Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey

Abstract Background Metabolic syndrome (MetS) is a global public health problem that significantly impacts human health and quality of life. The relationship between MetS and the C-reactive protein–albumin–lymphocyte (CALLY) index is uncertain. Methods This study analyzed the data of 7,534 individua...

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Main Authors: Lanlan Wu, Dunzheng Han, Yuting Xue, Shangfei He, Zhuang Ma, Shuwen Su, Peixin Li, Shenrong Liu, Haobin Zhou
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Diabetology & Metabolic Syndrome
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Online Access:https://doi.org/10.1186/s13098-025-01609-8
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author Lanlan Wu
Dunzheng Han
Yuting Xue
Shangfei He
Zhuang Ma
Shuwen Su
Peixin Li
Shenrong Liu
Haobin Zhou
author_facet Lanlan Wu
Dunzheng Han
Yuting Xue
Shangfei He
Zhuang Ma
Shuwen Su
Peixin Li
Shenrong Liu
Haobin Zhou
author_sort Lanlan Wu
collection DOAJ
description Abstract Background Metabolic syndrome (MetS) is a global public health problem that significantly impacts human health and quality of life. The relationship between MetS and the C-reactive protein–albumin–lymphocyte (CALLY) index is uncertain. Methods This study analyzed the data of 7,534 individuals from the National Health and Nutrition Examination Survey cycles (2003–2010 cycles). Weighted logistic regression and weighted restricted cubic spline (RCS) curve analyses were used to identify the relationships between the CALLY index and MetS, as well as its components. Results Of the 7,534 participants, 2,086 were diagnosed with MetS. The estimated prevalence of MetS decreased with an increase in the CALLY index (P < 0.001). Multivariable logistic regression analysis showed that the odds ratio of MetS was 0.25 (95% confidence interval 0.20–0.32, P < 0.001) in the highest CALLY index quartile compared with the lowest quartile after adjusting for confounding variables. The RCS curve analysis revealed non-linear relationships between the CALLY index and MetS or its components. Conclusions This study revealed an inverse relationship between the CALLY index and MetS risk. The CALLY index might be valuable for identifying individuals who are at a high risk of MetS. Clinical trial number Not applicable.
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series Diabetology & Metabolic Syndrome
spelling doaj-art-ec47a8683d0e4d1294ebb3864dc335f72025-02-02T12:35:06ZengBMCDiabetology & Metabolic Syndrome1758-59962025-01-0117111110.1186/s13098-025-01609-8Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination surveyLanlan Wu0Dunzheng Han1Yuting Xue2Shangfei He3Zhuang Ma4Shuwen Su5Peixin Li6Shenrong Liu7Haobin Zhou8Department of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityDepartment of Cardiology, First Affiliated Hospital, Guangzhou Medical UniversityAbstract Background Metabolic syndrome (MetS) is a global public health problem that significantly impacts human health and quality of life. The relationship between MetS and the C-reactive protein–albumin–lymphocyte (CALLY) index is uncertain. Methods This study analyzed the data of 7,534 individuals from the National Health and Nutrition Examination Survey cycles (2003–2010 cycles). Weighted logistic regression and weighted restricted cubic spline (RCS) curve analyses were used to identify the relationships between the CALLY index and MetS, as well as its components. Results Of the 7,534 participants, 2,086 were diagnosed with MetS. The estimated prevalence of MetS decreased with an increase in the CALLY index (P < 0.001). Multivariable logistic regression analysis showed that the odds ratio of MetS was 0.25 (95% confidence interval 0.20–0.32, P < 0.001) in the highest CALLY index quartile compared with the lowest quartile after adjusting for confounding variables. The RCS curve analysis revealed non-linear relationships between the CALLY index and MetS or its components. Conclusions This study revealed an inverse relationship between the CALLY index and MetS risk. The CALLY index might be valuable for identifying individuals who are at a high risk of MetS. Clinical trial number Not applicable.https://doi.org/10.1186/s13098-025-01609-8C-reactive protein–albumin–lymphocyte indexMetabolic syndrome
spellingShingle Lanlan Wu
Dunzheng Han
Yuting Xue
Shangfei He
Zhuang Ma
Shuwen Su
Peixin Li
Shenrong Liu
Haobin Zhou
Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
Diabetology & Metabolic Syndrome
C-reactive protein–albumin–lymphocyte index
Metabolic syndrome
title Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
title_full Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
title_fullStr Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
title_full_unstemmed Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
title_short Association between the C-reactive protein–albumin–lymphocyte index and metabolic syndrome: evidence from the 2003–2010 national health and nutrition examination survey
title_sort association between the c reactive protein albumin lymphocyte index and metabolic syndrome evidence from the 2003 2010 national health and nutrition examination survey
topic C-reactive protein–albumin–lymphocyte index
Metabolic syndrome
url https://doi.org/10.1186/s13098-025-01609-8
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