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Blutwerte · Marker

LDL-Cholesterin

Low-Density Lipoprotein · LDL-C · LDL

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

LDL-C quantifies the cholesterol content within low-density lipoproteins in the bloodstream.

Reference Ranges

Reference
1.83.4mmol/L
1.8
1.3
2.6
3.4
LowNormalHigh
Reference
Optimal
Unit · mmol/L

Fasting is recommended for accurate measurement. Reference ranges may vary slightly by laboratory.

Overview

Übersicht

Low-Density Lipoprotein Cholesterol (LDL-C) is a type of lipoprotein that transports cholesterol in the blood. It is often referred to as 'bad cholesterol' because high levels can lead to plaque buildup in arteries and result in cardiovascular diseases. Biologically, LDL-C measures the cholesterol content within low-density lipoproteins, which are responsible for delivering cholesterol to cells throughout the body. Clinically, LDL-C is a critical marker for assessing the risk of atherosclerotic cardiovascular disease (ASCVD), including coronary artery disease, peripheral vascular disease, and cerebrovascular disease. Elevated LDL-C levels are strongly associated with an increased risk of major adverse cardiovascular events (MACEs), as demonstrated in large cohort studies. In the context of athletic performance and biohacking, maintaining optimal LDL-C levels is essential for cardiovascular health, which can indirectly affect endurance and recovery. Some biohackers aim to optimize lipid profiles to enhance longevity and reduce inflammation. However, LDL-C levels can be influenced by various factors, including genetic predispositions, dietary habits, and the presence of other lipid disorders. It is important to consider potential confounders such as lipoprotein(a) levels, which can interfere with LDL-C measurements. Fasting is typically required for accurate assessment, and time-of-day variations are minimal. Researchers emphasize the importance of considering LDL-C alongside other markers like high-sensitivity C-reactive protein (Hs-CRP) and triglycerides for a comprehensive cardiovascular risk assessment.

Klinische Bedeutung

Elevated LDL-C levels indicate an increased risk of atherosclerotic cardiovascular diseases, including heart attacks and strokes. Reduced levels are generally favorable and associated with a lower risk of cardiovascular events.

Dynamics

Trend Interpretation

Rising Values

Progressively rising LDL-C levels suggest worsening lipid profile and increased cardiovascular risk. Retesting is recommended every 3-6 months if levels are above optimal range.

Falling Values

Progressively falling LDL-C levels generally indicate improved cardiovascular health and reduced risk of atherosclerosis.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Diet high in saturated fats
  • Genetic predisposition
  • Hypothyroidism
  • Chronic kidney disease
  • Obesity
Cause

Low Levels

  • Hyperthyroidism
  • Malabsorption
  • Chronic liver disease
  • Inflammatory conditions
  • Certain medications
Protocol

How to Optimize

Lever

Lifestyle

  • Regular aerobic exercise
  • Weight management
  • Smoking cessation
Lever

Nutrition

  • Increase intake of soluble fiber
  • Consume omega-3 fatty acids
  • Limit saturated fats
Lever

Supplementation

  • Plant sterols
  • Red yeast rice
  • Niacin

Note:

Consult a healthcare provider before starting any supplementation, especially if taking statins or other medications.

Testing Guidelines

🍽️Fasting Required
Not Time-Sensitive

Testing Frequency

Annually for healthy adults, more frequently if at risk for cardiovascular disease.

Interfering Factors

  • Recent intense exercise
  • Acute illness
  • Pregnancy

Related Peptides & Hormones

Apolipoprotein B

Correlated with

hormone or peptide

Open Research Questions

Current research suggests that the optimal targets for LDL-C levels and the impact of confounders such as lipoprotein(a) on cardiovascular risk remain debated, particularly in patients on cholesterol-lowering medications. Researchers have not yet established standardized reference ranges for LDL-C corrected for Lp(a) content. Additionally, clinical questions remain unanswered regarding the long-term effects of emerging therapies like pelacarsen on cardiovascular outcomes and the interplay between LDL-C and other inflammatory markers in predicting major adverse cardiovascular events.

28 Research Publications

917

Total Citations

11

Human/RCT

6.0

Avg. Influence

2025

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
This review discussed the triglyceride/high-density lipoprotein cholesterol (TG/HDL-C) ratio as a risk marker for metabolic syndrome and cardiovascular disease. Researchers found that low-density lipoprotein cholesterol (LDL-C) is a major contributor to atherosclerosis, and the TG/HDL-C ratio may help predict the risk of cardiovascular disease. The study highlights the importance of lipid metabolism in cardiovascular health.
View on PubMed
#02

Apolipoprotein B and Cardiovascular Disease: Biomarker and Potential Therapeutic Target.

