Prevention & lipidsCohort study

Association of high-density lipoprotein cholesterol with the top 10 causes of death

Eur J Prev CardiolPublished

  • Prospective cohort study
  • sex-stratified
  • restricted cubic splines
  • Cox proportional hazards and Fine-Gray subdistribution hazard models

Authors' conclusion

HDL-C is nonlinearly and sex-specifically associated with the top ten global causes of death.

Study context

Population
UK Biobank participants with baseline high-density lipoprotein cholesterol (HDL-C) dataUK Biobank
Participants
429,759 participants
Exposure
HDL-C levels vs cause-specific mortality
Outcome
Mortality from the ten leading global causes of death
Follow-up
Median 13.8 years

Main finding

As reported in the abstract

Cause-specific mortality by HDL-C

Optimal HDL-C range for lowest death risk from these causes, females

58-74 mg/dL

Optimal HDL-C range for lowest death risk from these causes, males

50-60 mg/dL

J-shaped curves for COPD and liver disease; lowest death risk at

30-50 mg/dL

Observational data: associations, not effects.

Original publication

Association of high-density lipoprotein cholesterol with the top 10 causes of death. Eur J Prev Cardiol. Published 24 November 2025. doi:10.1093/eurjpc/zwaf749

Summarised from the published abstract; every number is checked against it