Prevention & lipidsCross-sectional study

Individual Variation in the Distribution of Apolipoprotein B Levels Across the Spectrum of Low-density Lipoprotein Cholesterol (LDL-C) or Non–HDL-C Levels

JAMA CardiolPublished

  • Cross-sectional study
  • nationally representative sample

Authors' conclusion

This study suggests that even metabolically healthy individuals may have discordantly high apoB levels relative to LDL-C or non-HDL-C levels.

Study context

Population
Adults not using statins, NHANES 2005–2016
Participants
12,688 participants
Outcome
Population distribution of apoB across LDL-C or non-HDL-C levels (quantile regression); discordance between apoB and LDL-C

Main finding

As reported in the abstract

Population median apoB by LDL-C level
Median apolipoprotein B (apoB) at LDL-C 55 mg/dL
49 mg/dL
Median apoB at LDL-C 70 mg/dL
60 mg/dL
Median apoB at LDL-C 100 mg/dL
80 mg/dL
Median apoB at LDL-C 190 mg/dL
140 mg/dL
95% population distribution of apoB at LDL-C 100 mg/dL
66 mg/dL to 99 mg/dL

Observational data: associations, not effects.

Original publication

Individual Variation in the Distribution of Apolipoprotein B Levels Across the Spectrum of LDL-C or Non–HDL-C Levels. JAMA Cardiol. Published 1 August 2024. doi:10.1001/jamacardio.2024.1310

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