The role of inflammatory cells in the association between helicobacter pylori and metabolic syndrome: a cross-sectional study.
- 1Department of Gastroenterology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
- 2Department of Health Management, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
- 3Department of Surgical Oncology, The Second Affiliated Hospital of Xian Jiaotong University, Xi'an, Shaanxi, China.
Abstract
Background
Helicobacter pylori (H. pylori) infection may be related to metabolic disorders, with inflammation activation considered as a potential link. The study investigated the association between H. pylori infection and metabolic syndrome (MetS), and explored the potential role of inflammatory cells in this association.Methods
This study was conducted in a health check-up group from a tertiary hospital in northwest China. Logistic regression models were used to examine the association between H. pylori and MetS. Restricted cubic splines (RCS) were employed to examine both linear and nonlinear relationships between inflammatory markers and MetS. Additionally, the mediating role of inflammatory cells was examined.Results
The study comprised 20,491 participants (9,586 women, 10,905 men). 32.5% was the infection rate for H. pylori. Univariate analysis showed that MetS and its five components were significantly associated to H. pylori infection. After controlling for covariates, H. pylori infection was positively associated with MetS (OR: 1.27, 95% CI: 1.17-1.38). Furthermore, H. pylori infection was significantly associated with central obesity, hypertriglyceridemia, reduced high-density lipoprotein cholesterol, and elevated blood pressure (OR ranging from 1.11 to 1.17, all p < 0.05). However, no significant correlation was found between H. pylori infection and hyperglycemia. The RCS analysis showed that, with the exception of Monocyte-to-Lymphocyte Ratio (MLR), all other inflammatory markers show a nonlinear association with MetS. Exploratory mediation analysis suggested that leukocytes, lymphocytes, neutrophils, and monocytes accounted for 27.7%, 19.0%, 18.3%, and 6.9% of the statistical association between H. pylori infection and MetS, respectively.Conclusions
This study indicates that H. pylori infection was positively associated with MetS and its components (dyslipidemia, abdominal obesity, and elevated blood pressure). Inflammatory indices may be involved in this association.
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BibTeX
@article{yang2026role,
title = {{The role of inflammatory cells in the association between helicobacter pylori and metabolic syndrome: a cross-sectional study.}},
author = {Haiyan Yang and Liuying He and Ziqin Zeng and Nan Yang and Qian Wang and Haitao Guan and Ping Zhao},
journal = {Frontiers in public health},
year = {2026},
month = oct,
doi = {10.3389/fpubh.2026.1913635},
url = {https://europepmc.org/article/MED/42909194},
note = {CC BY},
}
RIS
TY - JOUR
TI - The role of inflammatory cells in the association between helicobacter pylori and metabolic syndrome: a cross-sectional study.
AU - Haiyan Yang
AU - Liuying He
AU - Ziqin Zeng
AU - Nan Yang
AU - Qian Wang
AU - Haitao Guan
AU - Ping Zhao
PY - 2026
DA - 2026/10/07
JO - Frontiers in public health
DO - 10.3389/fpubh.2026.1913635
UR - https://europepmc.org/article/MED/42909194
AB - Background Helicobacter pylori (H. pylori) infection may be related to metabolic disorders, with inflammation activation considered as a potential link. The study investigated the association between H. pylori infection and metabolic syndrome (MetS), and explored the potential role of inflammatory cells in this association.Methods This study was conducted in a health check-up group from a tertiary hospital in northwest China. Logistic regression models were used to examine the association between H. pylori and MetS. Restricted cubic splines (RCS) were employed to examine both linear and nonlinear relationships between inflammatory markers and MetS. Additionally, the mediating role of inflammatory cells was examined.Results The study comprised 20,491 participants (9,586 women, 10,905 men). 32.5% was the infection rate for H. pylori. Univariate analysis showed that MetS and its five components were significantly associated to H. pylori infection. After controlling for covariates, H. pylori infection was positively associated with MetS (OR: 1.27, 95% CI: 1.17-1.38). Furthermore, H. pylori infection was significantly associated with central obesity, hypertriglyceridemia, reduced high-density lipoprotein cholesterol, and elevated blood pressure (OR ranging from 1.11 to 1.17, all p < 0.05). However, no significant correlation was found between H. pylori infection and hyperglycemia. The RCS analysis showed that, with the exception of Monocyte-to-Lymphocyte Ratio (MLR), all other inflammatory markers show a nonlinear association with MetS. Exploratory mediation analysis suggested that leukocytes, lymphocytes, neutrophils, and monocytes accounted for 27.7%, 19.0%, 18.3%, and 6.9% of the statistical association between H. pylori infection and MetS, respectively.Conclusions This study indicates that H. pylori infection was positively associated with MetS and its components (dyslipidemia, abdominal obesity, and elevated blood pressure). Inflammatory indices may be involved in this association.
SN - 2296-2565
ER -