Skip to main content
Log in

Association of hematological parameters with metabolic syndrome in Beijing adult population: a longitudinal study

  • Original Article
  • Published:
Endocrine Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. 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)

    Article  CAS  PubMed  Google Scholar 

  2. 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)

    Article  CAS  PubMed  Google Scholar 

  3. 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)

    Article  PubMed  Google Scholar 

  4. 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)

    Article  PubMed  Google Scholar 

  5. 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)

    Article  CAS  PubMed  Google Scholar 

  6. 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)

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. 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)

    Article  Google Scholar 

  8. 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)

    Article  CAS  PubMed  Google Scholar 

  9. 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)

    Article  PubMed  Google Scholar 

  10. 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)

    Google Scholar 

  11. 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)

    Article  CAS  PubMed  Google Scholar 

  12. 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)

    Article  PubMed  Google Scholar 

  13. 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)

    Article  CAS  PubMed  Google Scholar 

  14. 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)

    Article  PubMed  Google Scholar 

  15. 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)

    Article  CAS  PubMed  Google Scholar 

  16. 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)

    Article  CAS  PubMed  Google Scholar 

  17. 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)

    Article  PubMed Central  PubMed  Google Scholar 

  18. 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)

    Article  CAS  PubMed  Google Scholar 

  19. 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)

    Article  CAS  PubMed  Google Scholar 

  20. 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)

    PubMed  Google Scholar 

  21. 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)

    PubMed  Google Scholar 

  22. 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)

    Article  PubMed  Google Scholar 

  23. 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)

    Article  PubMed  Google Scholar 

  24. 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)

    Article  PubMed  Google Scholar 

  25. 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)

    Article  PubMed  Google Scholar 

  26. 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)

    Google Scholar 

  27. 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)

    Article  Google Scholar 

  28. 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)

    Article  PubMed  Google Scholar 

  29. 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)

    Article  PubMed  Google Scholar 

  30. 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)

    Article  PubMed  Google Scholar 

  31. 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)

    Article  PubMed  Google Scholar 

  32. C. Li, M.C. Hsieh, S.J. Chang, Metabolic syndrome, diabetes, and hyperuricemia. Curr. Opin. Rheumatol. 25(2), 210–216 (2013)

    Article  CAS  PubMed  Google Scholar 

  33. 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)

    Article  CAS  PubMed  Google Scholar 

  34. 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)

    Google Scholar 

  35. 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)

  36. 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)

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  37. 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)

    PubMed  Google Scholar 

  38. 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)

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  39. 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)

    Article  CAS  PubMed  Google Scholar 

  40. 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)

    Article  PubMed  Google Scholar 

  41. 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)

    Article  CAS  PubMed  Google Scholar 

  42. 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)

    Article  CAS  PubMed  Google Scholar 

  43. 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)

    Article  PubMed Central  PubMed  Google Scholar 

  44. 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)

    Article  CAS  PubMed  Google Scholar 

  45. 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)

    Article  CAS  PubMed  Google Scholar 

  46. 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)

    Article  PubMed Central  PubMed  Google Scholar 

  47. 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)

    Article  CAS  PubMed  Google Scholar 

  48. 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)

    Article  CAS  PubMed  Google Scholar 

  49. 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)

    Article  PubMed  Google Scholar 

  50. 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)

    Article  CAS  PubMed  Google Scholar 

Download references

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

Authors

Corresponding author

Correspondence to Xiu-Hua Guo.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-013-0067-z

Keywords

Navigation