Lipids in Health and Disease最新文献

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Global variations in omega-3 fatty acid status and omega-6:omega-3 ratios: insights from > 500,000 whole-blood dried blood spot samples. 欧米伽-3脂肪酸状态和欧米伽-6:欧米伽-3比率的全球变化:来自bbb50万全血干血斑样本的见解。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-08-09 DOI: 10.1186/s12944-025-02676-6
Martina Torrissen, Emmalee Gisslevik, Thomas E Gundersen, Tore Bolstad, Ola Eide, Angela Maria Rizzo, Paul Clayton, Colin Robertson
{"title":"Global variations in omega-3 fatty acid status and omega-6:omega-3 ratios: insights from > 500,000 whole-blood dried blood spot samples.","authors":"Martina Torrissen, Emmalee Gisslevik, Thomas E Gundersen, Tore Bolstad, Ola Eide, Angela Maria Rizzo, Paul Clayton, Colin Robertson","doi":"10.1186/s12944-025-02676-6","DOIUrl":"10.1186/s12944-025-02676-6","url":null,"abstract":"<p><p>Omega-3 (n-3) fatty acids are critical for human health, with the omega-6 (n-6) to n-3 fatty acid ratio and the omega-3 levels recognized as contributing to the risk of many chronic non-communicable diseases. Direct measurement of fatty acid levels in blood provides the most accurate assessment of fatty acid status and balance, with fingertip dried blood spot (DBS) analysis offering a practical and cost-effective assessment method. This study analyses more than 590,000 globally sourced DBS samples, providing fatty acid profiles in whole blood across diverse populations. Results reveal significant global and demographic disparities in n-3 levels and n-6:n-3 ratios, with suboptimal n-3 levels and imbalanced n-6:n-3 ratios prevalent worldwide. While the findings align with general trends reported in previous global mapping studies on omega-3 status in red blood cells (RBC), they are based on whole blood measurements and highlight the utility of DBS testing for large-scale monitoring. These results underscore the need to enhance n-3 fatty acid intakes to help mitigate multiple global health challenges and demonstrate the utility of fingertip DBS testing as a practical approach to design dietary interventions to promote overall well-being.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"260"},"PeriodicalIF":3.9,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the impact of aggressive versus intermediate LDL-C goal achievement in Asian adults: a retrospective cohort study using national health insurance service-senior cohort. 评估亚洲成年人积极与中度LDL-C目标实现的影响:一项使用国家健康保险服务的回顾性队列研究。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-08-08 DOI: 10.1186/s12944-025-02677-5
Yu-Cheol Lim, Suk-Chan Jang, Eui-Kyung Lee, Mi-Hai Park
{"title":"Assessing the impact of aggressive versus intermediate LDL-C goal achievement in Asian adults: a retrospective cohort study using national health insurance service-senior cohort.","authors":"Yu-Cheol Lim, Suk-Chan Jang, Eui-Kyung Lee, Mi-Hai Park","doi":"10.1186/s12944-025-02677-5","DOIUrl":"10.1186/s12944-025-02677-5","url":null,"abstract":"<p><strong>Background: </strong>Optimal low-density lipoprotein cholesterol (LDL-C) targets remain a subject of debate for Asian adults, whose cardiovascular risk profiles and treatment responses may differ physiologically from Western populations. Clarifying appropriate LDL-C management goals could enhance the clinical effectiveness of cardiovascular care, ultimately improving health outcomes in Asia. This study evaluated the impact of achieving intermediate versus aggressive LDL-C targets on the incidence of atherosclerotic cardiovascular disease (ASCVD) and all-cause death among Asian adults.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the senior cohort of the Korean National Health Insurance Service. Patients who had initiated statin therapy were included in the study. Patients were categorised into two groups based on the achieved LDL-C targets: intermediate and aggressive. The incidence rate ratios (IRRs) and hazard ratios (HRs) for ASCVD and all-cause death were calculated using multivariable time-dependent Cox regression and marginal structural models.