ArticleMediators of inflammation2026
Neutrophil to High-Density Lipoprotein Cholesterol Ratio and All-Cause Mortality Among Asthmatic Individuals: A Cohort Study.
Article in Mediators of inflammation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Neutrophil to High-Density Lipoprotein Cholesterol Ratio and All-Cause Mortality Among Asthmatic Individuals: A Cohort Study.Mediators of inflammation · 2026Article
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3 authors.
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Abstract
backgroundAt present, there is no epidemiological study available to confirm the efficacy of neutrophil to high-density lipoprotein cholesterol ratio (NHR) in assessing the prognosis of the asthma population. This study aims to investigate the value of NHR in assessing the prognosis of asthma patients by utilizing data from National Health and Nutrition Examination Survey (NHANES) and constructing the predictive models.
methodsThis study used Cox regression models, cumulative risk curves, and survival 3D interaction plots to check how NHR related to the outcomes for asthma patients. This study also used the least absolute shrinkage and selection operator (LASSO) regression screening to construct key variables for the prediction model, followed by the use of time-dependent receiver operating characteristic (ROC) curves and Shapley additive explanations (SHAP) models to evaluate the performance and practical value of the prediction model.
resultsThe Cox regression models (HR: 1.12, 95% CI: 1.03-1.22), cumulative risk curves, and survival 3D interaction plots all confirmed that, after accounting for other factors, a higher NHR is linked to a lower survival rate and a higher risk of death for asthma patients. According to the LASSO regression and SHAP model, the five most important significant indicators predicting mortality in individuals with asthma were age, cholesterol, NHR, cardiovascular disease (CVD), and hypertension. The combination of these significant indicators produced superior performance when predicting the 1-year (AUC: 0.874), 5-year (AUC: 0.853), and 9-year (AUC: 0.877) all-cause mortality of asthma populations.
conclusionsIn this nationally representative cohort of participants with asthma, elevated NHR was independently associated with higher all-cause mortality risk. NHR may serve as a readily available marker reflecting systemic inflammatory-metabolic status, but its clinical utility for asthma risk stratification requires further validation in independent cohorts.
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