The neutrophil to lymphocyte ratio (NLR) positively correlates with the presence and severity of metabolic syndrome in obese adults, but not in obese children/adolescents

BMC Endocrine Disorders

Research

Alessandro Sartorio¹  Diana Caroli¹  Adele Bondesan¹  Alice Marra¹  Graziano Grugni² 

[1] Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, Piancavallo-Verbania, Italy;Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, Piancavallo-Verbania, Italy;Istituto Auxologico Italiano, IRCCS, Division of Auxology, Piancavallo-Verbania, Italy;

关键词: Obesity;    Metabolic syndrome;    Neutrophil to lymphocyte ratio;    Adults;    Children/adolescents;   

DOI  :  10.1186/s12902-023-01369-4

 received in 2022-12-16, accepted in 2023-05-11,  发布年份 2023

来源: Springer

【 摘 要 】

Metabolic syndrome (MetS) associated with obesity is a pathological condition increasing worldwide. Recent studies have demonstrated that the neutrophil to lymphocyte ratio (NLR) can be successfully used to stage MetS in obese adults. The aim of the study was to evaluate NLR values in 552 children/adolescents (M 219, F 333; 14.8 [12.9–16.3] years) and 231 adults (M 88, F 143; 52.3 [36.4–63.3] years) with morbid obesity, subdivided into subgroups according with the presence or absence of MetS. Adult patients with obesity showed a higher prevalence of MetS compared to the pediatric population (71% vs 26%), associated with a greater number of subjects with 3 and 4–5 altered components for MetS. NLR was higher (P-value = 0.041) in adults with MetS compared with those without. NLR values also positively correlated with the severity grade of the syndrome (P-value = 0.032). By contrast, in pediatric subjects with obesity with MetS, NLR values were comparable with those recorded in subjects without MetS (P-value = 0.861), no correlation being found with MetS severity (P-value = 0.441). Our study confirms the importance of NLR as an inflammatory indicator associated with MetS in adult subjects with severe obesity, while it excludes a similar role in children/adolescents.

【 授权许可】

CC BY   
© The Author(s) 2023

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Fig. 8

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