Clinical and Peripheral Biomarkers in Female Patients Affected by Anorexia: Does the Neutrophil/Lymphocyte Ratio (NLR) Affect Severity? Article Swipe
Alice Caldiroli
,
Davide La Tegola
,
Letizia Maria Affaticati
,
Francesca Manzo
,
Francesca Cella
,
Alberto Scalia
,
Enrico Capuzzi
,
Monica Nicastro
,
Fabrizia Colmegna
,
Massimiliano Buoli
,
Massimo Clerici
,
Antonios Dakanalis
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/nu15051133
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/nu15051133
Anorexia Nervosa (AN) is a disabling disorder characterized by extreme weight loss and frequent chronicization, especially in its most severe forms. This condition is associated with a pro-inflammatory state; however, the role of immunity in symptom severity remains unclear. Total cholesterol, white blood cells, neutrophils, lymphocytes, platelets, iron, folate, vitamin D and B12 were dosed in 84 female AN outpatients. Mildly severe (Body Mass Index—BMI ≥ 17) versus severe (BMI < 17) patients were compared using one-way ANOVAs or χ2 tests. A binary logistic regression model was run to investigate the potential association between demographic/clinical variables or biochemical markers and the severity of AN. Patients with severe anorexia (compared to mild forms) were older (F = 5.33; p = 0.02), engaged in more frequent substance misuse (χ2 = 3.75; OR = 3.86; p = 0.05) and had a lower NLR (F = 4.12; p = 0.05). Only a lower NLR was predictive of severe manifestations of AN (OR = 0.007; p = 0.031). Overall, our study suggests that immune alterations may be predictive of AN severity. In more severe forms of AN, the response of the adaptive immunity is preserved, while the activation of the innate immunity may be reduced. Further studies with larger samples and a wider panel of biochemical markers are needed to confirm the present results.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/nu15051133
- https://www.mdpi.com/2072-6643/15/5/1133/pdf?version=1677580663
- OA Status
- gold
- Cited By
- 12
- References
- 89
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321788272
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321788272Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/nu15051133Digital Object Identifier
- Title
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Clinical and Peripheral Biomarkers in Female Patients Affected by Anorexia: Does the Neutrophil/Lymphocyte Ratio (NLR) Affect Severity?Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-02-23Full publication date if available
- Authors
-
Alice Caldiroli, Davide La Tegola, Letizia Maria Affaticati, Francesca Manzo, Francesca Cella, Alberto Scalia, Enrico Capuzzi, Monica Nicastro, Fabrizia Colmegna, Massimiliano Buoli, Massimo Clerici, Antonios DakanalisList of authors in order
- Landing page
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https://doi.org/10.3390/nu15051133Publisher landing page
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https://www.mdpi.com/2072-6643/15/5/1133/pdf?version=1677580663Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2072-6643/15/5/1133/pdf?version=1677580663Direct OA link when available
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Neutrophil to lymphocyte ratio, Affect (linguistics), Medicine, Peripheral, Lymphocyte, Anorexia, Internal medicine, Immunology, Biomarker, Gastroenterology, Biology, Psychology, Biochemistry, CommunicationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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12Total citation count in OpenAlex
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2025: 5, 2024: 2, 2023: 5Per-year citation counts (last 5 years)
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89Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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