Short stature is an inflammatory disadvantage among middle-aged Japanese men
Yuji Shimizu1,2, Hiroyuki Yoshimine3, Mako Nagayoshi4
1Department of Community Medicine, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan. simizicyuu@yahoo.co.jp.
Insights
Short stature is linked to higher white blood cell counts in Japanese men, particularly those with a BMI ≥ 23 kg/m². This suggests an inflammatory disadvantage associated with shorter height, especially in overweight individuals.
Area of Science:
- Cardiovascular Health
- Inflammation Markers
- Anthropometry
Background:
- White blood cell (WBC) count is associated with carotid atherosclerosis.
- Previous research indicated an inverse relationship between height and carotid atherosclerosis in overweight men.
- The association between high WBC count and height, considering body mass index (BMI) status, remains under-explored.
Purpose of the Study:
- To investigate the association between high white blood cell (WBC) count and height in Japanese men.
- To examine how body mass index (BMI) modifies this relationship.
Main Methods:
- A cross-sectional study of 3016 Japanese men aged 30-59 years.
- High WBC count was defined as the highest tertile of WBC count.
- Data collected during general health check-ups between April 2013 and March 2014.
Main Results:
- Height was inversely associated with high WBC count, independent of cardiovascular risk factors.
- This inverse association was more pronounced in subjects with a BMI ≥ 23 kg/m².
- Odds ratios (ORs) for high WBC count per 5.7 cm increase in height were 0.91 overall, 1.00 for BMI < 23 kg/m², and 0.86 for BMI ≥ 23 kg/m².
Conclusions:
- Height is inversely associated with high WBC count, independent of classical cardiovascular risk factors.
- Shorter stature appears to confer an inflammatory disadvantage, particularly in Japanese men with a BMI ≥ 23 kg/m².
Objectives:
A positive association between white blood cell count and carotid atherosclerosis has been reported. Our previous study also found an inverse association between height and carotid atherosclerosis in overweight but not non-overweight men. However, no studies have reported on the association between high white blood cell (WBC) count and height accounting for body mass index (BMI) status.
Methods:
We conducted a hospital-based general population cross-sectional study of 3016 Japanese men aged 30-59 years undergoing general health check-ups between April 2013 and March 2014. High WBC count was defined as the highest tertiles of WBC count among total subjects.
Results:
Independent of classical cardiovascular risk factors, height was found to be inversely associated with high WBC count, especially for subjects with a BMI ≥ 23 kg/m2. The classical cardiovascular risk factors adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) of high WBC count for an increment of one standard deviation (SD) in height (5.7 cm) were 0.91 (0.83-0.99) for total subjects, 1.00 (0.86-1.15) for subjects with a BMI < 23 kg/m2 and 0.86 (0.77-0.96) for subjects with a BMI ≥ 23 kg/m2.
Conclusion:
Independent of classical cardiovascular risk factors, height was found to be inversely associated with high WBC count, especially for those with a BMI ≥ 23 kg/m2. Compared to high stature, short stature appears to convey an inflammatory disadvantage among Japanese men, especially those with a BMI ≥ 23 kg/m2.
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