Onsori F, Akbari Rad M, Emadzadeh M, Moradi A, Mojahedi M, Shariati A et al . The Relationship between Neutrophil to Lymphocyte Ratio (NLR) and Mean Platelet Volume (MPV) with Diabetic Nephropathy. ijdld 2023; 23 (3) :191-198
URL:
http://ijdld.tums.ac.ir/article-1-6232-en.html
1- Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3- Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
4- Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
5- Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , yaghoubima@mums.ac.ir
Abstract: (588 Views)
Background: Diabetic nephropathy is the main cause of end-stage kidney disease in diabetic patients. Several inflammatory markers related with diabetic nephropathy have been investigated so far. It is necessary to identify easily available and cost-effective indices. We aimed to determine the relationship between the neutrophil to lymphocyte ratio and mean platelet volume with diabetic nephropathy.
Methods: This cross-sectional study was performed from 2021 to 2022 in diabetes clinic of Ghaem hospital, Mashhad. Patients with type II diabetes were categorized into two groups: without and with nephropathy (urinary albumin excretion greater than 30 mg/24h or GFR less than 60). Patients’ data, including demographic data, past medical and drug history and lab data were gathered and analyzed.
Results: In total, 100 diabetic patients including 50 with (mean age=64.04±7.40 years) and 50 without nephropathy (mean age=56.06±6.36 years), were studied. Patients with nephropathy were older, had a longer history of diabetes and a higher blood pressure (P < 0.05). However, the distribution of gender, weight, height, and BMI was not significantly different the two groups (P>0.05). The absolute neutrophil count was not significantly different between the two groups (P>0.05), while the mean platelet volume, neutrophil% and neutrophil/lymphocyte ratio were significantly higher in patients with nephropathy (P<0.05).
Conclusion: According to our findings, patients with diabetic nephropathy had higher mean platelet volume, neutrophil%, and neutrophil/lymphocyte ratios compared to diabetic patients without nephropathy.
Type of Study:
Research |
Subject:
Special Received: 2023/04/15 | Accepted: 2023/07/23 | Published: 2023/09/1