THE CORRELATION OF CHOLESTROL, LDL, AND HDL SERUM LEVEL WITH THE FORMATION OF GALLSTONE
DOI:
https://doi.org/10.61841/sjqm9v85Keywords:
Cholesterol, LDL, HDL, gallbladder stone, cholecystitisAbstract
Background: Gallstones disease is one of the major problems which occurrence is commonly related to gender, age, diet and obesity. However, the prevalence varies between population where 10-15% cases were reported in the Europe but only 3-5% in African and Asian population which might lead to the assumption that distinctive causal factors affecting different populations. Thus, this research will study the risk factors of gallstone formation primarily focusing on small population in Palembang, Indonesia.
Objective: This study aims to evaluate the prevalence and possible risk factors for gallstone disease by focusing on influence of the level of cholesterol, high density lipid (HDL) and low-density lipid (LDL).
Method: This case control study was performed on 32 patients with cholecystitis receiving treatment at Dr. Mohammad Hoesin General Hospital from October to December 2019 and the data was compared with the same number of samples in control group to assess any significant association.
Result: The data from patients in the case group which have the confirmed cases of cholecystitis recorded a high level of cholesterol and LDL level. However, low HDL level was recorded in the case group as compared to the control group. The level of cholesterol, high LDL and low HDL level is a significant risk factor for the formation of gallbladder stone and cholecystitis.
Conclusion: High cholesterol and LDL level can be an indicator for the formation of gallbladder stone which can also lead to the inflammation known as cholecystitis. HDL on the other hand has a protecting factor which the level its inversely associated with cholecystitis formation.
Downloads
References
[1] Aerts, R., & Penninckx, F. 2003. The burden of gallstone disease in Europe. Alimentary pharmacology & therapeutics, 18, 49-53.
[2] Ansari-Moghaddam, A., Khorram, A., Miri-Bonjar, M., Mohammadi, M., & Ansari, H. 2016. The prevalence and risk factors of gallstone among adults in South-East of Iran: A population-based study. Global journal of health science, 8(4), 60.
[3] Atamanalp, S. S., Keles, M. S., Atamanalp, R. S., Acemoglu, H., & Laloglu, E. 2013. The effects of serum cholesterol, LDL, and HDL levels on gallstone cholesterol concentration. Pakistan journal of medical sciences, 29(1), 187.
[4] Attili, A. F., Carulli, N., Roda, E., Barbara, B., Capocaccia, L., Menotti, A., & Lalloni, L. 1995. Epidemiology of gallstone disease in Italy: prevalence data of the Multicenter Italian Study on Cholelithiasis (MI COL.). American journal of epidemiology, 141(2), 158-165.
[5] Barbara, L., Sama, C., Labate, A. M. M., Taroni, F., Rusticali, A. G., Festi, D., & Formentini, F. 1987. A population study on the prevalence of gallstone disease: the Sirmione Study. Hepatology, 7(5), 913-917.
[6] Bilal, M., Haseeb, A., Saad, M., Ahsan, M., Raza, M., Ahmed, A., & Motiani, V. 2016. The prevalence and risk factors of gallstone among adults in Karachi, south Pakistan: A population-based study. Glob J Health Sci, 9(4), 106-114.
[7] Chen, C. Y., Lu, C. L., Huang, Y. S., Tam, T. N., Chao, Y., Chang, F. Y., & Lee, S. D. 1998. Age is one of the risk factors in developing gallstone disease in Taiwan. Age and ageing, 27(4), 437-441.
[8] Lammert, F., Gurusamy, K., Ko, C. W., Miquel, J. F., Méndez-Sánchez, N., Portincasa, P., & Wang, D. Q.
H. 2016. Gallstones. Nature reviews Disease primers, 2(1), 1-17.
[9] Maclure, K. M., Hayes, K. C., Colditz, G. A., Stampfer, M. J., Speizer, F. E., & Willett, W. C. 1989. Weight, diet, and the risk of symptomatic gallstones in middle-aged women. New England Journal of Medicine, 321(9), 563-569.
[10] Marschall, H. U., & Einarsson, C. 2007. Gallstone disease. Journal of internal medicine, 261(6), 529-542.
[11] Pacchioni, M., Nicoletti, C., Caminiti, M., Calori, G., Curci, V., Camisasca, R., & Pontiroli, A. E. (2000). Association of obesity and type II diabetes mellitus as a risk factor for gallstones. Digestive diseases and sciences, 45(10), 2002-2006.
[12] Pagliarulo, M., Fornari, F., Fraquelli, M., Zoli, M., Giangregorio, F., Grigolon, A., ... & Conte, D. 2004. Gallstone disease and related risk factors in a large cohort of diabetic patients. Digestive and liver disease, 36(2), 130-134.
[13] Shaffer, E. A. 2005. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century?. Current gastroenterology reports, 7(2), 132-140.
[14] Sutor, D. J., & Wooley, S. E. 1971. A statistical survey of the composition of gallstones in eight countries. Gut, 12(1), 55-64.
[15] Thijs, C., Knipschild, P., & Brombacher, P. 1990. Serum lipids and gallstones: a case-control study. Gastroenterology, 99(3), 843-849.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
