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Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes
Published on: March 22, 2022
White blood cell count is related to arterial pressure and cholesterolemia in normal children
V Capuano1, A Bambacaro, T Darminio
1Division of Cardiology-ICCU, Hospital Mercata S. Severino ASL 2, SA, Genoa, Italy. capuanov@tiscalinet.it
Insights
White blood cell (WBC) count in children is linked to cholesterol, blood pressure, and platelet count. Further research is needed to understand the long-term cardiovascular risk implications in this age group.
Area of Science:
- Pediatric Health
- Cardiovascular Risk Factors
- Hematology
Background:
- Epidemiological studies indicate a link between white blood cell (WBC) count and cardiovascular risk factors in adults.
- The relationship between WBC count and atherogenic risk patterns in children has not been previously investigated.
Purpose of the Study:
- To examine the association between WBC count and atherogenic risk factors in a pediatric cohort.
- To determine if WBC count is a potential early indicator of cardiovascular risk in children.
Main Methods:
- A cohort of 1,171 children (mean age 10.8 years) from southern Italy participated in the study.
- Data collection was part of a routine scholastic medicine screening program.
Main Results:
- WBC count showed significant associations with cholesterolemia (p < 0.03), systolic blood pressure (p < 0.03), and diastolic blood pressure (p < 0.02).
- A significant positive association was found between WBC count and platelet count (p < 0.01).
- Multivariate regression confirmed independent associations of WBC count with platelet number, cholesterol levels, and diastolic pressure.
Conclusions:
- A correlation between WBC count and atherogenic risk factors exists even in children.
- The clinical significance and long-term cardiovascular implications of this association in children require further investigation.
- It is premature to classify 11-year-old children as at increased cardiovascular risk based solely on these findings; follow-up studies are recommended.
Background:
Epidemiological studies have shown a relation between the white blood cell (WBC) count in peripheral blood samples and other cardiovascular risk factors in adult populations. The aim of this study was to investigate for the first time in children the relation between WBC count and patterns of atherogenic risk.
Methods:
We studied a southern Italian cohort of 1,171 children (568 males, 603 females, mean age 10.8 +/- 0.06 years) from the fifth elementary classes in Salerno, Italy. This study is included in the screening of scholastic medicine.
Results:
The WBC count was significantly associated with cholesterolemia (p < 0.03), systolic (p < 0.03) and diastolic blood pressure (p < 0.02), and platelet count (p < 0.01). Multivariate regression analysis demonstrated an independent, positive, and significant association of WBC count with the number of platelets, cholesterol levels and diastolic pressure.
Conclusions:
Even in children, there is a relation between the WBC count and other factors linked with the atherogenic risk. The meaning and the clinical importance of such an association remains to be cleared and it is thus premature to consider 11-year-old children as being at higher cardiovascular risk. An answer to this question might come from follow-up studies of our as well as of other similar cohorts.
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