Abstract
The purposes of the study were to estimate the incidence of metabolic syndrome (MetS) and to systematically evaluate the relationship between hematological parameters and MetS in a 5-year follow-up of Beijing adult population. The longitudinal study included 3,180 adults, aged 20–65 years, who attended health check-ups in Beijing Tongren Hospital in 2007 and 2012. Multivariate logistic regression was conducted to explore the associations between hematological parameters and MetS. The 5-year cumulative incidence of MetS in this sample was 10.82 % (14.22 % for males and 7.59 % for females). Among all the hematological parameters, white blood cell count (WBC) was positively associated with MetS for 20–35-year-old (male OR 1.482, 95 % CI 1.169–2.974; female OR 1.398, 95 % CI 1.145–3.011), and 36–50-year-old (male OR 2.012, 95 % CI 1.290–4.010; female OR 3.400, 95 % CI 1.818–4.528) male and female subjects. Alanine aminotransferase (ALT) was significantly associated with the incidence of MetS for males (20–35-year-old OR 2.080, 95 % CI 1.371–3.159; 36–50-year-old OR 2.421, 95 % CI 1.335–3.412; 51–65-year-old OR 4.267, 95 % CI 1.161–6.781). Low-density lipoprotein cholesterol (LDL-C) was positively associated with MetS for 51–65-year-old (male OR 3.078, 95 % CI 2.468–5.131; female OR 2.140, 95 % CI 1.524–4.359) for male and female subjects. WBC is positively associated with MetS for young adults, while LDL-C is positively associated with MetS for elderly people. ALT is positively associated with MetS for males. Our findings provide further evidence in support of using hematological markers for early detection of individuals at risk for MetS.
Similar content being viewed by others
References
R. Dajani, Y.S. Khader, N. Hakooz, R. Fatahalla, F. Quadan, Metabolic syndrome between two ethnic minority groups (Circassians and Chechens) and the original inhabitants of Jordan. Endocrine 43(1), 112–119 (2013)
L. Guize, F. Thomas, B. Pannier, K. Bean, B. Jego, A. Benetos, All-cause mortality associated with specific combinations of the metabolic syndrome according to recent definitions. Diabetes Care 30(9), 2381–2387 (2007)
X.H. Guo, P.H. Zhang, Z.C. Zeng, W. Wang, C. Li, Y. Shi, Z.J. Liu, Combination patterns of cardiovascular risks and sequelae at different stage of hypertension in natural hypertensive population in Beijing. Clin. Exp. Hypertens. 31(2), 142–155 (2009)
C.C. Chen, W.Y. Lin, C.I. Li, C.S. Liu, T.C. Li, Y.T. Chen, C.W. Yang, M.P. Chang, C.C. Lin, The association of alcohol consumption with metabolic syndrome and its individual components: the Taichung community health study. Nutr. Res. 32(1), 24–29 (2012)
A. Esteghamati, A. Rashidi, O. Khalilzadeh, H. Ashraf, M. Abbasi, Metabolic syndrome is independently associated with microalbuminuria in type 2 diabetes. Acta Diabetol. 47(2), 125–130 (2010)
J. Zhang, Y. Chen, Y. Xu, M. Li, T. Wang, B. Xu, J. Sun, M. Xu, J. Lu, Y. Bi, Low-grade albuminuria is associated with metabolic syndrome and its components in middle-aged and elderly Chinese population. PLoS ONE 8(6), e65597 (2013)
A.S. Cardoso, N.C. Gonzaga, C.C. Medeiros, D.F. de Carvalho, Association of uric acid levels with components of metabolic syndrome and non-alcoholic fatty liver disease in overweight or obese children and adolescents. J. Pediatr. (Rio J) 89(4), 412–418 (2013)