</p><p><strong>Results: </strong>A propensity score-matched retrospective cohort of 951 patients aged 52 years or older per group was identified. No significant differences were observed in the incidence of ASCVD events (IRR, 1.182; 95% confidence interval [CI], 0.926-1.507) or all-cause death (IRR, 1.223; 95% CI, 0.735-2.034) between individuals who achieved intermediate and aggressive LDL-C goals. Similarly, the HRs showed no significant differences in the risk of ASCVD events (HR, 0.943; 95% CI, 0.698-1.276) or all-cause death (HR, 1.082; 95% CI, 0.597-1.959) in the time-dependent Cox model or in the marginal structural model for ASCVD events (HR, 0.945; 95% CI, 0.699-1.279) and all-cause death (HR, 1.072; 95% CI, 0.592-1.941).</p><p><strong>Conclusion: </strong>These findings underscore the need for LDL-C management strategies tailored to the unique physiological and clinical characteristics of Asian populations. Such an individualized approach may facilitate more effective and patient-centered cardiovascular care, ultimately leading to improved health outcomes in Asia.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"259"},"PeriodicalIF":3.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comprehensive investigation of the relationship between dietary fatty acid intake and preserved ratio impaired spirometry: multimethodology based on NHANES. 膳食脂肪酸摄入与保存比肺功能受损关系的综合研究:基于NHANES的多方法研究。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-08-01 DOI: 10.1186/s12944-025-02674-8
Chenyuan Deng, Yu Jiang, Yuechun Lin, Hengrui Liang, Wei Wang, Jianxing He, Ying Huang
{"title":"A comprehensive investigation of the relationship between dietary fatty acid intake and preserved ratio impaired spirometry: multimethodology based on NHANES.","authors":"Chenyuan Deng, Yu Jiang, Yuechun Lin, Hengrui Liang, Wei Wang, Jianxing He, Ying Huang","doi":"10.1186/s12944-025-02674-8","DOIUrl":"10.1186/s12944-025-02674-8","url":null,"abstract":"<p><strong>Background: </strong>Preserved ratio impaired spirometry (PRISm) has been identified as a potential precursor to chronic obstructive pulmonary disease (COPD) and demonstrates a significant correlation with unfavorable clinical outcomes. Modification of PRISm-related risk factors is a higher priority in public health than treating PRISm itself. Dietary fatty acids (FAs) affect human health through a variety of physiological pathways. However, no prior research has investigated the associations of FAs and their subclasses with PRISm, particularly the combined effects of different types of FAs.</p><p><strong>Methods: </strong>Data analysis was conducted on 8,836 individuals drawn from the NHANES dataset spanning the years 2007 to 2012. Logistic regression and smooth curve fitting were first used to assess relationships of individual FA intake with PRISm. Multiple comparisons were adjusted using the Benjamini-Hochberg (BH) correction. Threshold effect analysis was conducted to explore potential nonlinear associations. Subsequently, innovative implementation of the principal component analysis (PCA), Weighted Quantile Sum (WQS) regression, and Bayesian Kernel Machine Regression (BKMR) approaches were employed to assess the joint impact of the various intake of FAs, as well as total saturated, monounsaturated, and polyunsaturated FAs on PRISm. To facilitate the prediction of PRISm, six distinct machine learning algorithms were constructed, followed by the application of SHAP analysis to elucidate the contribution of individual predictors. For improved clinical utility, the most effective model was further implemented as an online tool.