High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age

Ruijie Xie,1 Xiongjie Huang,1 Ya Zhang,2 Qianlong Liu,3 Mingjiang Liu1 1Department of Hand Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, 421002, People’s Republic of China; 2Affiliated Hospital of Youjiang Medical University for Nationalities,...

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Main Authors: Xie R, Huang X, Zhang Y, Liu Q, Liu M
Format: Article
Language:English
Published: Dove Medical Press 2022-02-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/high-low-density-lipoprotein-cholesterol-levels-are-associated-with-os-peer-reviewed-fulltext-article-IJGM
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author Xie R
Huang X
Zhang Y
Liu Q
Liu M
author_facet Xie R
Huang X
Zhang Y
Liu Q
Liu M
author_sort Xie R
collection DOAJ
description Ruijie Xie,1 Xiongjie Huang,1 Ya Zhang,2 Qianlong Liu,3 Mingjiang Liu1 1Department of Hand Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, 421002, People’s Republic of China; 2Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533099, People’s Republic of China; 3The Affiliated Changsha Central Hospital, Hengyang Medical school, University of South China, Changsha, 410004, People’s Republic of ChinaCorrespondence: Mingjiang Liu, Email usclmj@163.comBackground: Serum lipids are highly inheritable and play a major role in bone health. However, the relationship between low-density lipoprotein cholesterol (LDL-C) and bone mineral density (BMD) remains uncertain. The goal of this study was to see if there was a link between LDL-C levels and BMD in persons aged 20 to 59.Methods: Using data from the National Health and Nutrition Examination Survey (NHANES) 2011– 2018, multivariate logistic regression models were utilized to investigate the association between LDL-C and lumbar BMD. Fitted smoothing curves and generalized additive models were also used.Results: The analysis included a total of 4909 adults. After controlling for various variables, we discovered that LDL-C was negatively linked with lumbar BMD. The favorable connection of LDL-C with lumbar BMD was maintained in subgroup analyses stratified by gender and race in both males and females, Whites and Mexican Americans, but not in Blacks and other races. The relationship between LDL-C and lumbar BMD in other races was an inverted U-shaped curve with the inflection point: 2.327 (mmol/L).Conclusion: In people aged 20 to 59, our research discovered a negative relationship among LDL-C and lumbar BMD. Among races other than Whites, Blacks, Mexican Americans, this relationship followed an inverted U-shaped curve (inflection point: 2.327mmol/L). LDL-C measurement might be used as a responsive biomarker for detecting osteoporosis early and guiding therapy.Keywords: low-density lipoprotein cholesterol, bone mineral density, osteoporosis, osteopenia
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spelling doaj.art-22cd457ee08b488a86686d0b5b1361722022-12-22T01:40:19ZengDove Medical PressInternational Journal of General Medicine1178-70742022-02-01Volume 152261227073290High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of AgeXie RHuang XZhang YLiu QLiu MRuijie Xie,1 Xiongjie Huang,1 Ya Zhang,2 Qianlong Liu,3 Mingjiang Liu1 1Department of Hand Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, 421002, People’s Republic of China; 2Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533099, People’s Republic of China; 3The Affiliated Changsha Central Hospital, Hengyang Medical school, University of South China, Changsha, 410004, People’s Republic of ChinaCorrespondence: Mingjiang Liu, Email usclmj@163.comBackground: Serum lipids are highly inheritable and play a major role in bone health. However, the relationship between low-density lipoprotein cholesterol (LDL-C) and bone mineral density (BMD) remains uncertain. The goal of this study was to see if there was a link between LDL-C levels and BMD in persons aged 20 to 59.Methods: Using data from the National Health and Nutrition Examination Survey (NHANES) 2011– 2018, multivariate logistic regression models were utilized to investigate the association between LDL-C and lumbar BMD. Fitted smoothing curves and generalized additive models were also used.Results: The analysis included a total of 4909 adults. After controlling for various variables, we discovered that LDL-C was negatively linked with lumbar BMD. The favorable connection of LDL-C with lumbar BMD was maintained in subgroup analyses stratified by gender and race in both males and females, Whites and Mexican Americans, but not in Blacks and other races. The relationship between LDL-C and lumbar BMD in other races was an inverted U-shaped curve with the inflection point: 2.327 (mmol/L).Conclusion: In people aged 20 to 59, our research discovered a negative relationship among LDL-C and lumbar BMD. Among races other than Whites, Blacks, Mexican Americans, this relationship followed an inverted U-shaped curve (inflection point: 2.327mmol/L). LDL-C measurement might be used as a responsive biomarker for detecting osteoporosis early and guiding therapy.Keywords: low-density lipoprotein cholesterol, bone mineral density, osteoporosis, osteopeniahttps://www.dovepress.com/high-low-density-lipoprotein-cholesterol-levels-are-associated-with-os-peer-reviewed-fulltext-article-IJGMlow-density lipoprotein cholesterolbone mineral densityosteoporosisosteopenia
spellingShingle Xie R
Huang X
Zhang Y
Liu Q
Liu M
High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
International Journal of General Medicine
low-density lipoprotein cholesterol
bone mineral density
osteoporosis
osteopenia
title High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
title_full High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
title_fullStr High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
title_full_unstemmed High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
title_short High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20–59 Years of Age
title_sort high low density lipoprotein cholesterol levels are associated with osteoporosis among adults 20 ndash 59 years of age
topic low-density lipoprotein cholesterol
bone mineral density
osteoporosis
osteopenia
url https://www.dovepress.com/high-low-density-lipoprotein-cholesterol-levels-are-associated-with-os-peer-reviewed-fulltext-article-IJGM
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