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Association of erythrocyte parameters with metabolic syndrome in the Pearl River Delta region of China: a cross sectional study
Abstract
Objective: Increasing studies have reported that erythrocyte parameters, including red blood cells (RBCs), haematocrit (HCT), haemoglobin (Hb) and red blood cell distribution width (RDW), are associated with metabolic syndrome (MetS) in adults worldwide. However, the association, stratified by sex, remains to be elucidated, particularly in the Pearl River Delta region of China. Therefore, our aim was to explore the association of erythrocyte parameters with MetS, stratified by sex, in the Pearl River Delta region of China. Methods: In this cross sectional study, 2161 men and 2511 women were enrolled. MetS was diagnosed using a modified version of the Adult Treatment Panel III criteria. Logistic regression analyses were performed to calculate adjusted ORs of erythrocyte parameters associated with MetS stratified by sex. Results: The prevalence of MetS was higher in women than in men (35.2%vs26.7%). RBC, HCT, Hb and RDW values increased linearly with the number of MetS components from 0 to 5 identified in both men and women. Among men, the ORs of MetS risk increased across the tertiles of Hb (Q2: OR=1.921, 95% CI=1.170 to 3.151; Q3: OR=1.992, 95%CI=1.198 to 3.312). Men in the highest tertiles of RDW had a 2.752-fold increased risk of suffering from MetS compared with those in the reference group. Among women, the ORs of MetS risk also increased across the tertiles of Hb (Q2: OR=1.538, 95%CI=1.008 to 2.348; Q3: OR=1.665, 95%CI=1.075 to 2.578). Women in the highest tertiles of RBC had a 1.718-fold increased risk of experiencing MetS compared with those in the reference group. Conclusions: MetS was more prevalent in women than in men. The association between erythrocyte parameters and MetS differed between the sexes. RBC and Hb were identified as risk factors for MetS in women and Hb and RDW as risk factors in men.
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“The increased RDW that we observed in smokers may be a useful cancer risk marker since a high RDW has been associated with metabolic syndrome, CVD and all-cause mortality55.”
From The effect of smoking on chronic inflammation, immune function and blood cell composition (2020) · cites this paper as [55]
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The effect of smoking on chronic inflammation, immune function and blood cell composition
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Metadata
- Authors
- Huang, L. L., Dou, D.-M., Liu, N., Wang, X. X., Fu, L.-Y., Wu, X., & Wang, P.
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2018-01
- Volume
- 8
- Issue
- 1
- Pages
- e019792
- ISSN
- 2044-6055
- Cited by
- 30
- References
- 2
- Language
- en
- Funders
- the Science and Technology Program of Guangzhou
- the National Science Foundation of China
- the Guangzhou 121 Talents Program
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