{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:47:58Z","timestamp":1773607678835,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate whether high total cholesterol (TC) levels are associated with lateral epicondylitis (LE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed all patients with LE who presented to our institution between 2011 and 2015. The inclusion criteria were a diagnosis of LE based on clinical history and physical examination findings and age between 40 and 55\u00a0years. For healthy controls, we obtained data from a national cohort (sixth Korean National Health and Nutrition Examination Survey) aged between 40 and 55\u00a0years. We compared TC levels between the groups, determined the incidence of hypercholesterolemia (TC level \u2265 240\u00a0mg\/dL) according to the occurrence of LE, and calculated odds ratios for the occurrence of LE. We also evaluated whether cholesterol levels were associated with clinical findings of LE, such as pain level, onset age, symptom duration, and number of corticosteroid injections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study comprised 289 patients with LE (mean age, 47.9\u00a0years) and 1,077 healthy individuals (mean age, 47.7\u00a0years). TC levels were significantly higher in patients with LE than in healthy individuals (205.0\u00a0mg\/dL vs 194.6\u00a0mg\/dL,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The mean difference of 10.4\u00a0mg\/dL was clinically meaningful because a change of 10\u00a0mg\/dL with medical intervention is considered significant. The incidence of hypercholesterolemia was higher in LE patients than in healthy controls (16.6% vs 9.0%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). After adjustment for age, sex, body mass index, and glucose level, patients with hypercholesterolemia (TC level \u2265 240\u00a0mg\/dL) were 2.47 (95% confidence interval, 1.65\u20103.70) times more likely to experience LE than those with normal cholesterol levels (&lt;200\u00a0mg\/dL). TC levels correlated with pain level, onset age, and number of corticosteroid injections.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A clinically meaningful difference in TC levels was found between LE patients and healthy controls. In\u00a0addition, the incidence of hypercholesterolemia was higher in LE patients than in controls. The present findings suggest a potential association between high TC levels and LE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.01.048","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T17:30:51Z","timestamp":1555349451000},"page":"1379-1384","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Is There a Relation Between Lateral Epicondylitis and Total Cholesterol Levels?"],"prefix":"10.1002","volume":"35","author":[{"given":"Seung Hoo","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Seoul National University Bundang Hospital Seoul National University College of Medicine Seongnam\u2010si Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Sik","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul National University Bundang Hospital Seoul National University College of Medicine Seongnam\u2010si Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sehun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul National University Bundang Hospital Seoul National University College of Medicine Seongnam\u2010si Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihyeung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul National University College of Medicine Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goo Hyun","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul National University College of Medicine Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1151-9"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.040766"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.52.1.44"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-8981(03)00075-5"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2008.10.032"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.ATV.0000022600.61391.A5"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90081-2"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.53.1.30"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20535"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6023.1439"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj325"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.106.25.3143"},{"key":"e_1_2_3_14_2","first-page":"464","article-title":"The prevalence of humeral epicondylitis: A survey in general practice","volume":"36","author":"Hamilton P.G.","year":"1986","journal-title":"J\u00a0R Coll Gen Pract"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514568087"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.3961\/jpmph.2013.46.2.96"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.4082\/kjfm.2013.34.2.79"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-018-2933-x"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40258-017-0310-5"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000133317.49796.0E"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1309\/6UL9RHJH1JFFU4PY"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700009934"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004020050410"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.056440"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.14.1773"},{"key":"e_1_2_3_26_2","first-page":"1","volume-title":"High serum total cholesterol\u2014An indicator for monitoring cholesterol lowering efforts: US adults, 2005\u20102006","author":"Schober S.E.","year":"2007"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.12997\/jla.2015.4.2.93"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1709-6"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093989"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.07.008"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21255"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196500410-00020"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515627816"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.24740"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412442464"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003036"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.23309"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631930132X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631930132X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.01.048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2019.01.048","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.01.048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:13:08Z","timestamp":1773565988000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2019.01.048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,15]]},"references-count":36,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1016\/j.arthro.2019.01.048"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2019.01.048","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,15]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Is There a Relation Between Lateral Epicondylitis and Total Cholesterol Levels?","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2019.01.048","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}