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Blutwerte · Marker

HDL-Cholesterin

High-Density Lipoprotein · HDL-C · HDL

Lipide & Herz-KreislaufNüchtern erforderlich
Einheit:
mmol/L
Abbreviation
HDL-C

HDL-C quantifies the concentration of high-density lipoprotein cholesterol in the blood, reflecting the body's ability to transport cholesterol from tissues to the liver.

Reference Ranges

Reference
11.5mmol/L
1
1.3
1.6
1.5
LowNormalHigh
Reference
Optimal
Unit · mmol/L

Reference ranges can vary by sex and age. Fasting is recommended for accurate assessment.

Overview

Übersicht

High-Density Lipoprotein Cholesterol (HDL-C) is a key component of the lipid profile, often referred to as 'good' cholesterol. It is a complex of lipids and proteins that transports cholesterol from the arteries to the liver for excretion or re-utilization. Clinically, HDL-C is significant as it is inversely related to the risk of atherosclerotic cardiovascular disease (ASCVD), which includes coronary artery disease, peripheral vascular disease, and cerebrovascular disease. Low levels of HDL-C are associated with increased risk of these conditions, while high levels are generally protective. In the context of athletic performance and biohacking, maintaining optimal HDL-C levels is considered beneficial for cardiovascular health and longevity. However, very high levels may also pose risks, particularly in the presence of genetic factors. Caveats in measuring HDL-C include potential confounders such as acute illness, medications, and genetic disorders. Fasting is typically required for accurate measurement, and levels can vary based on time of day and other physiological factors.

Klinische Bedeutung

Elevated HDL-C levels are generally protective against atherosclerotic cardiovascular disease, while reduced levels are associated with increased risk. Extremely high or low levels may indicate underlying genetic disorders.

Dynamics

Trend Interpretation

Rising Values

Progressively rising HDL-C values suggest improved cardiovascular protection. Re-test annually unless clinically indicated.

Falling Values

Progressively falling HDL-C values may indicate increased cardiovascular risk and warrant lifestyle or therapeutic intervention.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Genetic factors
  • Regular physical activity
  • Moderate alcohol consumption
  • Estrogen therapy
Cause

Low Levels

  • Sedentary lifestyle
  • Obesity
  • Smoking
  • Type 2 diabetes
Protocol

How to Optimize

Lever

Lifestyle

  • Increase physical activity
  • Quit smoking
  • Maintain a healthy weight
Lever

Nutrition

  • Consume healthy fats
  • Increase fiber intake
  • Limit trans fats
Lever

Supplementation

  • Niacin
  • Omega-3 fatty acids

Note:

Consult a healthcare provider before starting any supplements, especially if you have underlying health conditions.

Testing Guidelines

🍽️Fasting Required
Not Time-Sensitive

Testing Frequency

Annually for healthy adults, more frequently if managing cardiovascular risk.

Interfering Factors

  • Recent intense exercise
  • Acute illness

Open Research Questions

Current research suggests that the optimal reference ranges and targets for HDL-C levels in relation to various diseases, including cancer and osteoporosis, remain debated, particularly regarding the impact of confounding factors like inflammation and genetics. Researchers have not yet established the molecular mechanisms linking HDL-C to tumor progression and the specific role of HDL-C in age-related ocular diseases. Additionally, clinical questions regarding the implications of both low and high HDL-C levels on long-term health outcomes remain unanswered.

26 Research Publications

685

Total Citations

7

Human/RCT

3.8

Avg. Influence

2021

Latest

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#01

The Triglyceride/High-Density Lipoprotein Cholesterol (TG/HDL-C) Ratio as a Risk Marker for Metabolic Syndrome and Cardiovascular Disease.

