Association Between Lipid Profile and COVID-19 Severity: Insights from a Single-Center Cross-Sectional Study in Northern Greece.

Publication date: Jun 09, 2025

Objective: To examine the relationship between lipid profile components-including low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides-and clinical outcomes in hospitalized COVID-19 patients in Northern Greece. Methods: A retrospective analysis was performed using data from 208 COVID-19 patients. Lipid profiles [including LDL (low-density lipoprotein cholesterol), HDL (high-density lipoprotein cholesterol), and triglycerides], prior antilipidemic treatment, and clinical outcomes were evaluated. Statistical analysis was conducted using SPSS version 19. Patients: A total of 208 COVID-19 patients from Northern Greece. Results: The mean LDL level was 84. 12 mg/dL, with no significant differences observed between survivors and non-survivors. Prior antilipidemic treatment did not significantly affect outcomes. Elevated triglyceride levels were noted in obese patients (BMI ≥ 30 kg/m) and lower HDL levels were associated with higher CRP (C-reactive protein) levels. Although LDL levels declined over time in non-survivors, this decrease was not statistically significant. Longitudinal analysis showed normalization of LDL levels post-recovery, while HDL levels remained persistently low. Conclusions: Despite observable alterations in lipid profiles, their prognostic significance in this cohort was limited. These findings highlight the need for further investigation into the role of lipid metabolism in the pathophysiology of COVID-19.

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Concepts Keywords
Greece C-reactive protein
Lipoprotein COVID-19 severity
Northern dyslipidemia
Pathophysiology inflammation
Survivors lipid metabolism
low-density lipoprotein

Semantics

Type Source Name
disease MESH COVID-19
drug DRUGBANK Cholesterol
disease IDO role
drug DRUGBANK Coenzyme M
disease MESH dyslipidemia
disease MESH inflammation
disease MESH infections
disease MESH pneumonia
disease MESH acute respiratory distress syndrome
disease MESH death
disease IDO host
disease MESH cardiovascular diseases
disease MESH obesity
disease MESH viral infections
disease IDO replication
disease MESH cytokine storm
disease MESH oxidative stress
disease MESH critically ill
disease MESH metabolic stress
disease MESH clinical relevance
disease MESH abnormalities
disease MESH hypertension
disease MESH diabetes mellitus
disease MESH coronary artery disease
disease MESH COPD
disease IDO infection
drug DRUGBANK Saquinavir
disease IDO susceptibility
disease MESH complications
disease MESH thromboinflammation
disease MESH metabolic syndrome
disease MESH privacy
disease MESH Comorbidity
disease MESH coronavirus infection
disease MESH infectious disease
pathway REACTOME Infectious disease
pathway REACTOME Metabolism
disease MESH atherosclerotic plaques
disease MESH Atherosclerosis

Original Article

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