Martin's, Friedewald's and Cordova's formulas compared to LDL-C directly measured in Southern Brazil
ABSTRACT Introduction: Recently, fasting flexibility for laboratory determination of lipid profile has been recommended. When triglycerides (TG) are above 400 mg/dl, the formula proposed by Martin et al. should be used to estimate the low-density lipoprotein cholesterol (LDL-C). However, this formul...
| Autores: | , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2020 |
| País: | Brasil |
| Recursos: | Sociedade Brasileira de Patologia (SBP) |
| Repositório: | Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
| Idioma: | inglês |
| OAI Identifier: | oai:scielo:S1676-24442020000100402 |
| Acesso em linha: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100402 |
| Access Level: | Acceso aberto |
| Palavra-chave: | cholesterol LDL-cholesterol formula atherosclerosis risk factor. |
| Resumo: | ABSTRACT Introduction: Recently, fasting flexibility for laboratory determination of lipid profile has been recommended. When triglycerides (TG) are above 400 mg/dl, the formula proposed by Martin et al. should be used to estimate the low-density lipoprotein cholesterol (LDL-C). However, this formula has not been evaluated in our population. Objectives: We evaluated the performance of Martin’s equation for LDL-C estimation compared to Cordova & Cordova and Friedewald formulas in a population of Southern Brazil. Methods: Sampling consisted of 10,664 Brazilian individuals (5,847 women) aged 1 to 93 years, with TG, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C) and LDL-C directly measured. Results: Martin’s formula presented significantly higher LDL-C values in patients with TG < 300 mg/dl, underestimating values when TG > 400 mg/dl, even with negative values; and LDL-C values was also overestimated in all TC ranges, with greater standard deviation. It also presented a higher mean error in the stratified intervals, and a lower correlation coefficient. Conclusion: Martin’s equation is not accurate for estimating LDL-C in our sample, unless TG is between 300 and 400 mg/dl. We recommend using the Cordova & Cordova formula as an alternative to determine LDL-C when its direct measurement is not available, and not applying the Martin’s Formula indiscriminately to other populations before it is properly evaluated and compared with other available equations. |
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