ReviewInfluence12.0
225
This review examined the significance of apolipoprotein B (apoB) as a biomarker for cardiovascular disease. Researchers found that apoB levels provide a more accurate measure of atherogenic lipoproteins compared to low-density lipoprotein cholesterol (LDL-C). The review discusses the ongoing debate regarding the use of apoB in clinical guidelines for cardiovascular risk assessment.
View on PubMed
#03

Potential Biomarkers for Post-Stroke Cognitive Impairment: A Systematic Review and Meta-Analysis.

Meta-AnalysisInfluence6.0
114
This systematic review and meta-analysis evaluated blood-derived proteins as potential biomarkers for post-stroke cognitive impairment (PSCI). Researchers found that levels of low-density lipoprotein cholesterol (LDL-C) were significantly higher in patients with PSCI compared to those without. The study suggests LDL-C, along with other biomarkers, may be useful in identifying patients at risk for cognitive impairment following a stroke.
View on PubMed
#04

New Horizons. A New Paradigm for Treating to Target with Second-Generation Obesity Medications.

UnknownInfluence7.0
99
This study explored the role of second-generation obesity medications in treating obesity as a chronic disease. Researchers found that these medications can achieve significant weight loss, which may help manage complications associated with obesity. The study emphasizes the importance of using weight loss as a biomarker to improve health outcomes in patients with obesity.
View on PubMed
#05

High Low-Density Lipoprotein Cholesterol Levels are Associated with Osteoporosis Among Adults 20-59 Years of Age.

HumanInfluence1.0
36
This study investigated the relationship between low-density lipoprotein cholesterol (LDL-C) levels and bone mineral density (BMD) in adults aged 20 to 59. Researchers found a negative association between LDL-C and lumbar BMD, indicating that higher LDL-C levels may be linked to lower bone density. The study suggests that LDL-C could serve as a biomarker for early osteoporosis detection.
View on PubMed
#06

Hypothyroidism, lipids, and lipidomics.

ReviewInfluence2.0
35
This narrative review examined the relationship between hypothyroidism and lipid abnormalities, particularly low-density lipoprotein cholesterol (LDL-C). Researchers found that elevated thyroid-stimulating hormone (TSH) levels are associated with increased LDL-C levels. The study suggests that treating hypothyroidism may reverse lipid abnormalities and improve cardiovascular health.
View on PubMed
#07

Effect of Pelacarsen on Lipoprotein(a) Cholesterol and Corrected Low-Density Lipoprotein Cholesterol.

Human
32
This study examined the effect of pelacarsen on low-density lipoprotein cholesterol (LDL-C) and lipoprotein(a) cholesterol (Lp(a)-C) in patients with cardiovascular disease. Researchers found that pelacarsen significantly reduced Lp(a)-C levels and had neutral to mild effects on corrected LDL-C levels. The study suggests that corrected LDL-C provides a more accurate reflection of changes in LDL-C than laboratory-reported values.
View on PubMed
#08

Clinical Significance of Electronegative Low-Density Lipoprotein Cholesterol in Atherothrombosis.

Review
18
This review highlighted the clinical significance of electronegative low-density lipoprotein (L5 LDL) cholesterol in atherothrombosis. Researchers found that elevated L5 LDL levels correlate with the severity of cardiovascular diseases. The study proposes that L5 LDL could be a promising biomarker for assessing cardiovascular risk and guiding treatment decisions.
View on PubMed
#09

Recombinant high-density lipoprotein formulations.

Review
18
This review focused on recombinant high-density lipoprotein formulations as potential therapies for cardiovascular disease. Researchers noted that low-density lipoprotein cholesterol (LDL-C) lowering therapies have limited effectiveness in raising HDL-C levels. The study emphasizes the need for further clinical trials to evaluate the efficacy of novel HDL-modifying therapies.
View on PubMed
#10

Lipoprotein(a): A Lipoprotein Whose Time Has Come.

Review
16
This article focused on lipoprotein(a) as an independent risk factor for cardiovascular disease (CVD). Researchers found that elevated lipoprotein(a) levels contribute to residual CVD risk even after LDL-C lowering. The study calls for targeted strategies to reduce lipoprotein(a) levels in at-risk patients.
View on PubMed

Publication Trend

Research publications about LDL-Cholesterin over time

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