J.P. Goncalves, A. Oliveira, M. Severo, A.C. Santos, C. Lopes, Cross-sectional and longitudinal associations between serum uric acid and metabolic syndrome. Endocrine 41(3), 450–457 (2012)
G.P. Fadini, G. Marcuzzo, M.C. Marescotti, S.V. de Kreutzenberg, A. Avogaro, Elevated white blood cell count is associated with prevalence and development of the metabolic syndrome and its components in the general population. Acta Diabetol. 49(6), 445–451 (2012)
E. Oda, High-sensitivity C-reactive protein and white blood cell count equally predict development of the metabolic syndrome in a Japanese health screening population. Acta Diabetol. 50(4), 633–638 (2013)
M. Barbieri, E. Ragno, E. Benvenuti, G.A. Zito, A. Corsi, L. Ferrucci, G. Paolisso, New aspects of the insulin resistance syndrome: impact on haematological parameters. Diabetologia 44(10), 1232–1237 (2001)
E.S. Ford, W.H. Giles, W.H. Dietz, Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 287(3), 356–359 (2002)
K. Lee, J.H. Yang, Which liver enzymes are better indicators of metabolic syndrome in adolescents: the Fifth Korea National Health and Nutrition Examination Survey, 2010. Metab. Syndr. Relat. Disord. 11(4), 229–235 (2013)
Y. Zhang, X. Lu, J. Hong, M. Chao, W. Gu, W. Wang, G. Ning, Positive correlations of liver enzymes with metabolic syndrome including insulin resistance in newly diagnosed type 2 diabetes mellitus. Endocrine 38(2), 181–187 (2010)
J. Jo, J.E. Yun, H. Lee, H. Kimm, S.H. Jee, Total, direct, and indirect serum bilirubin concentrations and metabolic syndrome among the Korean population. Endocrine 39(2), 182–189 (2011)
R. Kawamoto, Y. Tabara, K. Kohara, T. Miki, T. Kusunoki, M. Abe, T. Katoh, Hematological parameters are associated with metabolic syndrome in Japanese community-dwelling persons. Endocrine 43(2), 334–341 (2013)
V. Lohsoonthorn, W. Jiamjarasrungsi, M.A. Williams, Association of hematological parameters with clustered components of metabolic syndrome among professional and office workers in Bangkok, Thailand. Diabetes Metab. Syndr. 1(3), 143–149 (2007)
T. Yang, C.H. Chu, P.C. Hsieh, C.H. Hsu, Y.C. Chou, S.H. Yang, C.H. Bai, S.L. You, L.C. Hwang, T.C. Chung, C.A. Sun, C-reactive protein concentration as a significant correlate for metabolic syndrome: a Chinese population-based study. Endocrine 43(2), 351–359 (2013)
K.G. Alberti, R.H. Eckel, S.M. Grundy, P.Z. Zimmet, J.I. Cleeman, K.A. Donato, J.C. Fruchart, W.P. James, C.M. Loria, S.C. Smith Jr, Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120(16), 1640–1645 (2009)
C. Chen, F.C. Lu, The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomed. Environ. Sci. 17(Suppl), 1–36 (2004)
V. Lohsoonthorn, S. Lertmaharit, M.A. Williams, Prevalence of metabolic syndrome among professional and office workers in Bangkok, Thailand. J. Med. Assoc. Thai. 90(9), 1908–1915 (2007)
H.S. Park, S.W. Oh, S.I. Cho, W.H. Choi, Y.S. Kim, The metabolic syndrome and associated lifestyle factors among South Korean adults. Int. J. Epidemiol. 33(2), 328–336 (2004)
W. Wang, Y. Luo, Y. Liu, C. Cui, L. Wu, Y. Wang, H. Wang, P. Zhang, X. Guo, Prevalence of metabolic syndrome and optimal waist circumference cut-off points for adults in Beijing. Diabetes Res. Clin. Pract. 88(2), 209–216 (2010)
X. Yang, Q. Tao, F. Sun, S. Zhan, The impact of socioeconomic status on the incidence of metabolic syndrome in a Taiwanese health screening population. Int. J. Public Health 57(3), 551–559 (2012)