ReviewInfluence13.0
296
Researchers found that the ratio of triglycerides to high-density lipoprotein cholesterol (TG/HDL-C) may serve as a novel biomarker for predicting the risk of metabolic syndrome and cardiovascular disease. The study highlighted the importance of both triglycerides and HDL-C levels in the formation of atherosclerotic plaques. This review discusses current scientific data linking TG/HDL-C ratio with various cardiovascular diseases.
View on PubMed
#02

Positive association between high-density lipoprotein cholesterol and bone mineral density in U.S. adults: the NHANES 2011-2018.

Cross-Sectional StudyInfluence5.0
83
Researchers observed a positive relationship between high-density lipoprotein cholesterol (HDL-C) levels and lumbar bone mineral density (BMD) in U.S. adults aged 20-59. The study found that this association varied by sex and race, with a U-shaped curve identified for men and whites. HDL-C measurement may serve as a useful biomarker for early osteoporosis detection.
View on PubMed
#03

Diagnosis and treatment of high density lipoprotein deficiency.

ReviewInfluence5.0
82
Researchers observed that low levels of high-density lipoprotein cholesterol (HDL-C) are significant risk factors for cardiovascular disease (CVD). The study emphasizes the importance of genetic analysis in diagnosing HDL deficiency and its associated health risks.
View on PubMed
#04

Revealing the Role of High-Density Lipoprotein in Colorectal Cancer.

ReviewInfluence1.0
34
This review analyzed the role of high-density lipoprotein cholesterol (HDL-C) in colorectal cancer (CRC). Researchers found that HDL-C levels decrease in CRC patients, and emphasized the need for further studies on HDL functionality and its potential as a biomarker in CRC.
View on PubMed
#05

Hypertriglyceridemia in Obese Children and Adolescents.

HumanInfluence2.0
34
This study investigated hypertriglyceridemia in obese children and adolescents, focusing on the TG/HDL-C ratio as a marker of cardiometabolic risk. Researchers found that elevated TG levels are common in this population and recommended lifestyle modifications to manage triglyceride levels.
View on PubMed
#06

HDL in Endocrine Carcinomas: Biomarker, Drug Carrier, and Potential Therapeutic.

ReviewInfluence1.0
32
This review focused on the relationship between high-density lipoprotein (HDL) and cancer, particularly in endocrine carcinomas. Researchers observed that HDL-C levels may inversely correlate with cancer risk and suggested potential therapeutic applications of synthetic HDL in cancer treatment.
View on PubMed
#07

High-Density Lipoprotein Cholesterol in Age-Related Ocular Diseases.

Review
31
Researchers reviewed the role of high-density lipoprotein cholesterol (HDL-C) in age-related ocular diseases, including macular degeneration and cataracts. The review highlights the limited understanding of HDL-C's specific contributions to these diseases. Epidemiological and genetic evidence is discussed to explore potential links between HDL-C and ocular health.
View on PubMed
#08

High-density lipoprotein cholesterol and carcinogenesis.

Review
20
Researchers observed a potential negative association between high-density lipoprotein cholesterol (HDL-C) levels and tumor incidence, suggesting that HDL-C may play a role in cancer prognosis. The review discusses the impact of HDL-C on cancer development and progression, although molecular mechanisms remain unclear. This study emphasizes the need for further research on HDL-C as a biomarker for tumors.
View on PubMed
#09

Recombinant high-density lipoprotein formulations.

Review
18
This review examined recombinant high-density lipoprotein formulations as potential therapies for cardiovascular disease. Researchers noted that while these therapies show promise, further clinical trials are necessary to evaluate their effectiveness in reducing cardiovascular events.
View on PubMed
#10

Non-linear association of the platelet/high-density lipoprotein cholesterol ratio with bone mineral density a cross-sectional study.

Cross-Sectional StudyInfluence2.0
14
Researchers examined the relationship between the platelet to high-density lipoprotein cholesterol (PHR) ratio and bone mineral density (BMD). They found a nonlinear, inverted U-shaped relationship, indicating that optimal PHR levels may be important for bone health. The study suggests that changes in PHR could reflect inflammatory states affecting bone resorption.
View on PubMed

Publication Trend

Research publications about HDL-Cholesterin over time

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