Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008

ObjectiveThis study aimed to investigate the association between the Systemic Inflammatory Response Index (SIRI) and glaucoma using data from the 2005–2008 National Health and Nutrition Examination Survey (NHANES).MethodsWe performed a cross-sectional analysis using data from NHANES (2005–2008). Amo...

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Main Authors: Xiang Li, Yi Qing Sun, Xiao Dan Zhong, Zhi Jie Zhang, Jia Feng Tang, Zhan Yang Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1542073/full
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author Xiang Li
Yi Qing Sun
Xiao Dan Zhong
Zhi Jie Zhang
Jia Feng Tang
Zhan Yang Luo
author_facet Xiang Li
Yi Qing Sun
Xiao Dan Zhong
Zhi Jie Zhang
Jia Feng Tang
Zhan Yang Luo
author_sort Xiang Li
collection DOAJ
description ObjectiveThis study aimed to investigate the association between the Systemic Inflammatory Response Index (SIRI) and glaucoma using data from the 2005–2008 National Health and Nutrition Examination Survey (NHANES).MethodsWe performed a cross-sectional analysis using data from NHANES (2005–2008). Among participants who underwent non-mydriatic retinal imaging and Frequency Doubling Technology (FDT) visual field testing, 4,514 were included after excluding those with missing key variable data. SIRI and other inflammatory indices, including the systemic immune-inflammation index (SII), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-lymphocyte ratio (NLR), were calculated from blood samples. Logistic regression models were employed to assess the relationship between these indices and glaucoma, adjusting for demographic and health-related variables.ResultsA significant positive association was found between elevated log2SIRI levels and the prevalence of glaucoma (Model 3: OR 1.24, 95% CI 1.07–1.44, p < 0.005). We performed an in-depth analysis of the Log2SIRI quartiles and found a significant association between Log2SIRI Q4 and the occurrence of glaucoma (Model 3: OR1.62, 95%CI 1.12–2.34, p = 0.011). This correlation was further validated using the area under the receiver operator characteristic curve (AUC) in Model 3(AUC = 0.674).ConclusionElevated SIRI levels are significantly associated with the prevalence of glaucoma, highlighting the potential role of systemic inflammation in glaucoma pathogenesis. SIRI may serve as a useful biomarker for identifying individuals at risk of glaucoma, facilitating early detection and targeted intervention strategies. Further research is needed to validate these findings and explore their clinical applications.
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spelling doaj-art-1a349cc179ab4a09b7df95b7829091802025-02-04T06:31:50ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15420731542073Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008Xiang Li0Yi Qing Sun1Xiao Dan Zhong2Zhi Jie Zhang3Jia Feng Tang4Zhan Yang Luo5Eye Institute and Affiliated Xiamen Eye Center, School of Medicine, Xiamen University, Xiamen, ChinaChongqing Key Laboratory of Development and Utilization of Genuine Medicinal Materials in Three Gorges Reservoir Area, Chongqing Three Gorges Medical College, Wanzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaEye Institute and Affiliated Xiamen Eye Center, School of Medicine, Xiamen University, Xiamen, ChinaChongqing Key Laboratory of Development and Utilization of Genuine Medicinal Materials in Three Gorges Reservoir Area, Chongqing Three Gorges Medical College, Wanzhou, ChinaDepartment of Pharmacy, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, ChinaObjectiveThis study aimed to investigate the association between the Systemic Inflammatory Response Index (SIRI) and glaucoma using data from the 2005–2008 National Health and Nutrition Examination Survey (NHANES).MethodsWe performed a cross-sectional analysis using data from NHANES (2005–2008). Among participants who underwent non-mydriatic retinal imaging and Frequency Doubling Technology (FDT) visual field testing, 4,514 were included after excluding those with missing key variable data. SIRI and other inflammatory indices, including the systemic immune-inflammation index (SII), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-lymphocyte ratio (NLR), were calculated from blood samples. Logistic regression models were employed to assess the relationship between these indices and glaucoma, adjusting for demographic and health-related variables.ResultsA significant positive association was found between elevated log2SIRI levels and the prevalence of glaucoma (Model 3: OR 1.24, 95% CI 1.07–1.44, p < 0.005). We performed an in-depth analysis of the Log2SIRI quartiles and found a significant association between Log2SIRI Q4 and the occurrence of glaucoma (Model 3: OR1.62, 95%CI 1.12–2.34, p = 0.011). This correlation was further validated using the area under the receiver operator characteristic curve (AUC) in Model 3(AUC = 0.674).ConclusionElevated SIRI levels are significantly associated with the prevalence of glaucoma, highlighting the potential role of systemic inflammation in glaucoma pathogenesis. SIRI may serve as a useful biomarker for identifying individuals at risk of glaucoma, facilitating early detection and targeted intervention strategies. Further research is needed to validate these findings and explore their clinical applications.https://www.frontiersin.org/articles/10.3389/fmed.2025.1542073/fullsystemic inflammatory response indexglaucomaNHANESsystemic inflammationbiomarkers
spellingShingle Xiang Li
Yi Qing Sun
Xiao Dan Zhong
Zhi Jie Zhang
Jia Feng Tang
Zhan Yang Luo
Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
Frontiers in Medicine
systemic inflammatory response index
glaucoma
NHANES
systemic inflammation
biomarkers
title Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
title_full Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
title_fullStr Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
title_full_unstemmed Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
title_short Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
title_sort association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008
topic systemic inflammatory response index
glaucoma
NHANES
systemic inflammation
biomarkers
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1542073/full
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