title: Associations between white blood cell count and risk for cerebrovascular disease mortality: NHANES II Mortality Study, 1976-1992.
abstract: OBJECTIVE
  To examine associations between elevated white blood cell count (WBC) and cerebrovascular disease (CeVD) mortality independent of cigarette smoking and by gender.
  
  
  METHODS
  We used Cox regression analyses of data from 8459 adults (3982 men; 4477 women) aged 30 to 75 years in the NHANES II Mortality Study (1976-1992) to estimate the relative risk of death from CeVD across quartiles of WBC.
  
  
  RESULTS
  During 17 years of follow-up, there were 192 deaths from CeVD (93 men; 99 women). Compared with those with WBC (cells/mm(3))<5700, adults with WBC>8200 were at increased risk of CeVD mortality (relative risk [RR], 2.1; 95% confidence interval [CI], 1.2-3.7) after adjustment for smoking and other cardiovascular disease risk factors. Similar results were observed among never smokers (RR, 2.0; 95% CI, 1.0-3.8). The adjusted relative risk of CeVD mortality comparing those with WBC>8200 to those with WBC<5700 was 1.5 (95% CI, 0.7-3.5) among men and 2.7 (95% CI, 1.4-5.0) among women.
  
  
  CONCLUSIONS
  Elevated WBC may predict CeVD mortality even after considering the effects of smoking and other cardiovascular disease risk factors.
authors.affiliation: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. dbrown6@cdc.gov
authors.forename: David W
authors.initials: DW
authors.lastname: Brown
authors.forename: Earl S
authors.initials: ES
authors.lastname: Ford
authors.forename: Wayne H
authors.initials: WH
authors.lastname: Giles
authors.forename: Janet B
authors.initials: JB
authors.lastname: Croft
authors.forename: Lina S
authors.initials: LS
authors.lastname: Balluz
authors.forename: Ali H
authors.initials: AH
authors.lastname: Mokdad
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D002561:Cerebrovascular Disorders / Q000097:blood / Q000401:mortality*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007958:Leukocyte Count; D007964:Leukocytosis / Q000150:complications / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D018570:Risk Assessment; D012307:Risk Factors; D016019:Survival Analysis; D014481:United States / Q000453:epidemiology
chemical_list: D015415:Biomarkers