Prevention & lipidsCross-sectional study

Sex-specific associations between total cholesterol and non–high-density lipoprotein cholesterol and the presence and extent of coronary artery calcifications

Eur J Prev CardiolPublished

  • Cross-sectional study
  • pooled cohorts

Authors' conclusion

Total cholesterol was associated with presence of CAC, and non-HDL-Cs were associated with presence and extent of the CAC score in men. No association by total cholesterol or non-HDL-C was found among women.

Study context

Population
Adults aged 49–75 years without known cardiovascular disease (CVD) or current lipid-lowering medication, Danish Risk Score study and Danish Cardiovascular Screening Trial cohorts
Participants
10,049 adults
Exposure
Women vs men: total cholesterol and non-HDL-C vs coronary artery calcium (CAC) presence and extent
  • Womenn = 958
  • Menn = 9,091
Outcome
CAC presence (CAC > 0) and extent

Main finding

As reported in the abstract

Association of total cholesterol and non-HDL-C with CAC presence and extent, by sex
GroupCAC presence, total cholesterol: OR (95% CI)CAC presence, non-HDL-C: OR (95% CI)CAC extent, total cholesterol: IRR (95% CI)CAC extent, non-HDL-C: IRR (95% CI)
Women1.09 (0.94-1.27)1.12 (0.96-1.29)0.99 (0.83-1.19)0.93 (0.78-1.12)
Men1.26 (1.19-1.33)1.25 (1.18-1.33)1.04 (0.997-1.07)1.04 (1.001-1.08)

Observational data: associations, not effects.

Original publication

Sex-specific associations between total cholesterol and non–high-density lipoprotein cholesterol and the presence and extent of coronary artery calcifications. Eur J Prev Cardiol. Published 6 February 2025. doi:10.1093/eurjpc/zwaf047

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