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中性粒细胞与淋巴细胞比值是否是代谢综合征疾病和结局的一个特殊指标?

Is the Neutrophil-to-Lymphocyte Ratio an Exceptional Indicator for Metabolic Syndrome Disease and Outcomes?

机构信息

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Endocr Pract. 2022 Mar;28(3):342-348. doi: 10.1016/j.eprac.2021.11.083. Epub 2021 Nov 24.

Abstract

OBJECTIVES

To show that there is relation between neutrophil-to-lymphocyte ratio (NLR) and metabolic syndrome and also, its components.

FINDINGS

Metabolic syndrome is associated with elevated fasting blood glucose, increased blood pressure, central obesity, decreased high-density lipoprotein, and increased triglyceride levels. Because of its growing incidence and prevalence and the effect that it has on developing other noncommunicable diseases, the importance gets even more value. The prediction and control of this disease in its early stages and in the most inexpensive way is of crucial need. Due to the role of chronic low-grade inflammation in metabolic syndrome, cytokines and inflammatory factors (like interleukin-6 and tumor necrosis factor-α) play a critical role on this phenomenon. The NLR is an inflammatory marker that has an unchallenging availability and has a reasonable cost. The NLR is related to obesity, type 2 diabetes, hypertension, and blood cholesterol levels.

CONCLUSION

This suggests that there may be a relationship between the NLR and metabolic syndrome. The NLR, as a low-grade inflammation marker, indicates a positive relationship with central obesity. Also, studies indicate that the incidence of diabetes, its severity, and its control are related to the NLR. Hypertension and hyperlipidemia can both be noticed with higher NLRs. This rapid review assesses the association between metabolic syndrome and the NLR.

摘要

目的

表明中性粒细胞与淋巴细胞比值(NLR)与代谢综合征及其各组分之间存在相关性。

发现

代谢综合征与空腹血糖升高、血压升高、中心性肥胖、高密度脂蛋白降低和甘油三酯升高有关。由于其发病率和患病率不断上升,以及对其他非传染性疾病发展的影响,其重要性更加凸显。因此,迫切需要在疾病早期以最经济的方式对其进行预测和控制。由于慢性低度炎症在代谢综合征中的作用,细胞因子和炎症因子(如白细胞介素-6 和肿瘤坏死因子-α)在这一现象中起着关键作用。NLR 是一种炎症标志物,具有易于获取且成本合理的特点。NLR 与肥胖、2 型糖尿病、高血压和血液胆固醇水平有关。

结论

这表明 NLR 与代谢综合征之间可能存在一定的关系。作为低度炎症标志物的 NLR 与中心性肥胖呈正相关。此外,研究表明,糖尿病的发生率、严重程度及其控制与 NLR 有关。高血压和高脂血症均可通过 NLR 升高来发现。本快速综述评估了代谢综合征与 NLR 之间的相关性。

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