Lipids & metabolic liver disease

Alcohol and steatotic liver disease exhibit divergent associations with high plasma small dense low-density lipoprotein cholesterol (LDL-C) concentration

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Alcohol exposure contributes to an atherogenic sdLDL-C phenotype beyond conventional fasting lipids within contemporary SLD categories, indicating potential relevance for risk profiling in MetALD/ALD.

Study context

Population
Adults undergoing health screenings in Niigata, Japan, April 2024–March 2025
Participants
55,745 adults
Exposure
Steatotic liver disease (SLD) status and alcohol consumption categories
Outcome
High sdLDL-C (≥35 mg/dL, directly measured)

Main finding

As reported in the abstract

Crude prevalence of high sdLDL-C

SLD(+)/excessive alcohol consumption

76.4%

Crude prevalence of high small dense low-density lipoprotein cholesterol (sdLDL-C) influenced by SLD and alcohol consumption; highest in SLD(+)/excessive alcohol consumption
76.4%

Observational data: associations, not effects.

Original publication

Alcohol and steatotic liver disease exhibit divergent associations with high plasma small dense LDL-C concentration. J Clin Endocrinol Metab. Published 19 June 2026. doi:10.1210/clinem/dgag234

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