| Title: |
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. |
| Authors: |
Marra, Alice1 a.marra@auxologico.it, Bondesan, Adele1, Caroli, Diana1, Grugni, Graziano1,2, Sartorio, Alessandro1 |
| Source: |
BMC Endocrine Disorders. 5/26/2023, Vol. 23 Issue 1, p1-10. 10p. |
| Subject Terms: |
*OBESITY complications, *METABOLIC syndrome risk factors, *KRUSKAL-Wallis Test, *ANALYSIS of variance, *CHILDHOOD obesity, *MANN Whitney U Test, *FISHER exact test, *NEUTROPHIL lymphocyte ratio, *SEVERITY of illness index, *METABOLIC syndrome, *RESEARCH funding, *DESCRIPTIVE statistics, *CHI-squared test, *DATA analysis software, *DISEASE complications, *EVALUATION, *ADULTS |
| Abstract: |
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. [ABSTRACT FROM AUTHOR] |
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