Association between white blood cell count and components of metabolic syndrome
Chung-Ze Wu1, Jiunn D Lin, Jer-Chuan Li
1Department of Medicine, Buddhist Tzu Chi General Hospital, Taipei, Taiwan.
Insights
White blood cell count (WBCC) is linked to metabolic syndrome components in children. Higher WBCC correlated with lower HDL-C and higher BMI in boys, suggesting early cardiovascular risks.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Health
- Metabolic Syndrome Research
Background:
- Metabolic syndrome (MetS) components are associated with inflammatory markers like white blood cell count (WBCC).
- WBCC is a readily accessible clinical test.
- Investigating the link between WBCC and MetS in children is crucial for early risk identification.
Purpose of the Study:
- To examine the relationship between white blood cell count (WBCC) and components of metabolic syndrome (MetS) in children.
- To determine if these associations differ between genders.
Main Methods:
- Study included 288 Taiwanese children under 10 with normal WBCC.
- Children were grouped into quartiles based on WBCC.
- Multivariate linear regression analyzed WBCC correlations with MetS components, adjusting for age and BMI.
Main Results:
- In boys, higher WBCC (WBCC4) was associated with significantly lower high-density lipoprotein-cholesterol (HDL-C).
- Multivariate analysis revealed negative correlation between WBCC and HDL-C, and positive correlation with body mass index (BMI) in boys.
- Similar trends were observed in girls, with a borderline positive correlation between triglyceride (TG) and WBCC.
Conclusions:
- Childhood WBCC shows significant associations with BMI and HDL-C in boys, and trends in girls.
- These findings indicate potential for cardiovascular risk development in childhood.
- Early detection and intervention for these metabolic abnormalities can help prevent future cardiovascular disease and diabetes.
Background:
Components of metabolic syndrome (MetS) were found to be associated with several inflammatory factors including white blood cell count (WBCC), which is an easily available test in clinical practice. In the present study, the relationships between WBCC and MetS components were investigated in children.
Methods:
A total of 288 Taiwanese children, under 10 years old, with normal WBCC, were enrolled in the study. They were divided into quartiles according to WBCC (lowest, WBCC1; highest, WBCC4). The mean values of each MetS component for every group were compared in boys and girls separately. Multivariate linear regression between the WBCC and the MetS components after adjusting for age and body mass index (BMI) were also evaluated.
Results:
In group comparison, only the high-density lipoprotein-cholesterol (HDL-C) was found to be significantly lower in WBCC4 in boys. Other components were not different. After multivariate linear regression, WBCC was negatively correlated to HDL-C and positively to BMI in boys. Although not significant, similar relationships were also observed in girls. Interestingly, borderline positive correlation was noted between triglyceride (TG) and WBCC in girls.
Conclusion:
BMI was positively and HDL-C was negatively related to WBCC in boys. A similar trend could also be observed in girls but without significance. Borderline significant correlation between TG and WBCC was noted in girls. These findings suggest that cardiovascular risks might commence even in childhood. Early detection of children with these abnormalities may help to prevent cardiovascular disease and diabetes in adolescence or even adulthood.
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