The aim of the study was to assess the nutritional status of adult homeless people using both anthropometric and biochemical measurements. The analysis comprised anthropometric indicators, i.e., body mass index and waist circumference, and the following biomarkers: red blood cells, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, white blood cells, complete lymphocyte count, neutrophils-to-lymphocytes ratio, platelets-to-lymphocytes ratio, platelets-to-leukocytes ratio, C reactive protein level, serum iron concentration, serum albumin concentration, total serum protein, fasting lipids and blood glucose level. There were representative Polish homeless people enrolled (n = 580). The analysis of the conducted studies proved that there is a greater frequency of overweight and obesity than underweight in the target population. The major problem was abdominal obesity that was present statistically more frequently in women than men (p < 0.001). In the majority of cases, homeless people were found to have normal complete blood count parameters. In obese people, there were statistically significant both elevated and decreased hematocrit levels, a significant decrease in red blood cells, elevated serum glucose, triglycerides and total protein level (p < 0.05). The presence of abdominal obesity, elevated glucose concentration, low-density lipoprotein cholesterol, and triglycerides, and decreased high-density lipoprotein cholesterol in serum together with smoking increase the risk of cardiovascular disease.

中文翻译：

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基于选定生化参数的波兰无家可归者营养状况分析

该研究的目的是通过人体测量和生化测量来评估成年无家可归者的营养状况。分析包括人体测量指标，即体重指数和腰围，以及以下生物标志物：红细胞，血红蛋白，血细胞比容，平均红细胞体积，平均红细胞血红蛋白浓度，平均红细胞血红蛋白，白细胞，完整淋巴细胞计数，中性白细胞-淋巴细胞比率，血小板/淋巴细胞比率，血小板/白细胞比率，C反应蛋白水平，血清铁浓度，血清白蛋白浓度，总血清蛋白，空腹血脂和血糖水平。招募了具有代表性的波兰无家可归者（n= 580）。对进行的研究进行的分析证明，在目标人群中，超重和肥胖的发生率比体重不足的发生率高。主要的问题是腹部肥胖，据统计女性肥胖的发生率高于男性（p <0.001）。在大多数情况下，发现无家可归的人具有正常的全血细胞计数参数。在肥胖人群中，血细胞比容水平升高和降低都有统计学意义，红细胞显着降低，血清葡萄糖，甘油三酸酯和总蛋白水平显着升高（p<0.05）。腹部肥胖，葡萄糖浓度升高，低密度脂蛋白胆固醇和甘油三酸酯的存在以及血清高密度脂蛋白胆固醇的降低以及吸烟增加了心血管疾病的风险。