Pituitary & hypothalamus

High‐Density Lipoprotein Cholesterol Levels and the Risk of Acromegaly: A Nationwide Cohort Study

Clin Endocrinol (Oxf)Published Retrospective cohort study

Main finding · Incident acromegalyResult — go to the resultHazard ratio 1.45 95% CI 1.19–1.78

Authors' conclusion

Low HDL-C levels were independently associated with an increased risk of acromegaly.

Study context

Population
Adults without pre-existing acromegaly who participated in the national health screening in 2009, National Health Insurance Services, Korea; followed up until 2019
Participants
9,876,423 adults
Exposure
Low high-density lipoprotein cholesterol (HDL-C) vs normal HDL-C
Outcome
Incident acromegaly
Follow-up
Median 9.2 years
Methodological detailsnationwide, population-based
  • Nationwide
  • Population-based

Main finding

As reported in the abstract

Hazard ratio

1.45

95% CI 1.19–1.78

Low HDL-Cvs Normal HDL-C
HR 1.45 (95% CI 1.19–1.78)
Developed acromegaly (all participants)
459 (4.6 cases per 100,000 people)

Observational data: associations, not effects.

Further findings

Acromegaly risk by HDL-C in four 10 mg/dL categories

HR (95% CI)
Grade 4 (low HDL-C)Highest risk1.78 (1.30–2.43)
Dose-dependent association with acromegaly risk

Original publication

High‐Density Lipoprotein Cholesterol Levels and the Risk of Acromegaly: A Nationwide Cohort Study. Clin Endocrinol (Oxf). Published 11 May 2025. doi:10.1111/cen.15264

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