151. Association between blood inflammatory indices and heart failure: a cross-sectional study of NHANES 2009-2018.
- Author
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Zhang Y, Feng L, Zhu Z, He Y, and Li X
- Subjects
- Humans, Male, Female, Cross-Sectional Studies, Middle Aged, Neutrophils, United States epidemiology, Aged, Lymphocytes, Adult, Risk Factors, Monocytes, Heart Failure blood, Heart Failure epidemiology, Inflammation blood, Nutrition Surveys, Biomarkers blood
- Abstract
Background: Inflammation plays a pivotal role in the pathogenesis of heart failure (HF). This study was aimed to the potential association between complete blood cell count (CBC)-derived inflammatory biomarkers and HF., Methods: Data from the National Health and Nutrition Examination Survey (NHANES) 2009-2018 were utilised. We evaluated the associations between HF and five systemic inflammation markers derived from CBC: systemic immune-inflammation index (SII), systemic inflammatory response index (SIRI), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR). Demographic characteristics, physical examinations, and laboratory data were systematically collected for comparative analysis between HF and non-HF individuals. Fitted smoothing curves and threshold effect analysis delineated the relationship. In addition, Spearman correlation and subgroup analyses were further conducted., Results: A total of 26,021 participants were categorised into HF ( n = 858) and non-HF ( n = 25,163) groups. After adjusting for confounding variables, SIRI, NLR, and MLR had significant positive correlations with the risk of HF. Participants in the highest quarter groups of SIRI, NLR, and MLR showed a increased risk of developing HF compared to those in the lowest quarter group. Furthermore, subgroup and sensitivity analyses indicated that SIRI, NLR, and MLR had a stronger correlation to HF (all p < 0.05). Smoothing curve fitting highlighted a nonlinear relationship between CBC-derived inflammatory biomarkers and HF., Conclusions: Our results illustrated a significant association between elevated levels of SIRI, NLR, and MLR and an increased risk of HF. SIRI, NLR, and MLR could potentially serve as systemic inflammation hazard markers for HF.
- Published
- 2024
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