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Neutrophil counts, monocyte counts and cardiovascular disease in the elderly
Eleanor M Pinto1, Felicia A Huppert, Kevin Morgan
1Centre for Applied Medical Statistics, University of Cambridge, Cambridge, UK. eleanor.pinto@utoronto.ca
Insights
In elderly individuals, higher monocyte and neutrophil white blood cell counts are linked to increased cardiovascular disease risk. This association holds true even after adjusting for common risk factors in a healthy older population.
Area of Science:
- Gerontology
- Immunology
- Cardiovascular Medicine
Background:
- Previous research linked white blood cell counts, especially monocytes, to cardiovascular disease (CVD).
- These studies primarily focused on middle-aged men, leaving a gap in understanding elderly populations.
Purpose of the Study:
- To investigate the association between white blood cell counts and CVD history in an elderly population.
- To determine if monocyte and neutrophil associations with CVD are present in older adults.
Main Methods:
- Recruited 1046 elderly individuals (≥65 years) from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS).
- Analyzed monocyte, neutrophil, lymphocyte, eosinophil, and basophil counts.
- Assessed associations with cardiovascular disease history, adjusting for age, sex, smoking, and BMI.
Main Results:
- Monocyte and neutrophil counts were significantly associated with CVD history (OR 1.48 and 1.44 per tertile, respectively).
- These associations remained significant after adjusting for confounders.
- No significant association was found for lymphocyte, eosinophil, or basophil counts with CVD history.
Conclusions:
- Monocyte and neutrophil counts are independently associated with cardiovascular disease in healthy elderly individuals.
- These findings highlight the potential role of specific white blood cell types as biomarkers for CVD risk in older adults.
Background:
Previous studies have reported on the association between white blood cell counts, in particular monocytes, and cardiovascular disease, but have predominantly been conducted on middle-aged men. We examined whether this association is sustained in an elderly population-based sample.
Methods:
Two samples of individuals aged 65 years and older living in Cambridge and Nottingham were recruited from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS). Venepuncture was undertaken in 1046 individuals, excluding only those who had probable dementia or were physically frail. Monocyte, neutrophil, lymphocyte, eosinophil and basophil counts were analysed for possible associations with history of cardiovascular disease.
Results:
We found that monocyte and neutrophil counts were both significantly associated with history of cardiovascular disease, with respective odds ratios of 1.48 (95% CI 1.22-1.79) and of 1.44 (95% CI 1.19-1.75) per count tertile. These relationships remained significant on adjusting for age, sex, smoking and body mass index. We found no evidence of association between lymphocyte, eosinophil or basophil counts and history of cardiovascular disease.
Conclusions:
Monocyte and neutrophil counts are both associated with cardiovascular disease in a relatively healthy elderly population.
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