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Hemoglobin-to-red cell distribution width ratio and diabetes mellitus:a cross-sectional analysis of NHANES database
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Yan TANG1, Jie HUI3, Wan-jia ZHANG1, Bin-quan TANG1, Fan XIAO2, Rong YU2
Modern Preventive Medicine | 2026, 53(1) : 7 - 12
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Modern Preventive Medicine | 2026, 53(1): 7-12
• Epidemiology and Statistical Methods •
Hemoglobin-to-red cell distribution width ratio and diabetes mellitus:a cross-sectional analysis of NHANES database
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Yan TANG1, Jie HUI3, Wan-jia ZHANG1, Bin-quan TANG1, Fan XIAO2, Rong YU2
Affiliations
  • The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China
Published: 2026-01-10 doi: 10.20043/j.cnki.MPM.202507233
Outline
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Objective

This study aims to explore the association between the hemoglobin-to-red blood cell distribution width ratio (HRR) and the risk of diabetes mellitus (DM).

Methods

A total of 16 392 participants from the 2001—2020 National Health and Nutrition Examination Survey(NHANES) database were selected for this study. Logistic regression, subgroup analysis, and restricted cubic splin (RCS) analysis were applied to investigate the relationship between HRR and DM.

Results

The mean HRR among the included participants was 0.27±0.98, with diabetic patients showing significantly lower HRR compared to the control group (P<0.001). Logistic regression analysis revealed that when HRR was modeled as a continuous variable, for each standard deviation increase in HRR, the risk of DM decreased by 11% (OR=0.89, 95% CI: 0.84-0.95). When HRR was treated as a categorical variable based on quartiles, the highest fourth quartile(Q4) consistently showed a significant reduction in DM risk compared to the lowest quartile (Q1) across all three models (OR<1). Subgroup analysis demonstrated that increased HRR was associated with a reduced risk of DM in most subgroups, with most P-values<0.05. The dose-response analysis indicated a linear negative correlation between HRR and the risk of DM(P-nonlinear=0.395).

Conclusion

HRR is associated with the risk of DM, and higher HRR levels are protective against the development of diabetes.

Hemoglobin-to-red cell distribution width ratio  /  Diabetes mellitus  /  NHANES
唐燕, 惠杰, 张万佳, 唐彬荃, 肖凡, 喻嵘. 血红蛋白-红细胞分布宽度比与糖尿病患病的关系——基于NHANES数据库的横断面研究. 现代预防医学, 2026 , 53 (1) : 7 -12 . DOI: 10.20043/j.cnki.MPM.202507233
Yan TANG, Jie HUI, Wan-jia ZHANG, Bin-quan TANG, Fan XIAO, Rong YU. Hemoglobin-to-red cell distribution width ratio and diabetes mellitus:a cross-sectional analysis of NHANES database[J]. Modern Preventive Medicine, 2026 , 53 (1) : 7 -12 . DOI: 10.20043/j.cnki.MPM.202507233
Year 2026 volume 53 Issue 1
17
9
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Article Info
doi: 10.20043/j.cnki.MPM.202507233
  • Receive Date:2025-07-13
  • Online Date:2026-11-02
  • Published:2026-01-10
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  • Received:2025-07-13
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    The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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