计数是临床实践中广泛评估的炎症标志物,也是心脏代谢疾病的一个有用预测指标。在本研究中,我们旨在确定韩国成年人血清CEA水平与白细胞计数之间的关系。
这项横断面研究共纳入了2006年11月至2010年7月期间从一个健康促进中心招募的19834名个体。在调整混杂变量后,进行多元线性回归分析以研究血清CEA水平与白细胞计数之间的关联。
根据逐步法和进入法多元线性回归分析,在调整年龄、性别、体重指数、收缩压、舒张压、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、吸烟、饮酒、身体活动、糖尿病和抗炎药物后,血清CEA水平与白细胞计数呈正相关且独立相关(P<0.001)。
我们证明了韩国成年人血清CEA水平与白细胞计数之间存在正相关关系。我们的结果表明,血清CEA水平升高可能反映慢性炎症状态。