The Martin equation (also called the Hopkins method) estimates LDL cholesterol (LDL-C) from a standard lipid panel. It improves on the Friedewald equation by replacing the fixed triglyceride ÷ 5 factor with a novel factor that varies with triglycerides and non-HDL cholesterol.
This approach was compared with Friedewald in Martin et al., JAMA 2013;310(19):2061-8.
Equations
Non-HDL cholesterol = Total cholesterol - HDL cholesterol
LDL cholesterol = Non-HDL cholesterol - (Triglycerides / Novel factor)
The novel factor represents the triglyceride to VLDL-cholesterol ratio. It is looked up from a table indexed by triglyceride level (mg/dL) and non-HDL cholesterol (mg/dL).
Novel factor table
Columns are non-HDL cholesterol strata (mg/dL). Rows are triglyceride strata (mg/dL).
Units
- Total cholesterol and HDL: mg/dL or mmol/L (conversion factor 38.66976 for mmol/L to mg/dL).
- Triglycerides: mg/dL (required for the novel factor table).
Notes
- The novel factor improves LDL estimation across a wide range of triglyceride levels, including ranges where Friedewald is less reliable.
- This calculator does not replace clinical judgment or laboratory measurement when a direct LDL assay is indicated.
- Discuss your lipid results with your healthcare provider.