</p><p><strong>Results: </strong>The weighted prevalence of PRISm observed in this study was 8.81%. The results from the single-exposure models demonstrated that most FAs were negatively associated with PRISm, and these associations remained significant after BH correction. In all three models, saturated FAs revealed impressive protective associations with PRISm. LightGBM was identified as the most effective machine learning model. Among all variables, race was the most influential factor and butyric acid (SFA 4:0) was identified as the most critical FA subclass.</p><p><strong>Conclusions: </strong>Adequate dietary intake of FAs may reduce the prevalence of PRISm. Furthermore, an interactive Web-based application enables healthcare professionals to estimate individuals' odds of having PRISm and to design personalized dietary interventions based on their specific needs.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"258"},"PeriodicalIF":3.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitamin D immune modulation of the anti-inflammatory effects of HDL-associated proteins. 维生素D免疫调节高密度脂蛋白相关蛋白的抗炎作用。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-31 DOI: 10.1186/s12944-025-02639-x
Hanaa Mousa, Susu M Zughaier
{"title":"Vitamin D immune modulation of the anti-inflammatory effects of HDL-associated proteins.","authors":"Hanaa Mousa, Susu M Zughaier","doi":"10.1186/s12944-025-02639-x","DOIUrl":"10.1186/s12944-025-02639-x","url":null,"abstract":"<p><p>Vitamin D is a crucial element in bone metabolism and plays a role in innate immunity and inflammation suppression. Deficiency in this vitamin leads to disturbances in many biological functions, including the lipid profile. The decrease in HDL levels is associated with disruptions in its function and dynamic modifications in its components, such as apolipoproteins, including ApoM, ApoA-1, and ApoD. Consequently, the anti-inflammatory potential of HDL and HDL-associated proteins is reduced, resulting in heightened inflammation. However, the relationship between modifications in lipid profile, apolipoproteins, inflammation, and vitamin D remains unclear. This review highlights the connection between vitamin D status and its possible effects on the lipid profile, specifically HDL-associated proteins.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"257"},"PeriodicalIF":3.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in mass spectrometry of lipids for the investigation of Niemann-pick type C disease. neemann -pick C型病血脂质谱研究进展
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-30 DOI: 10.1186/s12944-025-02675-7
Roshan Javanshad, Wenping Li, Koralege C Pathmasiri, Stephanie M Cologna
{"title":"Advances in mass spectrometry of lipids for the investigation of Niemann-pick type C disease.","authors":"Roshan Javanshad, Wenping Li, Koralege C Pathmasiri, Stephanie M Cologna","doi":"10.1186/s12944-025-02675-7","DOIUrl":"10.1186/s12944-025-02675-7","url":null,"abstract":"<p><p>Niemann-Pick type C (NPC) disease is a devastating, fatal, neurodegenerative disease and a form of lysosomal storage disorder. It is caused by mutations in either NPC1 or NPC2 genes, leading to the accumulation of cholesterol and other lipids in the late endosome/lysosome system, a hallmark of the disease. Due to aberrant lipid trafficking in NPC, various techniques have been employed to study cholesterol and lipid dysregulation. Among them, mass spectrometry (MS)-based lipidomics has emerged as a state-of-the-art approach, providing valuable insights into disease pathophysiology, progression, and therapeutic target development. This review highlights the MS instruments used for lipidomics studies and discusses lipid biomarkers identified using MS in the context of NPC disease. Furthermore, integrating lipidomics with other -omics approaches, and leveraging the power of artificial intelligence, should be prioritized in future studies to holistically understand NPC disease.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"254"},"PeriodicalIF":3.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of the Neutrophil-to-Lymphocyte Ratio(NLR), Triglyceride-Glucose Index (TyG), and TyG-derived indices with vitality decline in older adults in China: a study within the Integrated Care for Older People (ICOPE) framework. 中性粒细胞与淋巴细胞比率(NLR)、甘油三酯-葡萄糖指数(TyG)和TyG衍生指数与中国老年人活力下降的关系:一项在老年人综合护理(ICOPE)框架内的研究。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-30 DOI: 10.1186/s12944-025-02671-x
