Idioma:

White cell counts in relation to mortality in a general population of cohort study in the Netherlands: a mediating effect or not?

Abete, Itziar ; Lu, Yunxia ; Lassale, Camille ; Verschuren, Monique ; van der Schouw, Yvonne ; Bueno-de-Mesquita, Bas

BMJ Open, 2019-10, Vol.9 (10)

eScholarship, University of California

Sem texto completo

Citações Citado por

Enviar para

Título:
White cell counts in relation to mortality in a general population of cohort study in the Netherlands: a mediating effect or not?
Autor: Abete, Itziar ; Lu, Yunxia ; Lassale, Camille ; Verschuren, Monique ; van der Schouw, Yvonne ; Bueno-de-Mesquita, Bas
Assuntos: Adult ; Aged ; Biomedical and Clinical Sciences ; Body Mass Index ; Cancer ; Cardiovascular ; Case-Control Studies ; Clinical Research ; Clinical Sciences ; Clinical Trials and Supportive Activities ; Epidemiology ; Female ; Good Health and Well Being ; Health Sciences ; Humans ; Leukocyte Count ; Longitudinal Studies ; Male ; mediation ; Middle Aged ; Mortality ; Netherlands ; Nutrition ; Obesity ; Other Medical and Health Sciences ; Prevention ; Proportional Hazards Models ; Prospective Studies ; Psychology ; Public Health ; Public Health and Health Services ; Risk Factors ; Smoking ; Surveys and Questionnaires ; white cell count ; Young Adult
É parte de: BMJ Open, 2019-10, Vol.9 (10)
Notas: e030949
BMJ Open, vol 9, iss 10
Descrição: BACKGROUND:White cell count (WCC) is a clinical marker of inflammation. Data are limited regarding the association of total and differential WCC with risk of mortality, and its role related with smoking and body mass index (BMI). METHODS:A total of 14 433 participants (4150 men; 10 283 women; average age 47.3±11.8 years) from the Dutch European Prospective Investigation into Cancer and Nutrition-Netherlands cohort were included. The associations between prediagnostic total WCC and its subtypes and risk of all-cause, cancer and cardiovascular disease (CVD) mortality were assessed. The role of WCC related with smoking and BMI on mortality was further explored. Multivariate Cox regression models were performed to estimate the HR and 95% CI. RESULTS:After an average follow-up of 15.8 years, a total of 936 death cases were identified (466 cancer; 179 CVD; 291 other causes). Statistically significant graded associations between total WCC, and counts of lymphocytes, monocytes, neutrophils and eosinophils and risk of total mortality were observed. These associations were more apparent in current smokers. Strong associations for all-cause mortality or cancer mortality were observed in subjects with BMI ≥25 kg/m2, ever smoking and elevated WCC (HR 3.92, 95% CI 2.76 to 5.57; HR 3.93, 95% CI 2.30 to 6.72). WCC partly mediated the associations between smoking or BMI and all-cause mortality. CONCLUSIONS:Prediagnostic WCC and its subtypes are associated with all-cause, cancer and CVD mortality risk. It may play a partially mediate role on the association between smoking or obesity and mortality.
Editor: eScholarship, University of California
Idioma: Inglês

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

White cell counts in relation to mortality in a general population of cohort study in the Netherlands: a mediating effect or not?

Abete, Itziar ; Lu, Yunxia ; Lassale, Camille ; Verschuren, Monique ; van der Schouw, Yvonne ; Bueno-de-Mesquita, Bas

eScholarship, University of California

Buscando em bases de dados remotas. Favor aguardar.