Serum bilirubin is negatively associated with white blood cell count

OBJECTIVE: Bilirubin is considered an important antioxidant, anti-inflammatory factor and immunomodulator. The current investigation aimed to explore the association between bilirubin and white blood cell (WBC) count in a large Chinese cohort. METHODS: A total of 61091 participants (29259 males, 31...

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Main Authors: Li Zhang, Chunmei Zhang, Zhaowei Meng, Lu Gong, Chongjie Pang, Xiangxiang Liu, Qing Zhang, Qiyu Jia, Kun Song
Format: Article
Language:English
Published: Elsevier España
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100250&lng=en&tlng=en
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author Li Zhang
Chunmei Zhang
Zhaowei Meng
Lu Gong
Chongjie Pang
Xiangxiang Liu
Qing Zhang
Qiyu Jia
Kun Song
author_facet Li Zhang
Chunmei Zhang
Zhaowei Meng
Lu Gong
Chongjie Pang
Xiangxiang Liu
Qing Zhang
Qiyu Jia
Kun Song
author_sort Li Zhang
collection DOAJ
description OBJECTIVE: Bilirubin is considered an important antioxidant, anti-inflammatory factor and immunomodulator. The current investigation aimed to explore the association between bilirubin and white blood cell (WBC) count in a large Chinese cohort. METHODS: A total of 61091 participants (29259 males, 31832 females) were recruited from a Chinese tertiary hospital. Data were sorted by sex, and the association between bilirubin and WBC count was analyzed after dividing bilirubin levels into quartiles. RESULTS: Most parameters (including age, body mass index, systolic blood pressure, diastolic blood pressure, alanine aminotransferase, total bilirubin, blood urea nitrogen, creatinine, uric acid, triglycerides and WBC count) were significantly higher in men than in women. Bilirubin displayed significant negative relationships with most other measured variables. Linear logistic regression analysis further indicated their negative relationships. Females showed a significantly higher frequency of leucopenia than males. Significant associations of leucopenia with high bilirubin quartiles were shown in binary logistic regression models for both sexes, with a much closer association in men than in women. For instance, for men with bilirubin levels in quartile 4, the adjusted likelihood of leucopenia was 1.600-times higher than that of men with values in quartile 1. For women with bilirubin levels in quartile 4, the adjusted likelihood of leucopenia was 1.135-times higher than that of women with values in quartile 1. CONCLUSION: Bilirubin is negatively related to WBC count. Significant associations exist between leucopenia and high bilirubin quartiles, and these associations are more obvious in men than in women.
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spelling doaj.art-116f49665e6548a3b4040b7e7426eae82022-12-22T03:37:47ZengElsevier EspañaClinics1980-53227410.6061/clinics/2019/e775S1807-59322019000100250Serum bilirubin is negatively associated with white blood cell countLi ZhangChunmei ZhangZhaowei MengLu GongChongjie PangXiangxiang LiuQing ZhangQiyu JiaKun SongOBJECTIVE: Bilirubin is considered an important antioxidant, anti-inflammatory factor and immunomodulator. The current investigation aimed to explore the association between bilirubin and white blood cell (WBC) count in a large Chinese cohort. METHODS: A total of 61091 participants (29259 males, 31832 females) were recruited from a Chinese tertiary hospital. Data were sorted by sex, and the association between bilirubin and WBC count was analyzed after dividing bilirubin levels into quartiles. RESULTS: Most parameters (including age, body mass index, systolic blood pressure, diastolic blood pressure, alanine aminotransferase, total bilirubin, blood urea nitrogen, creatinine, uric acid, triglycerides and WBC count) were significantly higher in men than in women. Bilirubin displayed significant negative relationships with most other measured variables. Linear logistic regression analysis further indicated their negative relationships. Females showed a significantly higher frequency of leucopenia than males. Significant associations of leucopenia with high bilirubin quartiles were shown in binary logistic regression models for both sexes, with a much closer association in men than in women. For instance, for men with bilirubin levels in quartile 4, the adjusted likelihood of leucopenia was 1.600-times higher than that of men with values in quartile 1. For women with bilirubin levels in quartile 4, the adjusted likelihood of leucopenia was 1.135-times higher than that of women with values in quartile 1. CONCLUSION: Bilirubin is negatively related to WBC count. Significant associations exist between leucopenia and high bilirubin quartiles, and these associations are more obvious in men than in women.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100250&lng=en&tlng=enBilirubinWhite Blood Cell (WBC)Sex
spellingShingle Li Zhang
Chunmei Zhang
Zhaowei Meng
Lu Gong
Chongjie Pang
Xiangxiang Liu
Qing Zhang
Qiyu Jia
Kun Song
Serum bilirubin is negatively associated with white blood cell count
Clinics
Bilirubin
White Blood Cell (WBC)
Sex
title Serum bilirubin is negatively associated with white blood cell count
title_full Serum bilirubin is negatively associated with white blood cell count
title_fullStr Serum bilirubin is negatively associated with white blood cell count
title_full_unstemmed Serum bilirubin is negatively associated with white blood cell count
title_short Serum bilirubin is negatively associated with white blood cell count
title_sort serum bilirubin is negatively associated with white blood cell count
topic Bilirubin
White Blood Cell (WBC)
Sex
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100250&lng=en&tlng=en
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