代谢综合征和白细胞之间的关联:系统审查和元分析
Elena Raya-Cano1, Manuel Vaquero-Abellán1, Rafael Molina-Luque1,2
1Nursing, Pharmacology and Physiotherapy Department, University of Cordoba, 14071 Córdoba, Spain.
Journal of clinical medicine
|November 25, 2023
概括
代谢综合征 (MetS) 患者的白细胞数量增加,表明炎症与这种疾病之间存在潜在的联系. 这一发现可能有助于早期诊断和了解MetS病理生理学.
科学领域:
- 临床医学 临床医学
- 生物化学 生物化学
- 流行病学 流行病学
背景情况:
- 代谢综合征 (MetS) 是一组疾病,包括中心肥胖,高血压,血脂障碍和葡萄糖调节障碍.
- MetS显著增加了患2型糖尿病,心血管疾病和全因死亡率的风险.
- 白血细胞 (WBC) 计数作为炎症和感染的标志物,可能反映代谢状态.
研究的目的:
- 进行系统性审查和元分析,以评估MetS和WBC计数之间的关联.
- 为了确定WBC计数作为MetS生物标志物的效果大小.
- 提供关于白细胞度和代谢综合征之间的关系的强有力的证据.
主要方法:
- 来自PubMed和Scopus数据库的研究的系统审查和元分析.
- 使用STROBE工具对方法质量的评估.
- 使用RevMan对偏差风险的评估和使用Grade Pro的证据质量.
主要成果:
- 包括14篇文章,其中包括来自21,005名MetS患者和66,339名对照者的数据.
- 患有MetS的受试者表现出明显更高的白细胞平均计数 (0.64×109/L; 95% CI: 0.550.72; p < 0.00001).
- 观察到很高的异质性 (I2 = 93%).
结论:
- 在白细胞数量升高和代谢综合征之间存在显著的关联.
- 对白细胞在MetS病理生理学中的作用的进一步研究可能为早期诊断提供新的途径.
- 在代谢综合征的背景下,白细胞计数可以作为一个有价值的生物标志物.
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