Neutrophil-to-Lymphocyte Ratio Is an Independent Risk Factor for Coronary Artery Disease in Central Obesity.
Zsolt BagyuraLoretta Zsuzsa KissÁrpád LuxCsaba Csobay-NovákÁdám L JermendyLívia PolgárÁdám G TabákPál SoósZsolt SzelidBéla MerkelyLászló KőhidaiÉva PállingerPublished in: International journal of molecular sciences (2023)
Several inflammatory biomarkers were found to be associated with an increased risk of cardiovascular disease. Neutrophil-to-lymphocyte ratio (NLR) is a marker of subclinical inflammation that increases with the stress response. Visceral adiposity index (VAI) calculated as a combination of anthropometric and metabolic parameters reflects both the extent and function of visceral adipose tissue. Given the association of subclinical inflammation with both obesity and cardiovascular diseases, it is plausible that the inflammation-CVD association is modulated by the amount and function of adipose tissue. Thus, our aim was to examine the association between NLR and coronary artery calcium score (CACS), an intermediate marker of coronary artery disease in asymptomatic patients across VAI tertiles. Methods: Data from 280 asymptomatic participants of a cardiovascular screening program were analysed. In addition to the collection of lifestyle and medical history, a non-contrast cardiac CT scan and laboratory tests were performed on all participants. Multivariate logistic regression was conducted with CACS > 100 as the outcome and with conventional cardiovascular risk factors and NLR, VAI, and NLR by VAI tertile as predictors. Results: We found an interaction between VAI tertiles and NLR; NLR values were similar in the lower VAI tertiles, while they were higher in the CACS > 100 in the 3rd VAI tertile (CACS ≤ 100: 1.94 ± 0.58 vs. CACS > 100: 2.48 ± 1.1, p = 0.008). According to multivariable logistic regression, the interaction between NLR and VAI tertiles remained: NLR was associated with CACS > 100 in the 3rd VAI tertile (OR = 1.67, 95% CI 1.06-2.62, p = 0.03) but not in the lower tertiles even after adjustment for age, sex, smoking, history of hypertension, hyperlipidaemia, and diabetes mellitus, as well as high-sensitivity C-reactive protein. Our findings draw attention to the independent association between subclinical, chronic, systemic inflammation and subclinical coronary disease in obesity.
Keyphrases
- insulin resistance
- cardiovascular disease
- adipose tissue
- coronary artery disease
- metabolic syndrome
- cardiovascular risk factors
- coronary artery
- weight loss
- oxidative stress
- type diabetes
- high fat diet
- high fat diet induced
- weight gain
- blood pressure
- newly diagnosed
- computed tomography
- percutaneous coronary intervention
- cardiovascular events
- healthcare
- end stage renal disease
- ejection fraction
- skeletal muscle
- pulmonary artery
- physical activity
- big data
- peritoneal dialysis
- body composition
- deep learning
- glycemic control
- data analysis
- electronic health record
- aortic valve
- magnetic resonance
- heart failure
- pet ct
- acute coronary syndrome
- body mass index
- patient reported