Prevention & lipidsCohort study

Normalized creatinine-to-cystatin C ratio and atherosclerotic cardiovascular disease risk in the UK Biobank

Eur J Prev CardiolPublished

  • Prospective cohort study

Authors' conclusion

A high NCCR was independently associated with a reduced risk of ASCVD, particularly in females.

Study context

Population
UK Biobank participants enrolled 2006–201027,026 developed atherosclerotic cardiovascular disease (ASCVD)
Participants
267,167 participants
Exposure
Higher vs lower normalized creatinine-to-cystatin C ratio
Outcome
All-cause ASCVD incidence
Follow-up
Mean 15 years

Main finding

ASCVD per NCCR

Hazard ratio

0.91

95% CI 0.89–0.92

NCCR
HR 0.91 (95% CI 0.89–0.92)

Per NCCR, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

ASCVD by sex (subgroup)

Significant negative non-linear association in males; stronger linear association in females

Original publication

Normalized creatinine-to-cystatin C ratio and atherosclerotic cardiovascular disease risk in the UK Biobank. Eur J Prev Cardiol. Published 17 February 2026. doi:10.1093/eurjpc/zwag113

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