Type 2 & other diabetes

Association between remnant cholesterol and chronic kidney disease: Systematic review and meta‐analysis

Diabetes Obes MetabPublished Systematic review and meta-analysis

Pooled result · CKDResult — go to the resultOdds ratio 1.46 95% CI 1.26–1.68

Authors' conclusion

RC is directly associated with higher risk for CKD. Beyond traditional lipid markers, greater emphasis should be placed on RC levels in individuals with or at risk for CKD.

Study context

Population
Participants of studies on remnant cholesterol (RC) and chronic kidney disease (CKD); Medline, Cochrane Library and Scopus searched until 16 September 2024
Participants
4,139,674 participants12 studies
Comparison
Highest vs lowest RC quantile
Outcome
Association between RC and CKD
Methodological detailsrandom-effects meta-analyses, double-independent study selection, data extraction and quality assessment
  • Random-effects meta-analyses
  • Double-independent study selection, data extraction and quality assessment

Pooled result

CKD

Odds ratio

1.46

95% CI 1.26–1.68

Highest RC quantilevs Lowest RC quantile
OR 1.46 (95% CI 1.26–1.68)

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)
CKD in T2D (sensitivity analysis)Sensitivity analysis confined to T2D1.46 (1.20–1.78)

eGFR per 1 mmol/L increase in RC

MD in eGFR per 1 mmol/L RC increase (95% CI −2.67, −0.19); significant inverse association
−1.43 mL/min/1.73 m²

Progression to end-stage renal disease in T2D-related CKD, per 1 SD increase in RC

HR per 1 SD RC increase (95% CI 1.04-1.47); 24% increased risk
1.24

Original publication

Association between remnant cholesterol and chronic kidney disease: Systematic review and meta‐analysis. Diabetes Obes Metab. Published 14 February 2025. doi:10.1111/dom.16258

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