Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.

<h4>Background & aims</h4>Red blood cell (RBC) indices have been demonstrated to be associated with fatty liver disease (FLD) and metabolic syndrome. However, controversy exists regarding the relationship of RBC indices with FLD to date and few has focused on RBC count. This study ai...

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Main Authors: Hai-Lin Wang, Hui Zhang, Shang-Ling Wu, Gong-Cheng Liao, Ai-Ping Fang, Ming-Fan Zhu, Hui-Lian Zhu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0172027&type=printable
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author Hai-Lin Wang
Hui Zhang
Shang-Ling Wu
Gong-Cheng Liao
Ai-Ping Fang
Ming-Fan Zhu
Hui-Lian Zhu
author_facet Hai-Lin Wang
Hui Zhang
Shang-Ling Wu
Gong-Cheng Liao
Ai-Ping Fang
Ming-Fan Zhu
Hui-Lian Zhu
author_sort Hai-Lin Wang
collection DOAJ
description <h4>Background & aims</h4>Red blood cell (RBC) indices have been demonstrated to be associated with fatty liver disease (FLD) and metabolic syndrome. However, controversy exists regarding the relationship of RBC indices with FLD to date and few has focused on RBC count. This study aimed to explore the association between RBC count and risk of FLD in Southern Chinese adults.<h4>Methods</h4>A hospital-based cross-sectional study was performed in two hospital health examination centers, including information on ultrasonography-diagnosed FLD, anthropometric indices and biochemical measurements. Covariance analysis was used to evaluate group differences. After quintile classification of RBC counts, logistic regression analysis was conducted to evaluate the odds ratios (ORs) of FLD.<h4>Results</h4>This study consisted of 8618 subjects (4137 men and 4481 women) aged between 20 and 89 years. FLD cases had higher RBC counts than non-FLD cases in both genders (P<0.001). The prevalence rates of FLD increased with the RBC quintiles in both genders (all P trend<0.001), and were higher in men than women. Binary logistic regression analysis showed positive association between RBC count and FLD, and the OR (95% confidence interval (CI)) were 2.56 (2.06-3.18) in men and 3.69 (2.74-4.98) in women, respectively, when comparing Q5 with Q1. Stratified analyses showed similar trends among subjects with and without FLD risk factors. Gender independent results were similar to gender dependent results.<h4>Conclusions</h4>Elevated RBC count is independently associated with high risk of FLD, suggesting that the RBC count may be a potential risk predictor for FLD.
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spelling doaj-art-d15047ca8de345308efb1b91495c3cdc2025-08-20T02:46:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017202710.1371/journal.pone.0172027Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.Hai-Lin WangHui ZhangShang-Ling WuGong-Cheng LiaoAi-Ping FangMing-Fan ZhuHui-Lian Zhu<h4>Background & aims</h4>Red blood cell (RBC) indices have been demonstrated to be associated with fatty liver disease (FLD) and metabolic syndrome. However, controversy exists regarding the relationship of RBC indices with FLD to date and few has focused on RBC count. This study aimed to explore the association between RBC count and risk of FLD in Southern Chinese adults.<h4>Methods</h4>A hospital-based cross-sectional study was performed in two hospital health examination centers, including information on ultrasonography-diagnosed FLD, anthropometric indices and biochemical measurements. Covariance analysis was used to evaluate group differences. After quintile classification of RBC counts, logistic regression analysis was conducted to evaluate the odds ratios (ORs) of FLD.<h4>Results</h4>This study consisted of 8618 subjects (4137 men and 4481 women) aged between 20 and 89 years. FLD cases had higher RBC counts than non-FLD cases in both genders (P<0.001). The prevalence rates of FLD increased with the RBC quintiles in both genders (all P trend<0.001), and were higher in men than women. Binary logistic regression analysis showed positive association between RBC count and FLD, and the OR (95% confidence interval (CI)) were 2.56 (2.06-3.18) in men and 3.69 (2.74-4.98) in women, respectively, when comparing Q5 with Q1. Stratified analyses showed similar trends among subjects with and without FLD risk factors. Gender independent results were similar to gender dependent results.<h4>Conclusions</h4>Elevated RBC count is independently associated with high risk of FLD, suggesting that the RBC count may be a potential risk predictor for FLD.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0172027&type=printable
spellingShingle Hai-Lin Wang
Hui Zhang
Shang-Ling Wu
Gong-Cheng Liao
Ai-Ping Fang
Ming-Fan Zhu
Hui-Lian Zhu
Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
PLoS ONE
title Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
title_full Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
title_fullStr Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
title_full_unstemmed Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
title_short Red blood cell count has an independent contribution to the prediction of ultrasonography-diagnosed fatty liver disease.
title_sort red blood cell count has an independent contribution to the prediction of ultrasonography diagnosed fatty liver disease
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0172027&type=printable
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