Jiaxiu Zhao, Xueying Ji, Yixin Chen, Jiaofeng Wang, Jie Chen, Yiqin Huang, Zhijun Bao
{"title":"Associations of the Neutrophil-to-Lymphocyte Ratio(NLR), Triglyceride-Glucose Index (TyG), and TyG-derived indices with vitality decline in older adults in China: a study within the Integrated Care for Older People (ICOPE) framework.","authors":"Jiaxiu Zhao, Xueying Ji, Yixin Chen, Jiaofeng Wang, Jie Chen, Yiqin Huang, Zhijun Bao","doi":"10.1186/s12944-025-02671-x","DOIUrl":"10.1186/s12944-025-02671-x","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background/objectives: &lt;/strong&gt;Aging populations have led to numerous health challenges. The World Health Organization (WHO) proposed \"Healthy Aging\" to promote elderly health by optimizing Intrinsic Capacity (IC) with vitality as a core component of metabolic homeostasis. The relationships between vitality decline and inflammatory-metabolic indicators (the NLR and TyG index) remain to be investigated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study recruited 986 community-dwelling adults ≥ 60 years old at the Beixingjing Street Community from March 25, 2024, to June 17, 2024, in Shanghai, China. Participants underwent comprehensive face‒to-face assessments with IC evaluations conducted according to the Integrated Care for Older People (ICOPE) guidelines. Vitality was evaluated using the Mini Nutritional Assessment-Short Form (MNA-SF). The study population was divided into two groups based on vitality decline (scores &lt; 12). Multivariable logistic regression was used to analyze associations between vitality decline and other IC domains as well as between vitality decline and inflammatory (NLR) and metabolic indices (TyG, TyG-WC, TyG-BMI, and TyG-WHtR). Three logistic regression models constructed with progressive adjustments were used to assess associations between indices (NLR, TyG, TyG-WC, TyG-BMI, and TyG-WHtR) and vitality decline. Restricted cubic spline (RCS) analyses explored potential nonlinear relationships and threshold effects. Receiver Operating Characteristic (ROC) curve analysis was used to assess the discriminative capacity of different models.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The prevalence of vitality decline was 16.43%. Vitality decline was strongly associated with psychological and locomotor capacity decline in fully adjusted models (p &lt; 0.05). An elevated NLR showed a significant association with greater vitality decline (OR = 1.233, p = 0.045). Participants in the highest NLR quartile (Q4) demonstrated significantly greater odds of vitality decline compared to those in the lowest quartile (Q1) (OR = 1.886, p = 0.043). Conversely, unit increases in TyG-derived indices demonstrated protective effects as follows: TyG-WC (OR = 0.988, p &lt; 0.001), TyG-BMI (OR = 0.952, p &lt; 0.001) and TyG-WHtR (OR = 0.120, p &lt; 0.001). In contrast, TyG alone did not reach statistical significance (OR = 0.622, p = 0.078). The highest-quartile (Q4) participants presented a significantly lower risk of vitality decline than the lowest-quartile (Q1) participants as follows: TyG-WC (OR = 0.104, p &lt; 0.001), TyG-BMI (OR = 0.052, p &lt; 0.001), and TyG-WHtR (OR = 0.070, p &lt; 0.001). Interaction terms between NLR, TyG and its indicators were analyzed in separate models and across quartiles. These terms did not show consistent significant associations with vitality decline. RCS analysis with vitality decline as the dependent variable identified threshold effects at TyG-WC = 794.358, TyG-BMI = 209.179, and TyG-WHtR = 4.476. The analysis revealed significant posi","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"256"},"PeriodicalIF":3.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracellular cholesterol: new functions and therapeutic approaches in NSCLC EGFR-TKI resistance. 细胞内胆固醇:NSCLC EGFR-TKI耐药的新功能和治疗途径
