Clinical significance of neutrophil-to-lymphocyte ratio on the risk of abdominal aortic calcification and decreased bone mineral density in patients with end-stage kidney disease Article Swipe
Tae Hyun Ban
,
Bum Soon Choi
,
Sun Ae Yoon
,
Yaerim Kim
,
Kyubok Jin
,
Gheun‐Ho Kim
,
Young‐Ki Lee
,
Kook‐Hwan Oh
,
Sang Ho Lee
,
Ji Yong Jung
,
Hyeong Cheon Park
,
Shin Young Ahn
,
Gang-Jee Ko
,
Youngjoo Kwon
,
Yu Ah Hong
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0286612
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0286612
Inflammation plays a major role in the pathogenesis of chronic kidney disease (CKD), but the relationship between systemic inflammation and CKD-mineral bone disease is unclear. We aimed to investigate whether the neutrophil-to-lymphocyte ratio (NLR) is related to abdominal aortic calcification (AAC) and bone mineral density (BMD) in dialysis patients. In this cross-sectional analysis using baseline data of a multicenter cohort, a total of 759 patients were divided into three groups according to NLR level, and the associations between NLR and Kauppila AAC score (AACS) and BMD were assessed. The highest tertile NLR group had more males, alcohol consumers, higher diabetes prevalence, and higher comorbidity index than the lowest tertile NLR group. Fasting glucose and C-reactive protein levels were higher, while serum albumin, serum iron, and lipid profiles except triglycerides were lower in the highest tertile group. AACS was significantly higher in the highest tertile group than in the lowest and middle tertile groups (p = 0.017), but the mean areal BMD and T-score of the lumbar spine and femur were not different between groups. NLR level was positively correlated with AACS in all aortic wall segments except L1 and L3 anterior. In multivariable logistic regression analysis, the highest tertile NLR group was independently associated with AAC (odds ratio 2.876, 95% confidence interval 1.250–6.619, p = 0.013) but was not associated with osteoporosis in the lumbar spine and femur after adjusting for confounding factors. The NLR can be used as a potential indicator of AAC in dialysis patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0286612
- OA Status
- gold
- Cited By
- 8
- References
- 51
- Related Works
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- OpenAlex ID
- https://openalex.org/W4387949085
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387949085Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pone.0286612Digital Object Identifier
- Title
-
Clinical significance of neutrophil-to-lymphocyte ratio on the risk of abdominal aortic calcification and decreased bone mineral density in patients with end-stage kidney diseaseWork 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
-
2023-10-25Full publication date if available
- Authors
-
Tae Hyun Ban, Bum Soon Choi, Sun Ae Yoon, Yaerim Kim, Kyubok Jin, Gheun‐Ho Kim, Young‐Ki Lee, Kook‐Hwan Oh, Sang Ho Lee, Ji Yong Jung, Hyeong Cheon Park, Shin Young Ahn, Gang-Jee Ko, Youngjoo Kwon, Yu Ah HongList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0286612Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1371/journal.pone.0286612Direct OA link when available
- Concepts
-
Medicine, Internal medicine, Bone mineral, Odds ratio, Gastroenterology, Kidney disease, Osteoporosis, Bone density, Abdominal aortic aneurysm, Erythrocyte sedimentation rate, Confidence interval, Surgery, AneurysmTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
8Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 7, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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51Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W4211140718, https://openalex.org/W2116618632, https://openalex.org/W2150709875, https://openalex.org/W2756825024, https://openalex.org/W3015951507, https://openalex.org/W2954892315, https://openalex.org/W2996273108, https://openalex.org/W1430642159, https://openalex.org/W2119232762, https://openalex.org/W3046121344, https://openalex.org/W2264401273, https://openalex.org/W2122371291, https://openalex.org/W1956255436, https://openalex.org/W2101394575, https://openalex.org/W1872429360, https://openalex.org/W1979209321, https://openalex.org/W2100656164, https://openalex.org/W4210349742, https://openalex.org/W3186554231, https://openalex.org/W2053791508, https://openalex.org/W3109269305, https://openalex.org/W1973207565, https://openalex.org/W2303888109, https://openalex.org/W4220699435, https://openalex.org/W2004068261, https://openalex.org/W2943066531, https://openalex.org/W4224251997, https://openalex.org/W2899847452, https://openalex.org/W2285799691, https://openalex.org/W1974418087, https://openalex.org/W2795795839, https://openalex.org/W3024292347, https://openalex.org/W3161509059, https://openalex.org/W3121741371, https://openalex.org/W3092138860, https://openalex.org/W3039155001, https://openalex.org/W2586664604, https://openalex.org/W2922980060, https://openalex.org/W1989283080, https://openalex.org/W3186008955, https://openalex.org/W1558856759, https://openalex.org/W3010344710, https://openalex.org/W2128798348, https://openalex.org/W4302305082, https://openalex.org/W2090765912, https://openalex.org/W2976440392, https://openalex.org/W2996806129, https://openalex.org/W1601520504, https://openalex.org/W3182456464, https://openalex.org/W3176364966, https://openalex.org/W4226182631 |
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