Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES

Abstract 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...

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Main Authors: Yifan Sun, Zhou Li, Ninghan Feng
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-96299-7
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author Yifan Sun
Zhou Li
Ninghan Feng
author_facet Yifan Sun
Zhou Li
Ninghan Feng
author_sort Yifan Sun
collection DOAJ
description Abstract 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.
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spelling doaj-art-cfb1a337a7a6430dab4fd2c131ed102f2025-08-20T02:11:42ZengNature PortfolioScientific Reports2045-23222025-04-0115111010.1038/s41598-025-96299-7Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANESYifan Sun0Zhou Li1Ninghan Feng2Department of Urology, Jiangnan University Medical CenterDepartment of Urology, Nanjing Medical UniversityDepartment of Urology, Jiangnan University Medical CenterAbstract 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.https://doi.org/10.1038/s41598-025-96299-7NHHRNHANESCKDCross-sectional studyObesityElderly
spellingShingle Yifan Sun
Zhou Li
Ninghan Feng
Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
Scientific Reports
NHHR
NHANES
CKD
Cross-sectional study
Obesity
Elderly
title Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
title_full Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
title_fullStr Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
title_full_unstemmed Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
title_short Association of non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from NHANES
title_sort association of non high density lipoprotein cholesterol to high density lipoprotein cholesterol ratio and chronic kidney disease in elderly insights from nhanes
topic NHHR
NHANES
CKD
Cross-sectional study
Obesity
Elderly
url https://doi.org/10.1038/s41598-025-96299-7
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