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-30 DOI: 10.1186/s12944-025-02559-w
Linjuan Wang, Yue Qiu, Xiang Huang, Shimei Zhang, Min Zhao, Qiufang Chen
{"title":"Intracellular cholesterol: new functions and therapeutic approaches in NSCLC EGFR-TKI resistance.","authors":"Linjuan Wang, Yue Qiu, Xiang Huang, Shimei Zhang, Min Zhao, Qiufang Chen","doi":"10.1186/s12944-025-02559-w","DOIUrl":"10.1186/s12944-025-02559-w","url":null,"abstract":"<p><p>Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) have markedly enhanced survival rates among patients with advanced non-small cell lung cancer (NSCLC) exhibiting EGFR mutations. However, acquired resistance diminishes their therapeutic efficacy over time. Recent investigations have linked intracellular cholesterol with the emergence and advancement of various cancers. Elevated cholesterol levels could correlate with resistance to EGFR-TKIs in NSCLC. This review examines the association between cholesterol and EGFR-TKI resistance in NSCLC, with the objective of identifying more effective treatments and surmounting resistance.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"255"},"PeriodicalIF":3.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral blood metabolic profiles of chronic rhinosinusitis and their mediating role between obesity and disease. 慢性鼻窦炎的外周血代谢特征及其在肥胖与疾病之间的中介作用。
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-28 DOI: 10.1186/s12944-025-02672-w
Zengxiao Zhang, Shunke Li, Shizhe Zhou, Lin Wang, Xudong Yan, Longgang Yu, Yan Jiang
{"title":"Peripheral blood metabolic profiles of chronic rhinosinusitis and their mediating role between obesity and disease.","authors":"Zengxiao Zhang, Shunke Li, Shizhe Zhou, Lin Wang, Xudong Yan, Longgang Yu, Yan Jiang","doi":"10.1186/s12944-025-02672-w","DOIUrl":"10.1186/s12944-025-02672-w","url":null,"abstract":"<p><strong>Background: </strong>Chronic rhinosinusitis (CRS) is increasingly linked to systemic inflammation, however, research on peripheral blood metabolic patterns in CRS patients remains limited. This study aimed to investigate peripheral blood metabolic profiles in eosinophilic CRS and non-eosinophilic CRS, while exploring the mediating role of metabolites in the relationship between body mass index and CRS.</p><p><strong>Methods: </strong>Clinical data were collected from 1,151 CRS patients and 814 healthy controls, classifying patients into eosinophilic CRS and non-eosinophilic CRS groups based on tissue eosinophil counts. Peripheral blood metabolic profiles were compared across different CRS endotypes and between CRS patients and healthy controls. Causal mediation analysis assessed the mediating effects of metabolites on the relationship between body mass index and CRS.</p><p><strong>Results: </strong>CRS patients exhibited distinct metabolic profiles, with dysregulated lipid metabolism characterized by increased triglycerides, free fatty acids, and lipoprotein(a), but patients with eosinophilic CRS had higher triglycerides, while non-eosinophilic CRS had higher free fatty acids. Cystatin-C effectively differentiated CRS endotypes (area under the curve = 0.735). Elevated body mass index was a risk factor for both eosinophilic CRS and non-eosinophilic CRS patients, with peripheral free fatty acids and Cystatin-C mediating this effect.</p><p><strong>Conclusions: </strong>This study reveals distinct metabolic profiles in patients with CRS, supporting its link to systemic inflammation. Promoting healthy dietary habits and weight control is therefore a cornerstone of sustainable, preventive care, offering a practical strategy to improve long-term patient well-being, particularly in refractory cases.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"251"},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rates of acute pancreatitis and cardiovascular events among adults with severe or extreme hypertriglyceridemia in US clinical practice. 美国临床实践中严重或极端高甘油三酯血症成人急性胰腺炎和心血管事件的发生率
