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High Values of the Leukocyte Glycemic Index Are Associated with Symptomatic Systemic Atherosclerotic Disease in Young Patients

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01 lip 2025

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FIGURE 1.

Graphic representation of the difference between patients with systemic atherosclerosis and without systemic atherosclerosis for NLR (A), PLR (B), MLR (C), and LGI (D)
Graphic representation of the difference between patients with systemic atherosclerosis and without systemic atherosclerosis for NLR (A), PLR (B), MLR (C), and LGI (D)

FIGURE 2.

ROC curve analysis for LGI regarding the presence of systemic atherosclerosis
ROC curve analysis for LGI regarding the presence of systemic atherosclerosis

Clinical stage of PAD among patients with systemic atherosclerosis

Leriche Fontaine classification, n (%) Systemic atherosclerosis group (n = 25)
Stage IIA 6 (24%)
Stage IIB 5 (20%)
Stage III 3 (12%)
Stage IV 5 (20%)
Carotid stenosis 6 (24%)

Predictive factors of systemic atherosclerosis in the study population

Variables Systemic atherosclerosis
OR 95% CI p value
Male 0.76 0.26–2.16 0.601
Age 2.07* 1.12–3.83 0.021
Hypertension 2.00 0.53–7.51 0.304
Chronic renal disease 1.48 0.09–24.84 0.786
Obesity 0.97 0.15–6.29 0.975
Active smoking 4.39 1.01–19.19 0.049
Platelets 2.18* 1.15–4.13 0.017
WBCs 2.06* 1.12–3.79 0.020
Neutrophils 2.75* 1.37–5.49 0.004
Lymphocytes 2.47* 1.14–5.34 0.021
Monocytes 2.03* 1.10–3.72 0.021
LGI 2.90* 1.15–7.29 0.024

Demographic data, comorbidities, risk factors, and laboratory data of the study population

Variable All patients (n = 59) Without atherosclerosis (n = 34) With atherosclerosis (n = 25) p value
Age, mean ± s.d. 37.19 ± 5.49 35.68 ± 6.04 39.24 ± 3.88 0.007
Male, n (%) 32 (54.24%) 17 (50%) 15 (60%) 0.446
Comorbidities and risk factors, n (%)
Hypertension 11 (18.64%) 4 (11.76%) 7 (28%) 0.114
Ischemic heart disease 3 (5.08%) 0 (0%) 3 (12%) 0.038
Atrial fibrillation 1 (1.69%) 0 (0%) 1 (4%) 0.240
Cerebrovascular events 5 (8.47%) 0 (0%) 5 (20%) 0.006
Obesity 5 (8.47%) 3 (8.82%) 2 (8%) 0.911
Active smoking 27 (45.76%) 7 (20.59%) 20 (80%) <0.001
Dyslipidemia 10 (16.95%) 3 (8.82%) 7 (28%) 0.052
Chronic renal disease 2 (3.39%) 0 (0%) 2 (8%) 0.093
Diabetes mellitus 2 (3.39%) 1 (2.94%) 1 (4%) 0.824
Laboratory data, mean ± s.d.
Red blood cells, × 106/μl 4.64 ± 0.49 4.72 ± 0.52 4.54 ± 0.45 0.190
Hemoglobin, g/dl 13.88 ± 1.67 14.00 ± 1.87 13.71 ± 1.38 0.416
Hematocrit, % 41.17 ± 4.43 41.63 ± 4.98 40.55 ± 3.56 0.244
Platelets, × 103/μl 260.65 ± 74.82 239.24 ± 52.44 289.78 ± 90.62 0.038
WBCs, × 103/μl 8.09 ± 2.82 7.31 ± 2.14 9.15 ± 3.30 0.003
Neutrophils, × 103/μl 5.50 ± 2.50 4.61 ± 1.89 6.7 ± 2.75 0.002
Lymphocytes, × 103/μl 2.15 ± 0.79 1.91 ± 0.53 2.46 ± 0.97 0.01
Monocytes, × 103/μl 0.63 ± 0.22 0.57 ± 0.18 0.70 ± 0.25 0.024
Eosinophils, × 103/μl 0.19 ± 0.23 0.16 ± 0.12 0.22 ± 0.32 0.429
Basophiles, × 103/μl 0.04 ± 0.02 0.05 ± 0.03 0.04 ± 0.02 0.889
Na, mmol/l 140.3 ± 2.34 140.61 ± 2.2 139.9 ± 2.5 0.211
K, mmol/l 4.39 ± 0.43 4.34 ± 0.28 4.45 ± 0.55 0.568
Glucose, mg/dl 98.5 ± 36.61 92.86 ± 14.54 105.72 ± 52.52 0.355
BUN, mg/dl 31.44 ± 22.21 28.78 ± 6.92 34.73 ± 32.41 0.347
Creatinine, mg/dl 0.99 ± 1.5 0.82 ± 0.13 1.21 ± 2.27 0.231
GFR, ml/min 106.85 ± 23.05 104.49 ± 15.99 109.87 ± 29.88 0.228
Quick time, s 12.41 ± 1.3 12.27 ± 1.48 12.59 ± 1.03 0.118
Prothrombin activity, % 98.5 ± 19.53 100.11 ± 17.56 96.4 ± 22.07 0.298
INR 1.03 ± 0.11 1.02 ± 0.1 1.03 ± 0.12 0.530
GOT, U/l 27.02 ± 15.04 27.38 ± 13.92 26.66 ± 16.32 0.682
GPT, U/l 32.77 ± 27.98 33.66 ± 30.09 31.67 ± 25.8 0.977