Evidence map›Paper›PMID 41585805›Full record

ArticleFrontiers in endocrinology2025

Non-HDL-C/HDL-C Ratio and N-Terminal Pro-B-Type Natriuretic Peptide in the general and hospital-based population: a cross-sectional validation study.

Haitao Xie, Jianghong Li, Le Shen, Peng Yu, Shi Wang, Xiaohu Chen, Shuhua Tang

Abstract readValidation Study
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Haitao XieAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Jianghong LiNanjing University of Chinese Medicine, Nanjing, China.
Le ShenAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Peng YuAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Shi WangAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Xiaohu ChenAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Shuhua TangAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As an innovative composite lipid assessment index, the Non-HDL-C/HDL-C Ratio (NHHR) offers a more holistic appraisal of lipid metabolic profile. This investigation seeks to elucidate the association between NHHR and elevated N-Terminal Pro-B-Type Natriuretic Peptide (NT-proBNP) levels in the general and hospital-based population. Methods: The research participants were drawn from the National Health and Nutrition Examination Survey (NHANES, 1999-2004, Group 1) and from hospital inpatients within the Cardiology Department of Jiangsu Province Traditional Chinese Medicine Hospital (JSHTCM, January to June 2025, Group 2). We preliminarily evaluated and adjusted for the original prevalence and age-standardized prevalence of NT-proBNP elevation in different populations. A stepwise inference generalized linear modeling approach was employed to explore the association between NHHR and NT-proBNP elevation, with a restrictive cubic spline (RCS) used to visualize the simulations, evaluated correlation trends through trend tests, observed inter-group differences through subgroup analyses, assessed overall population results robustness through interaction tests. Additionally, based on the non-linear associations, we further refined the analysis through threshold and saturation effects, as well as piecewise regression analysis. Results: In Group 1, females exhibited a higher age-standardized prevalence of NT-proBNP elevation than males (20.51% vs. 10.74%), which declined progressively as NHHR levels increased. Generalized linear models demonstrated a notable inverse link between NHHR and NT-proBNP elevation in both groups, and the results of the RCS plots are largely consistent with the findings from the generalized linear models. Additionally, further threshold and saturation effects analysis identified 4.3 as the NHHR inflection point in Group 1. Piecewise regression analysis indicated that below this threshold, higher NHHR corresponded to a reduced likelihood of NT-proBNP elevation. Specifically, for each standard unit increase in NHHR, the probability of elevated NT-proBNP decreased by 24% [HR (95% CI): 0.76 (0.68, 0.86), Conclusions: In the general and hospital-based population, a negative correlation was identified between the increase in NHHR and NT-proBNP elevation levels, corroborating the utility of NHHR as a simple composite lipid index for identifying changes in NT-proBNP.

Indexed as

BiomarkersCholesterol, HDLNatriuretic Peptide, BrainPeptide FragmentsAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysBiomarkersCholesterol, HDLNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)elevated NT-proBNPgeneral populationhospital-basednegative associationNHHR

Identifiers

PMID41585805
PMCPMC12827067

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.