D. Hu, P. Fu, J. Xie, C.S. Chen, D. Yu, P.K. Whelton, J. He, D. Gu, Increasing prevalence and low awareness, treatment and control of diabetes mellitus among Chinese adults: the InterASIA study. Diabetes Res. Clin. Pract. 81(2), 250–257 (2008)
Y. Pan, C.A. Pratt, Metabolic syndrome and its association with diet and physical activity in US adolescents. J. Am. Diet. Assoc. 108(2), 276–286; discussion 286 (2008)
A.J. Cameron, J.E. Shaw, P.Z. Zimmet, The metabolic syndrome: prevalence in worldwide populations. Endocrinol. Metab. Clin. N. Am. 33(2), 351–375 (2004)
W. Yang, K. Reynolds, D. Gu, J. Chen, J. He, A comparison of two proposed definitions for metabolic syndrome in the Chinese adult population. Am. J. Med. Sci. 334(3), 184–189 (2007)
X.Y. Wu, C.L. Hu, Y.H. Wan, P.Y. Su, C. Xing, X.Y. Qi, F.B. Tao, Higher waist-to-height ratio and waist circumference are predictive of metabolic syndrome and elevated serum alanine aminotransferase in adolescents and young adults in mainland China. Public Health 126(2), 135–142 (2012)
E. Oda, R. Kawai, K. Watanabe, V. Sukumaran, Prevalence of metabolic syndrome increases with the increase in blood levels of gamma glutamyltransferase and alanine aminotransferase in Japanese men and women. Intern. Med. 48(16), 1343–1350 (2009)
F. Galletti, P. Strazzullo, Involvement of the renin-angiotensin system in obesity: older and newer pathways. Nutr. Metab. Cardiovasc. Dis. 17(10), 699–704 (2007)
C. Li, M.C. Hsieh, S.J. Chang, Metabolic syndrome, diabetes, and hyperuricemia. Curr. Opin. Rheumatol. 25(2), 210–216 (2013)
R. Sarzani, F. Salvi, P. Dessi-Fulgheri, A. Rappelli, Renin-angiotensin system, natriuretic peptides, obesity, metabolic syndrome, and hypertension: an integrated view in humans. J. Hypertens. 26(5), 831–843 (2008)
A. Jesri, E.C. Okonofua, B.M. Egan, Platelet and white blood cell counts are elevated in patients with the metabolic syndrome. J. Clin. Hypertens. (Greenwich) 7(12), 705–711; quiz 712–713 (2005)
N. Babio, N. Ibarrola-Jurado, M. Bullo, M.A. Martinez-Gonzalez, J. Warnberg, I. Salaverria, M. Ortega-Calvo, R. Estruch, L. Serra-Majem, M.I. Covas, J.V. Sorli, J. Salas-Salvado, White blood cell counts as risk markers of developing metabolic syndrome and its components in the PREDIMED study. PLoS ONE 8(3), e58354 (2013)
S. Hagita, M. Osaka, K. Shimokado, M. Yoshida, Adipose inflammation initiates recruitment of leukocytes to mouse femoral artery: role of adipo-vascular axis in chronic inflammation. PLoS ONE 6(5), e19871 (2011)
N. Kawanishi, H. Yano, Y. Yokogawa, K. Suzuki, Exercise training inhibits inflammation in adipose tissue via both suppression of macrophage infiltration and acceleration of phenotypic switching from M1 to M2 macrophages in high-fat-diet-induced obese mice. Exerc. Immunol. Rev. 16, 105–118 (2010)
K. Ohashi, J.L. Parker, N. Ouchi, A. Higuchi, J.A. Vita, N. Gokce, A.A. Pedersen, C. Kalthoff, S. Tullin, A. Sams, R. Summer, K. Walsh, Adiponectin promotes macrophage polarization toward an anti-inflammatory phenotype. J. Biol. Chem. 285(9), 6153–6160 (2010)
K. Li, W. Xu, Q. Guo, Z. Jiang, P. Wang, Y. Yue, S. Xiong, Differential macrophage polarization in male and female BALB/c mice infected with coxsackievirus B3 defines susceptibility to viral myocarditis. Circ. Res. 105(4), 353–364 (2009)
