AUTHOR=Huang Jin , Wu Hongjiang , Yu Fang , Wu Fangkun , Hang Chen , Zhang Xiaoya , Hao Yiting , Fu Hao , Xu Hongting , Li Rong , Chen Ding 

TITLE=Association between systemic immune-inflammation index and cataract among outpatient US adults

JOURNAL=Frontiers in Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1469200

DOI=10.3389/fmed.2024.1469200

ISSN=2296-858X

ABSTRACT=<sec id="sec1"><title>Background</title><p>While several studies have noted a higher SII correlates with multiple diseases, research on the association between SII and cataract remains limited. Our cross-sectional study seeks to examine the association between SII and cataract among outpatient US adults.</p></sec><sec id="sec2"><title>Methods</title><p>This compensatory cross-sectional study utilized NHANES data from 1999 to 2008 cycles, conducting sample-weighted multivariate logistic regression and stratified analysis of subgroups.</p></sec><sec id="sec3"><title>Results</title><p>Among 11,205 adults included in this study (5,571 [46.2%] male; 5,634 [53.8%] female), 2,131 (15.2%) had cataract and 9,074 (84.8%) did not have cataract. A fully adjusted model showed that SII higher than 500 × 10<sup>9</sup>/L was positively correlated with an increased risk of cataracts among women (OR, 1.27; 95% CI, 1.02–1.59) (<italic>p</italic> = 0.036). However, no difference was found in the men subgroup, and there was no significant interaction between SII and sex.</p></sec><sec id="sec4"><title>Conclusion</title><p>Our results indicated that a SII higher than 500 × 10<sup>9</sup>/L was positively correlated with an increased risk of cataracts in women. This study is the first to specifically investigate the impact of a high SII on cataract risk in outpatient adults in the United States. By effectively addressing inflammation, it is possible to mitigate cataract progression and significantly enhance patient outcomes.</p></sec>