期刊
MEDICINE
卷 98, 期 34, 页码 -出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000016816
关键词
age; alcohol; erythrocyte sedimentation rate; gender; metabolic syndrome; obesity; physical exercise; smoking
资金
- Carlos III Institute of Health (Instituto de Salud Carlos III) [PI16/01404, PI16/01395]
- Spanish Network for Additive Disorders (Red de Trastornos Adictivos, Spanish Ministry of Health) [RD16/0017/0018]
- Spanish Network for Preventive Activity & Health Promotion Research in Primary Care (Red de Actividades Preventivas y de Promocion de Salud en Atencion Primaria) [RD16/0007/0006]
- European Regional Development Fund (FEDER)
The erythrocyte sedimentation rate (ESR) is a routine test for inflammation. Few studies have investigated the potential influence of lifestyle factors and common metabolic abnormalities on the ESR. This study investigates the influence of demographic factors, alcohol consumption, smoking, physical activity, obesity, and metabolic syndrome on the ESR in adults. This cross-sectional study covered 1472 individuals (44.5% males; age range, 18-91 years) randomly selected from the population of a Spanish municipality. The ESR was measured using a standardized method. We assessed habitual alcohol consumption in standard drinking units, along with tobacco smoking, regular physical exercise (by questionnaire), body mass index, and variables defining metabolic syndrome. Multivariate analyses were performed, including mean corpuscular volume and hemoglobin concentration in the models. The ESR was higher in females than in males, and increased steadily with age. Median ESR of females was 2-fold higher than that of males, and median ESR of individuals aged >65 years was 2-fold higher than that of individuals in the youngest category (ages 1835 years). Body mass index, presence of metabolic syndrome, and smoking were independently and positively associated with higher ESR values. Light alcohol drinkers and individuals with high regular physical activity displayed lower ESR values than did alcohol abstainers and individuals with low physical activity, respectively. ESR varies greatly with age and sex, and corresponding reference values are proposed. Lifestyle factors (physical activity, smoking, and alcohol consumption) and common metabolic abnormalities (obesity and related metabolic syndrome) may also influence ESR values.
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