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-28 DOI: 10.1186/s12944-025-02658-8
Asia Sikora Kessler, Seth J Baum, Emily Kutrieb, Montserrat Vera Llonch, Alex Lonshteyn, Derek Weycker, Daniel E Soffer
{"title":"Rates of acute pancreatitis and cardiovascular events among adults with severe or extreme hypertriglyceridemia in US clinical practice.","authors":"Asia Sikora Kessler, Seth J Baum, Emily Kutrieb, Montserrat Vera Llonch, Alex Lonshteyn, Derek Weycker, Daniel E Soffer","doi":"10.1186/s12944-025-02658-8","DOIUrl":"10.1186/s12944-025-02658-8","url":null,"abstract":"<p><strong>Background: </strong>Severe and extreme hypertriglyceridemia (sHTG [TG 500-879 mg/dL; 5.65-9.93 mmol/L]; eHTG [TG ≥ 880 mg/dL; ≥ 9.94 mmol/L]) are important risk factors for acute pancreatitis (AP) and cardiovascular (CV) events. The objective of this study was to estimate rates of AP and CV events for adults with (and without) sHTG/eHTG in US clinical practice.</p><p><strong>Methods: </strong>A retrospective design and data from the MarketScan Research Databases were employed. Study population comprised adults with ≥ 1 TG value and was stratified by index TG (< 150, 150-499, 500-879, ≥ 880 mg/dL; < 1.69, 1.69-5.64, 5.65-9.93, ≥ 9.94 mmol/L). AP/CV events (per 1,000 person-years [PY]) were ascertained from index TG through end of study period, and were estimated for TG-specific subgroups and selected subsets defined therein.</p><p><strong>Results: </strong>Study population totaled 1.8 M adults (TG < 150 mg/dL [< 1.69 mmol/L]: N = 1.3 M; TG 150-499 mg/dL [1.69-5.64 mmol/L]: N = 449 K; TG 500-879 mg/dL [5.65-9.93 mmol/L]: N = 12,050; TG ≥ 880 mg/dL [≥ 9.94 mmol/L]: N = 3,944). AP rates (per 1,000 PY) increased from lowest to highest TG value (0.6 [< 150 mg/dL; < 1.69 mmol/L]) to 9.9 [≥ 880 mg/dL; ≥ 9.94 mmol/L]); rates were highest for adults with TG ≥ 880 mg/dL (≥ 9.94 mmol/L) and history of AP (193.0), pre-existing diabetes (13.9), or history of LLT (13.9). CV event rates (per 1,000 PY) also increased from lowest to highest TG value (3.3 [< 150 mg/dL; < 1.69 mmol/L]) to 10.3 [≥ 880 mg/dL; ≥ 9.94 mmol/L]); rates were highest for adults with TG ≥ 880 mg/dL (≥ 9.94 mmol/L) and history of CV events (116.5), pre-existing diabetes (18.1), or history of LLT (14.5).</p><p><strong>Conclusion: </strong>Rates of AP/CV events are substantially higher among adults with elevated TG values, and are especially high among adults with sHTG or eHTG, in particular those with these conditions and other risk factors. Understanding the magnitude of disease risk among sHTG/eHTG patients, with increasing TG levels as well as within important subgroups, is critical to improving patient care and outcomes.</p>","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"252"},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between visceral fat area and heart rate variability in high altitude migrants with OSA: the mediating effect of insulin resistance. 高海拔OSA患者内脏脂肪面积与心率变异性的关系:胰岛素抵抗的中介作用
IF 3.9 2区 医学
Lipids in Health and Disease Pub Date : 2025-07-28 DOI: 10.1186/s12944-025-02626-2
Shanshan Jia, Yongxing Fu, Yong Wu, Hongwei Li, Doudou Hao, Yunhong Wu, Xiaoping Chen, Liming Zhao
{"title":"Association between visceral fat area and heart rate variability in high altitude migrants with OSA: the mediating effect of insulin resistance.","authors":"Shanshan Jia, Yongxing Fu, Yong Wu, Hongwei Li, Doudou Hao, Yunhong Wu, Xiaoping Chen, Liming Zhao","doi":"10.1186/s12944-025-02626-2","DOIUrl":"10.1186/s12944-025-02626-2","url":null,"abstract":"","PeriodicalId":18073,"journal":{"name":"Lipids in Health and Disease","volume":"24 1","pages":"253"},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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