PLoS ONE (Jan 2025)

Systemic immunity-inflammation index and body mass index: A cross-sectional study.

  • Wei Guo,
  • Chongheng Zhang,
  • Fang Cao,
  • Xinxin Sun,
  • Jian Li,
  • Wenfeng Zhang

DOI
https://doi.org/10.1371/journal.pone.0327017
Journal volume & issue
Vol. 20, no. 7
p. e0327017

Abstract

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Background and aimThe Systemic Immunity-inflammation Index (SII) is an emerging metric for assessing an individual's immunological and inflammatory condition. Studies examining the relationship between SII and body mass index (BMI) are limited. This study aims to clarify the correlation between SII and BMI.MethodsThe current study investigated the association between SII and BMI using data from the National Health and Nutrition Examination Survey (NHANES). Information on SII and BMI was obtained from laboratory and demographic data. The analytical approach included techniques such as linear univariate analysis, linear multivariate analysis, and subgroup analysis to explore the intricate relationship between SII and BMI comprehensively.ResultsA total of 1568 participants who met the inclusion criteria were included in the study; their average age was 53.6 ± 16.7 years, and they were 40.8% female and 59.2% male. Several baseline indicators showed statistically significant differences across SII groups. Curve fitting revealed an inverted L-shape, non-linear relationship between SII and BMI. Multivariate linear regression analysis revealed that adjusted β values were 1.7 (95% CI: 0.87-2.54, p 0.05).ConclusionsIn summary, these findings reveal a robust association between SII and BMI within the examined American population.