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血脂谱与新冠病毒疾病严重程度之间的关联:来自希腊北部一项单中心横断面研究的见解

Association Between Lipid Profile and COVID-19 Severity: Insights from a Single-Center Cross-Sectional Study in Northern Greece.

作者信息

Myrou Athena, Barmpagiannos Konstantinos, Papathanasiou Erofili, Kachtsidis Vasileios, Kiouli Christina, Tziomalos Konstantinos

机构信息

Department of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

出版信息

J Clin Med. 2025 Jun 9;14(12):4082. doi: 10.3390/jcm14124082.

Abstract

To examine the relationship between lipid profile components-including low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides-and clinical outcomes in hospitalized COVID-19 patients in Northern Greece. A retrospective analysis was performed using data from 208 COVID-19 patients. Lipid profiles [including LDL (low-density lipoprotein cholesterol), HDL (high-density lipoprotein cholesterol), and triglycerides], prior antilipidemic treatment, and clinical outcomes were evaluated. Statistical analysis was conducted using SPSS version 19. Patients: A total of 208 COVID-19 patients from Northern Greece. The mean LDL level was 84.12 mg/dL, with no significant differences observed between survivors and non-survivors. Prior antilipidemic treatment did not significantly affect outcomes. Elevated triglyceride levels were noted in obese patients (BMI ≥ 30 kg/m) and lower HDL levels were associated with higher CRP (C-reactive protein) levels. Although LDL levels declined over time in non-survivors, this decrease was not statistically significant. Longitudinal analysis showed normalization of LDL levels post-recovery, while HDL levels remained persistently low. Despite observable alterations in lipid profiles, their prognostic significance in this cohort was limited. These findings highlight the need for further investigation into the role of lipid metabolism in the pathophysiology of COVID-19.

摘要

为了研究希腊北部住院的新冠肺炎患者的血脂谱成分(包括低密度脂蛋白(LDL)、高密度脂蛋白(HDL)和甘油三酯)与临床结局之间的关系。利用208例新冠肺炎患者的数据进行了回顾性分析。评估了血脂谱(包括LDL(低密度脂蛋白胆固醇)、HDL(高密度脂蛋白胆固醇)和甘油三酯)、既往降脂治疗情况以及临床结局。使用SPSS 19版进行统计分析。患者:共208例来自希腊北部的新冠肺炎患者。LDL平均水平为84.12mg/dL,幸存者与非幸存者之间未观察到显著差异。既往降脂治疗对结局无显著影响。肥胖患者(BMI≥30kg/m)甘油三酯水平升高,HDL水平降低与较高的CRP(C反应蛋白)水平相关。尽管非幸存者的LDL水平随时间下降,但这种下降无统计学意义。纵向分析显示康复后LDL水平恢复正常,而HDL水平持续偏低。尽管血脂谱有明显改变,但它们在该队列中的预后意义有限。这些发现凸显了进一步研究脂质代谢在新冠肺炎病理生理学中作用的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5165/12193970/26c9b3b0db27/jcm-14-04082-g001.jpg

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