Evidence mapPaperPMID 42543875Full record

ArticleBrain and behavior2026

Atherogenic Burden and Remnant Cholesterol Associate With Electrophysiological Severity in Carpal Tunnel Syndrome.

Aslı Aksoy Gündoğdu, Esen Çiçekli, Dilcan Kotan

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Article in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Aslı Aksoy GündoğduDepartment of Neurology, Tekirdağ Namık Kemal University Faculty of Medicine, Tekirdağ, Türkiye.
Esen ÇiçekliDepartment of Neurology, Sakarya University Faculty of Medicine, Sakarya, Türkiye.
Dilcan KotanDepartment of Neurology, Sakarya University Faculty of Medicine, Sakarya, Türkiye.ORCID https://orcid.org/0000-0002-3101-4742

Funding

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6 · The paper itself

Abstract

backgroundTo investigate whether composite lipid indices and remnant cholesterol (RC) are associated with electrophysiological severity in carpal tunnel syndrome (CTS) and to evaluate their independent discriminative performance for advanced disease stage.

methodsIn this cross-sectional case-control study, 124 patients with electrophysiologically confirmed CTS and 113 age- and sex-matched controls were included. CTS severity was graded according to the Padua classification. Fasting lipid profiles were obtained, and composite atherogenic indices including the triglyceride-to-high-density lipoprotein ratio (TG/HDL), the non-HDL/HDL ratio, and the atherogenic index of plasma (AIP) and RC were calculated. Between-group and severity-based comparisons were performed. Multivariable logistic regression was used to assess independent associations with advanced CTS (moderate-severe vs. mild), and receiver operating characteristic (ROC) analyses evaluated discriminative performance.

resultsCTS patients exhibited higher glucose, HbA1c, LDL-cholesterol, total cholesterol, and RC levels than controls (all p < 0.05), whereas composite indices did not significantly differ between groups. Within the CTS cohort, lipid parameters, composite indices, and RC varied significantly across electrophysiological stages. In multivariable analysis adjusted for age and sex, non-HDL/HDL ratio (OR = 2.99, 95% CI: 1.44-6.23), RC (OR = 3.12, 95% CI: 1.03-9.45), and AIP (OR = 0.27, 95% CI: 0.10-0.77) remained independently associated with advanced stage. The final model demonstrated moderate discriminative performance (area under the receiver operating characteristic curve [AUC] = 0.715, 95% CI: 0.619-0.811).

conclusionComposite lipid indices and RC are independently associated with electrophysiological severity rather than CTS presence. These findings support a severity-oriented metabolic framework in which systemic atherogenic burden may amplify median nerve dysfunction.

Indexed as

AtherosclerosisCarpal Tunnel SyndromeCholesterolTriglyceridesAgedCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedNerve Conduction StudiesSeverity of Illness IndexCholesterolTriglyceridesatherogenic index of plasmacarpal tunnel syndromeelectrophysiologyremnant cholesterol

Identifiers

PMID42543875
PMCPMC13430058

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.