کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5985547 | 1178777 | 2015 | 9 صفحه PDF | دانلود رایگان |
- We compared high-density lipoprotein cholesterol (HDL-C) levels between the Korean and US populations.
- Nationwide surveys conducted in the early 2010s were used for the analysis.
- We estimated the optimal HDL-C cutoff for predicting cardiovascular disease.
- The mean HDL-C level was significantly lower in Koreans especially in women.
- The optimal HDL-C cutoff was 43Â mg/dL for men and 48Â mg/dL for women in Koreans.
BackgroundSerum high-density lipoprotein cholesterol (HDL-C) has been reported to be lower in Asians than in Caucasians.ObjectiveWe compared HDL-C levels between the Korean and US populations using stratified analysis according to age and sex and estimated the optimal cutoff value for HDL-C that best predicts the risk of cerebrovascular accidents (CVAs) and ischemic heart disease (IHD) in Koreans.MethodsThe Korean National Health and Nutrition Examination Survey (KNHANES) 2010-2012 and the National Health and Nutrition Examination Survey (NHANES) 2011-2012 were used for the Korean and US populations, respectively. HDL-C levels were compared using general linear models. To estimate the optimal HDL-C cutoff value that predicts CVAs and IHD, sensitivity and specificity of different HDL-C levels were calculated.ResultsThe mean HDL-C level was significantly lower in KNHANES in both sexes (46.1 [standard error, 0.2] mg/dL in KNHANES and 47.7 [0.5] mg/dL in NHANES, PÂ =Â .003 in men, and 51.2 [0.2] mg/dL in KNHANES and 58.3 [0.8] mg/dL in NHANES, PÂ <Â .001 in women). The optimal HDL-C cutoff to predict CVA-IHD was 43Â mg/dL and 48Â mg/dL for Korean men and women, respectively, and 41Â mg/dL and 56Â mg/dL for US men and women, respectively.ConclusionHDL-C levels are significantly lower in both sexes in the Korean population than the US population. The optimal cutoff HDL-C value to predict the risk of CVA-IHD was 43Â mg/dL for men and 48Â mg/dL for women in the Korean population.
Journal: Journal of Clinical Lipidology - Volume 9, Issue 3, MayâJune 2015, Pages 334-342