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Updated: Jun 11, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Gender-specific correlations between remnant cholesterol and severe abdominal aortic calcification in American adults
Laisha Yan1, Xiaoyan Hu1, Shanshan Wu1
1Department of Cardiosurgery Intensive Care Unit, Ningbo Medical Centre Li Huili Hospital, Ningbo, China.
Insights
Higher remnant cholesterol (RC) levels significantly increase the risk of severe abdominal aortic calcification (AAC) in women. This association was not observed in men, indicating a gender-specific link between RC and AAC prevalence.
Area of Science:
- Cardiovascular research
- Metabolic health
- Epidemiology
Background:
- Remnant cholesterol (RC) is a known predictor of cardiovascular disease risk.
- RC is linked to various health conditions, including hypertension and liver disease.
- The relationship between RC and abdominal aortic calcification (AAC) remains unexplored.
Purpose of the Study:
- To investigate the correlation between remnant cholesterol (RC) and the prevalence of severe abdominal aortic calcification (AAC).
- To examine potential gender differences in the association between RC and severe AAC.
Main Methods:
- Cross-sectional analysis of data from the 2013-2014 National Health and Nutrition Examination Survey (NHANES).
- Utilized multiple logistic regression and generalized summation models.
- Performed subgroup analyses and threshold effect analysis to assess the RC-AAC relationship.
Main Results:
- A significant positive correlation was found between RC and severe AAC in female participants.
- No significant correlation was observed between RC and severe AAC in male participants.
- A significant interaction between gender and RC in relation to severe AAC was identified (P=0.0042).
Conclusions:
- Elevated remnant cholesterol (RC) levels are significantly associated with increased prevalence of severe abdominal aortic calcification (AAC) in women.
- The findings highlight a gender-specific relationship between RC and AAC.
- Further research may elucidate the mechanisms underlying this observed gender difference.
Background:
Remnant cholesterol (RC) predicts cardiovascular risk and is associated with a range of diseases, including asthma, hypertension, depression, periodontitis, and alcoholic fatty liver disease. However, its correlation with abdominal aortic calcification (AAC) has not been reported.
Methods:
Using a cross-sectional approach, this study examined data from the 2013-2014 National Health and Nutrition Examination Survey (NHANES) cycle. Multiple logistic regression, generalized summation models, and subgroup analyses were used in examining the correlation between RC and the prevalence of severe AAC.
Results:
The mean age of participants in this study was 57.70 ± 11.73 years, with 142 individuals (9.67%) suffering from severe AAC. The median RC was 0.52 mmol/L (Q1-Q3, 0.36-0.75 mmol/L). Among female participants, a significant positive correlation was observed between RC and severe AAC (per natural log [RC] increment: 2.14; 95% CI, 1.07-4.27). Smooth curve fitting and threshold effect analysis revealed a saturation effect at an RC level of 0.57 mmol/L. Conversely, in male participants, no significant correlation was found between RC and the prevalence of severe AAC (per natural log [RC] increment: 0.88; 95% CI, 0.43-1.78). Our findings suggest a significant interaction between gender and RC in relation to severe AAC (P for interaction = 0.0042).
Conclusions:
Higher RC levels were significantly associated with an increased prevalence of severe AAC in women.
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