Sun Yifan, Li Zhou, Feng Ninghan
Department of Urology, Jiangnan University Medical Center, Wuxi, China.
Department of Urology, Nanjing Medical University, Wuxi No.2 Hospital, Wuxi, China.
Sci Rep. 2025 Apr 12;15(1):12611. doi: 10.1038/s41598-025-96299-7.
The non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) is a novel lipid index. Prior research has established a connection between lipid irregularities and chronic kidney disease (CKD). This study aims to establish a possible link between NHHR and CKD. Data from the National Health and Nutrition Examination Survey (NHANES) spanning from 2003 to 2016 was used to examine the relationship between NHHR and CKD among the elderly population. This research utilized weighted logistic regression, smoothed curve fitting and subgroup analyses along with interaction tests to evaluate the association between NHHR and CKD. The findings reveal a positive correlation between NHHR and CKD in fully adjusted Model 3. Besides, NHHR had a J-curve relationship with CKD. Subgroup analysis indicated that compared with those with lower body mass index (BMI), individuals with higher BMI are more prone to CKD. Research has shown that increased NHHR levels are associated with a higher likelihood of developing CKD in individuals aged above 60 in the United States. NHHR's role in lipid metabolism suggests it might be an effective marker for tracking CKD's progression.
非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值(NHHR)是一种新型血脂指标。先前的研究已经确立了血脂异常与慢性肾脏病(CKD)之间的联系。本研究旨在确立NHHR与CKD之间可能存在的联系。利用2003年至2016年美国国家健康与营养检查调查(NHANES)的数据,研究老年人群中NHHR与CKD之间的关系。本研究采用加权逻辑回归、平滑曲线拟合和亚组分析以及交互作用检验来评估NHHR与CKD之间的关联。研究结果显示,在完全调整的模型3中,NHHR与CKD呈正相关。此外,NHHR与CKD呈J曲线关系。亚组分析表明,与体重指数(BMI)较低的人相比,BMI较高的人更容易患CKD。研究表明,在美国60岁以上人群中,NHHR水平升高与患CKD的可能性增加有关。NHHR在脂质代谢中的作用表明,它可能是追踪CKD进展的有效标志物。