Higher remnant cholesterol increases the risk of coronary heart disease and diabetes in postmenopausal women
2024

Higher Remnant Cholesterol Increases Risk of Heart Disease and Diabetes in Postmenopausal Women

Sample size: 1611 publication Evidence: high

Author Information

Author(s): Zhang Yan, Song Kexin, Bi Shuli, Li Mingyang, Yao Zhuhua

Primary Institution: Tianjin Union Medical Center, Tianjin Medical University, Tianjin, China

Hypothesis

This study investigates the relationship between remnant cholesterol and the prevalence of coronary heart disease and diabetes in postmenopausal women.

Conclusion

The study finds a significant positive correlation between remnant cholesterol levels and the prevalence of coronary heart disease and diabetes among postmenopausal women.

Supporting Evidence

  • Higher remnant cholesterol levels were significantly associated with increased risks of coronary heart disease.
  • Higher remnant cholesterol levels were significantly associated with increased risks of diabetes.
  • Participants in the highest quartile of remnant cholesterol showed a 3.08-fold increase in the incidence of coronary heart disease combined with diabetes.

Takeaway

Higher levels of a type of cholesterol called remnant cholesterol can make older women more likely to get heart disease and diabetes.

Methodology

The study used data from the National Health and Nutrition Examination Survey (NHANES) 2007-2018 and employed multivariate logistic regression models to evaluate associations.

Potential Biases

Residual confounding from unmeasured variables may influence the findings.

Limitations

The observational nature of the study limits causal inferences, and the sample was restricted to U.S. participants, which may affect generalizability.

Participant Demographics

The study focused on postmenopausal women, with significant variations in ethnicity, education level, and health status observed across different remnant cholesterol quartiles.

Statistical Information

Confidence Interval

95%CI (1.02, 2.74) for CHD, 95%CI (1.22, 2.58) for diabetes, 95%CI (1.17, 4.42) for CHD combined with diabetes

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fendo.2024.1475933

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