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Evaluating the Link Between High-Density Lipoprotein-Related Inflammatory Indices and Gallstone Disease in U.S.
Chang Fu1, Junhong Chen1, Kai Liu1
1Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, 130021, Jilin, China, jlu.edu.cn.
Insights
High levels of HDL-related inflammatory indices, such as LHR and MHR, are linked to an increased risk of gallstone disease. These simple blood markers offer a cost-effective method for early gallstone risk assessment.
Area of Science:
- Digestive System Health
- Metabolic and Inflammatory Diseases
- Biomarker Discovery
Background:
- Gallstone disease is associated with inflammation and lipid metabolism.
- High-density lipoprotein (HDL) related inflammatory markers are key indicators of immune response.
- Understanding the link between HDL indices and gallstone formation is crucial.
Purpose of the Study:
- To investigate the association between HDL-related inflammatory indices and gallstone disease.
- To evaluate the predictive value of ratios like lymphocyte-to-HDL cholesterol (LHR) for gallstone risk.
Main Methods:
- Utilized data from the National Health and Nutrition Examination Survey (NHANES) 2017-2020 and 2021-2023.
- Employed weighted multivariable logistic regression and restricted cubic spline (RCS) analyses.
- Conducted subgroup analyses to ensure result consistency across diverse populations.
Main Results:
- A significant positive correlation was found between higher quartiles of LHR, monocyte-to-HDL cholesterol ratio (MHR), neutrophil-to-HDL cholesterol ratio (NHR), and platelet-to-HDL cholesterol ratio (PHR) and gallstone disease.
- Elevated risk of gallstone disease was observed with increased LHR (58.6%), MHR (67.6%), NHR (68.7%), and PHR (42.7%) compared to the lowest quartile.
- The association was stronger in females, non-diabetics, non-hypertensives, non-smokers, and alcohol consumers.
Conclusions:
- HDL-related inflammatory indices show a positive correlation with gallstone disease in a national sample.
- These indices, calculable from routine blood tests, provide a cost-effective tool for risk stratification.
- Potential for early detection and large-scale screening of individuals at risk for gallstone disease.
Background:
Gallstone disease is a condition affecting the digestive system, strongly linked to inflammation and lipid metabolism. Inflammatory markers derived from high-density lipoprotein (HDL), incorporating both immune cells and HDL-C, play a crucial role in assessing inflammatory responses. This study aims to explore the relationship between these HDL-related inflammatory indices and gallstone disease.
Methods:
The study population was derived from the National Health and Nutrition Examination Survey (NHANES) 2017-2020 and 2021-2023 datasets. To assess the association between HDL-related inflammatory indices and gallstone disease, weighted multivariable logistic regression and restricted cubic spline (RCS) analysis were utilized. Additionally, subgroup analysis was conducted to confirm the consistency of the results across different subpopulations.
Results:
Among the 16,871 participants included in the study, 11.0% were diagnosed with gallstone disease. When compared to the lowest quartile, those in the highest quartile of lymphocyte-to-HDL cholesterol ratio (LHR), monocyte-to-HDL cholesterol ratio (MHR), neutrophil-to-HDL cholesterol ratio (NHR), and platelet-to-HDL cholesterol ratio (PHR) faced an elevated risk of gallstone disease by 58.6% (OR = 1.586, 95% CI: 1.143-2.2), 67.6% (OR = 1.676, 95% CI: 1.275-2.204), 68.7% (OR = 1.687, 95% CI: 1.244-2.287), and 42.7% (OR = 1.427, 95% CI: 1.101-1.849), respectively. The correlation between HDL-related inflammatory indices and gallstone disease was more pronounced in females, individuals without diabetes or hypertension, nonsmokers, and those who consumed alcohol.
Conclusions:
This research identified a positive correlation between HDL-related inflammatory indices and gallstone disease in a nationally representative sample. These indices can be derived from routine blood tests at no additional cost, making them practical and cost-effective tools for early risk stratification and potential large-scale screening.
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