Korean J Obes.
2005 Dec;14(4):228-234.
White Blood Cell Count is Higher in Women with Metabolic Syndrome: National Health and Nutrition Examination Survey of Korea
- Affiliations
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- 1Department of Family Medicine, Cheil General Hospital & Women's Health care center, Korea.
- 2Department of Family Medicine, College of Medicine, Korea University, Korea. ksmpdh@freechal.com
Abstract
OBJECTIVE
In order to characterize the association between metabolic syndrome (MS) and inflammation, this study has focused on a delineation of the relationship existing between white blood cell (WBC) counts and MS, as defined by the International Diabetes Federation.
METHODS
A total of 3,279 non-alcoholic, non-smoking adult women from the 1998 Korean National Health and Nutrition Survey (KNHNS) were included in this analysis. The KNHNS is a cross-sectional health survey taken with a nationally representative sample of the Korean population. Trained interviewers conducted interview, anthropometric, blood pressure and laboratory tests measurement.
RESULTS
Waist circumference, triglycerides (TG), and fasting plasma glucose (FPG) were found to be increased (p for linearity = 0.0491 in waist circumference; < 0.0001 in TG; 0.0002 in FPG) and high density lipoprotein cholesterol (HDL-C) was shown to decrease, with increases in the WBC count (p for linearity = 0.0225). Subjects with lower HDL-C, higher TG, and higher FPG also evidenced higher WBC counts (P = 0.0006 in HDL cholesterol; P < 0.0001 in TG; P = 0.0051 in FPG). The risk for clustered MS components was increased along with increasing WBC counts (P for trend < 0.001). WBC counts were higher in MS patients than in non-MS person after adjustments were made for age (P = 0.00008).
CONCLUSION
WBC counts were elevated in female MS subjects. This result suggests that increased WBC counts, even within a clinically normal range, might constitute another feature of MS, and might potentially prove useful as an indicator of cardiovascular risk.
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