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Association between red blood cell distribution width and prediabetes: evidence from a single center cohort study

Tuba Taslamacioglu Duman1, Burcin Meryem Atak Tel1, Satilmis Bilgin1

  • 1Internal Medicine Department of Abant Izzet, Baysal University Hospital, Bolu, Turkey.

Insights

Red cell distribution width (RDW) is significantly higher in individuals with prediabetes compared to healthy controls. Elevated RDW is an independent predictor of prediabetes, suggesting its role in cardiometabolic health changes.

Area of Science:

  • Hematology
  • Endocrinology
  • Internal Medicine

Background:

  • Prediabetes is linked to chronic inflammation.
  • Hemogram parameters like RDW and MPV are associated with inflammatory conditions.

Purpose of the Study:

  • To compare hemogram parameters between prediabetes subjects and healthy volunteers.
  • To investigate the association of RDW and MPV with prediabetes.

Main Methods:

  • Retrospective analysis of 324 subjects (172 prediabetes, 152 controls).
  • Comparison of median RDW and MPV between groups.
  • Correlation analysis of RDW with FPG, HbA1c, triglyceride, and albumin.
  • Regression analysis to identify independent predictors of prediabetes.

Main Results:

  • Prediabetes group showed significantly higher median RDW (15.3%) compared to controls (14.75%).
  • Prediabetes group had significantly lower median MPV (7.9 fL) than controls (8.59 fL).
  • RDW, not MPV, correlated with FPG, HbA1c, triglyceride, and albumin.
  • RDW was an independent predictor of prediabetes (OR: 1.6).

Conclusions:

  • RDW is elevated in prediabetes and serves as an independent predictor.
  • RDW may reflect cardiometabolic health alterations associated with prediabetes development.
Abstract

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