Background. Although counts of leukocytes differ substantially between
blacks and whites, and are predictive of ischaemic heart disease (IHD
), racial differences in counts of leukocyte subpopulations have recei
ved less attention. Methods. We examined black/white differences in le
ukocyte subpopulations among 3467 white and 493 black 31-45 year-old-m
en who had previously served in the US Army. Laboratory determinations
were performed at a central location during 1985-1986. Results. Black
men had an 840 cell/mu l (or 15%) lower mean total leukocyte count th
an did white men, largely due to a 960 cell/mu l (or 25%) lower mean n
eutrophil count, Although black men also had a 20% lower mean monocyte
count (approximate to 70 cells/mu l) than did white men, their mean l
ymphocyte count was 10% higher (approximate to 200 cells/mu l). Counts
of various leukocyte subpopulations were associated with cigarette sm
oking, haemoglobin levels, platelet counts, and several other characte
ristics, but black/white differences in counts of neutrophils, lymphoc
ytes, monocytes and other subpopulations could not be attributed to an
y of the examined covariates. Conclusions. Despite the relatively low
counts of leukocytes and neutrophils among black men, their lymphocyte
counts are generally higher than those among white men. It is possibl
e that black/white differences in counts of various cell types may inf
luence race-specific rates of IHD, and future studies should attempt t
o assess the importance of leukocyte subpopulations in the development
of clinical disease.