Evidence map›Paper›PMID 41080937›Full record

ArticleFrontiers in medicine2025

Hemoglobin-to-red blood cell distribution width ratio: a new insight into cognitive protection for obese individuals.

Ruikai Xu, Zelin Wu, Zhonghua Liu

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ruikai XuDepartment of Rehabilitation, Zhongshan People's Hospital, Zhongshan, Guangdong, China.
Zelin WuDepartment of Rehabilitation, Zhongshan People's Hospital, Zhongshan, Guangdong, China.
Zhonghua LiuDepartment of Rehabilitation, Zhongshan People's Hospital, Zhongshan, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Aging and obesity are recognized as risk factors for cognitive decline. Hemoglobin (Hb) reflects oxygen supply capacity, while red blood cell distribution width (RDW) reflects levels of inflammation and oxidative stress. The hemoglobin-to-red blood cell distribution width ratio (HRR), by integrating the core physiological functions of Hb and RDW, can more comprehensively reflect the common mechanisms affecting aging, obesity, and cognitive function. The objective of this research was to explore the link between the HRR and cognitive performance among the obese population. Methods: This cross-sectional study used data from the National Health and Nutrition Examination Survey (NHANES) and employed multiple regression analysis, smooth curve fitting, and subgroup analysis to investigate the relationship between HRR and cognitive function. Results: 1,055 obese individuals aged ≥60 years participated in the study. After adjusting for covariates, HRR was significantly positively correlated with DSST scores (β = 14.45; 95% CI, 7.55-21.35) and total cognitive Z-scores (β = 1.53; 95% CI, 0.40-2.67). HRR was significantly negatively correlated with low cognitive function as assessed by DSST (OR = 0.04; 95% CI, 0.01-0.23). Compared to individuals with lower education levels, those with higher educational backgrounds showed a more pronounced positive correlation between HRR and DSST scores. Conclusion: Maintaining a higher HRR may be an important strategy for protecting cognitive function in obese individuals aged ≥60 years.

Indexed as

cognitive functionhemoglobinNHANESobesered blood cell distribution width ratio

Identifiers

PMID41080937
PMCPMC12512349

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.