Open AccessFactors influencing erythrocyte sedimentation rate in adults
Author(s) -
Vanesa Alende-Castro,
Manuela Alonso-Sampedro,
Nuria Vázquez-Temprano,
Carmen Tuñez,
Daniel Scott Rey,
Carmen García-Iglesias,
Bernardo Sopeña,
Francisco Gudé,
Arturo González-Quintela
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000016816
Subject(s) - medicine , erythrocyte sedimentation rate , body mass index , metabolic syndrome , mean corpuscular volume , obesity , population , cross sectional study , hematocrit , alcohol consumption , demography , alcohol , physiology , environmental health , pathology , sociology , biochemistry , chemistry
The erythrocyte sedimentation rate (ESR) is a routine test for inflammation. Few studies have investigated the potential influence of lifestyle factors and common metabolic abnormalities on the ESR. This study investigates the influence of demographic factors, alcohol consumption, smoking, physical activity, obesity, and metabolic syndrome on the ESR in adults. This cross-sectional study covered 1472 individuals (44.5% males; age range, 18–91 years) randomly selected from the population of a Spanish municipality. The ESR was measured using a standardized method. We assessed habitual alcohol consumption in standard drinking units, along with tobacco smoking, regular physical exercise (by questionnaire), body mass index, and variables defining metabolic syndrome. Multivariate analyses were performed, including mean corpuscular volume and hemoglobin concentration in the models. The ESR was higher in females than in males, and increased steadily with age. Median ESR of females was 2-fold higher than that of males, and median ESR of individuals aged >65 years was 2-fold higher than that of individuals in the youngest category (ages 18–35 years). Body mass index, presence of metabolic syndrome, and smoking were independently and positively associated with higher ESR values. Light alcohol drinkers and individuals with high regular physical activity displayed lower ESR values than did alcohol abstainers and individuals with low physical activity, respectively. ESR varies greatly with age and sex, and corresponding reference values are proposed. Lifestyle factors (physical activity, smoking, and alcohol consumption) and common metabolic abnormalities (obesity and related metabolic syndrome) may also influence ESR values.