E. Oda, R. Kawai, Age- and gender-related differences in correlations between abdominal obesity and obesity-related metabolic risk factors in Japanese. Intern. Med. 48(7), 497–502 (2009)
D.G. Cook, M.A. Mendall, P.H. Whincup, I.M. Carey, L. Ballam, J.E. Morris, G.J. Miller, D.P. Strachan, C-reactive protein concentration in children: relationship to adiposity and other cardiovascular risk factors. Atherosclerosis 149(1), 139–150 (2000)
N.K. Vikram, A. Misra, M. Dwivedi, R. Sharma, R.M. Pandey, K. Luthra, A. Chatterjee, V. Dhingra, B.L. Jailkhani, K.K. Talwar, R. Guleria, Correlations of C-reactive protein levels with anthropometric profile, percentage of body fat and lipids in healthy adolescents and young adult in urban North India. Atherosclerosis 168(2), 305–313 (2003)
K. Nebeck, B. Gelaye, S. Lemma, Y. Berhane, T. Bekele, A. Khali, Y. Haddis, M.A. Williams, Hematological parameters and metabolic syndrome: findings from an occupational cohort in Ethiopia. Diabetes Metab. Syndr. 6(1), 22–27 (2012)
H. Kaur, B. Adams-Huet, G. Smith, I. Jialal, Increased neutrophil count in nascent metabolic syndrome. Metab. Syndr. Relat. Disord. 11(2), 128–131 (2013)
B.J. Park, J.Y. Shim, H.R. Lee, D.H. Jung, J.H. Lee, Y.J. Lee, The relationship of platelet count, mean platelet volume with metabolic syndrome according to the criteria of the American Association of Clinical Endocrinologists: a focus on gender differences. Platelets 23(1), 45–50 (2012)
H. Pohjantahti-Maaroos, A. Palomaki, P. Kankkunen, R. Laitinen, S. Husgafvel, K. Oksanen, Circulating oxidized low-density lipoproteins and arterial elasticity: comparison between men with metabolic syndrome and physically active counterparts. Cardiovasc. Diabetol. 9, 41 (2010)
V. Sigurdardottir, B. Fagerberg, J. Hulthe, Circulating oxidized low-density lipoprotein (LDL) is associated with risk factors of the metabolic syndrome and LDL size in clinically healthy 58-year-old men (AIR study). J. Intern. Med. 252(5), 440–447 (2002)
E. Coban, M. Ozdogan, G. Yazicioglu, F. Akcit, The mean platelet volume in patients with obesity. Int. J. Clin. Pract. 59(8), 981–982 (2005)
S.K. Nadar, A.D. Blann, S. Kamath, D.G. Beevers, G.Y. Lip, Platelet indexes in relation to target organ damage in high-risk hypertensive patients: a substudy of the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT). J. Am. Coll. Cardiol. 44(2), 415–422 (2004)
Y. Tavil, N. Sen, H.U. Yazici, F. Hizal, A. Abaci, A. Cengel, Mean platelet volume in patients with metabolic syndrome and its relationship with coronary artery disease. Thromb. Res. 120(2), 245–250 (2007)
Acknowledgments
The study has been funded by the Major Project of Natural Science Fund of Beijing (Serial Number: 7131002); Key Projects in the National Science & Technology Pillar Program in the Twelfth Five-year Plan Period of China (2011BAI08B01); the Program of Natural Science Fund of China (Serial Number: 81373099). We also would like to thank the medical personnel who participated in data collection in the physical check-up department of Beijing TongRen Hospital.
Conflict of interest
The authors declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tao, LX., Li, X., Zhu, HP. et al. Association of hematological parameters with metabolic syndrome in Beijing adult population: a longitudinal study. Endocrine 46, 485–495 (2014). https://doi.org/10.1007/s12020-013-0067-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12020-013-0067-z