Inverse Relationship Between Serum Small Dense LDL Cholesterol Levels and Kidney Stone Incidence: Findings from Two Distinct Cross-Sectional Studies - Summary - MDSpire

Inverse Relationship Between Serum Small Dense LDL Cholesterol Levels and Kidney Stone Incidence: Findings from Two Distinct Cross-Sectional Studies

  • By

  • Yangyang Zhang

  • Haibo Qin

  • Junping Yang

  • Xudong Shen

  • Zongyao Hao

  • Chaozhao Liang

  • April 29, 2026

  • 0 min

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Objective:

To investigate the association between serum small dense low-density lipoprotein cholesterol (sdLDL-C) levels and kidney stone formation in adults, highlighting its potential clinical significance.

Key Findings:
  • Higher sdLDL-C concentrations are independently associated with a lower risk of kidney stones in both cohorts, suggesting a potential protective role.
  • Chinese cohort: OR = 0.53 (95% CI: 0.38–0.74); NHANES cohort: OR = 0.68 (95% CI: 0.50–0.91).
  • Protective association is more pronounced in individuals over 40 years in the Chinese cohort and in younger (20-39) and older (60-85) females in NHANES.
Interpretation:

The findings suggest that sdLDL-C may serve as a protective biomarker against kidney stone formation across different populations, with potential implications for clinical practice.

Limitations:
  • Study design is cross-sectional, limiting causal inferences.
  • Potential confounding factors, such as dietary habits and genetic predispositions, may not have been fully accounted for.
Conclusion:

Further prospective studies are needed to establish causality between sdLDL-C levels and kidney stone risk, particularly focusing on specific populations and risk factors.

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