High-density lipoprotein cholesterol levels increase with age, body mass index, blood pressure and fasting blood glucose in a rural Uygur population in China

Yan, Weili; Gu, Dongfeng; Yang, Xiaoguang; Wu, Jun; Kang, Ling; Zhang, Li

doi:10.1097/01.hjh.0000187254.12375.b6

Cited by 14 publications

(8 citation statements)

References 12 publications

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“…Epidemiological studies have provided abundant evidence that lipid levels are closely related to age and sex (54)(55)(56). The results of our study are in agreement with those of previous studies.…”

Section: Discussionsupporting

confidence: 93%

Comparison of demography, diet, lifestyle, and serum lipid levels between the Guangxi Bai Ku Yao and Han populations

Yin

Feng

Dezhai

et al. 2007

Journal of Lipid Research

137

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Bai Ku Yao is an isolated subgroup of the Yao minority in China. Little is known about dyslipidemia in this population. The aim of this study was to compare the effects of demography, diet, and lifestyle on serum lipid levels between the Bai Ku Yao and Han populations. A total of 1,170 subjects of Bai Ku Yao and 1,173 subjects of Han Chinese aged 15-89 years were surveyed by a stratified randomized cluster sampling. The levels of total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, apolipoprotein A-I (apoA-I), and apoB were significantly lower in Bai Ku Yao than in Han. Physical activity level and total dietary fiber intake were higher, whereas body mass index (BMI), waist circumference, total energy intake, and total fat intake were lower in Bai Ku Yao than in Han. Hyperlipidemia was positively correlated with BMI, waist circumference, and total energy and total fat intakes and negatively associated with physical activity level and total dietary fiber intake in both populations, but it was positively associated with age and alcohol consumption only in Han. The differences in the lipid profiles between the two ethnic groups were associated with different dietary habits, lifestyle choices, and levels of physical

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Section: Discussionsupporting

confidence: 93%

Comparison of demography, diet, lifestyle, and serum lipid levels between the Guangxi Bai Ku Yao and Han populations

Yin

Feng

Dezhai

et al. 2007

Journal of Lipid Research

137

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“…Previous researches have similarly indicated a strong relationship between elevated fasting blood glucose levels and increased blood pressure. [ 40 41 ]…”

Section: Discussionmentioning

confidence: 99%

Pre-hypertension and hypertension in college students in Kuwait: A neglected issue

Al-Majed¹,

Sadek²

2012

J Fam Community Med

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Objective:To determine the proportion of pre-hypertension and hypertension in college students in Kuwait and their related risk factors.Materials and Methods:A total of 803, randomly selected students aged 17 to 23 years (346 male, 457 female) from different colleges in Kuwait, were included in the study between 2009 and 2010. Systolic and diastolic blood pressure measurements were taken by trained personnel. Pre-hypertension was defined as systolic pressure between 120 and 139 mm Hg or diastolic pressure between 80 and 89 mm Hg. Risk factor measurements that were determined, included smoking, body mass index (BMI), and family history of hypertension. Blood samples were collected and impaired glucose tolerance (IGT) and lipid profile levels were determined.Results:There were no hypotensive students. Normotensives constituted 53.5% (n = 430), pre-hypertensives formed 39.5% (n = 317), and hypertensive students comprised of 7% (n = 56). The overall proportions of hypertension and pre-hypertension were higher among male students (85.7 and 64.4%) than female students (14.3 and 35.6%), respectively. Hypertensive and pre-hypertensive students versus normotensive students had significantly higher levels of BMI-based obesity, smoking, glycated hemoglobin (HbA1c), and IGT. Also, hypertensive and pre-hypertensive, compared to normotensive students, had significantly higher proportions (21.4, 18.3, and 4.0%, respectively) of risky high-density lipoprotein (HDL) level (< 1 mg / dL), cholesterol (7.1, 3.8, and 1.4%, respectively), and triglycerides (TG) (17.9, 9.1, and 7.9%, respectively) where p was< 0.001, 0.016, and 0.051, respectively.Conclusion:Hypertensive and pre-hypertensive students showed elevated levels of lipids and BMI-based obesity more than normotensive students. TG, HDL, HbA1c, and cholesterol appeared to influence pre-hypertension.

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“…The reason for the difference is yet to be determined. 20 Finally, Yuli Rob subjects possessed a higher prevalence of overweight or obesity and hypertension compared with Desert and Turpan subjects. For example, 38.3% of the Yuli Rob subjects with BMI in the normal range (BMI <25 kg/m 2 ) suffered from hypertension, which was 2.5-fold and 3.6-fold higher than Turpan and Dessert subjects, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Limited categories tend to ignore the substantial risks contributed by these factors below the clinical threshold, that is, even within the so-called normal range 30 31 ; (3) because this is the first examination of isolated populations and semi-isolated populations, there were no data available on the personal medical history of the participants, which might result in misclassification of hypertension and diabetes; (4) Yuli Rob subjects were much older than the other two groups, which may also be part of the reason for higher BP and higher blood cholesterol, although in most cases our analysis was adjusted by age; and (5) there were higher blood sugar levels compared with other studies. 20 32 33 The reason for this needs further investigation.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional study of sociodemographic patterning of risk factors for cardiovascular disease in three isolated-based subgroups of the Uyghur population in Xinjiang, China

et al. 2013

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ObjectiveTo explore the sociodemographic patterning of risk factors for cardiovascular disease (CVD) in three isolated-based subgroups of the Uyghur population in Xinjiang, China.DesignA cross-sectional study. Between 2005 and 2008, a non-probability sampling design method was used to select three specific groups of the Uyghur rural populations based on their potential socioeconomic status (ie, isolated, semi-isolated and open-environment status).SettingThree communities (named Desert, Turpan and Yuli Rob) in Southern Xinjiang autonomous region, China.Participants1656 people were included in this study. The inclusion criteria were that all participants were 18 years or older, they were descendants of at least three generations living in the same region, and there was no history of intermarriage.Main outcome measuresThe prevalence of CVD risk factors (ie, tobacco use, alcohol use, obesity, dyslipidemia, hypertension, diabetes, etc) was assessed.ResultsCompared with the Desert and Turpan communities, Yuli Rob had the highest levels of obesity, dyslipidemia and hypertension, and the Desert had the lowest levels of CVD risk factors. Age standardisation slightly altered the estimates, though the patterns remained unchanged. Some unique characteristics were also found. For example, the Desert group displayed significantly lower high-density lipoprotein cholesterol (HDLC) level compared with Yuli Rob and Turpan groups. The mean values were 0.63, 1.06 and 1.45 mmol/l for men and 0.64, 1.22 and 1.51 mmol/l for women (p<0.0001). The HDLC levels in the Desert group increased with increase in body mass index and fasting glucose levels, which was inconsistent with previous studies.ConclusionsIdentifying the unique CVD risk factors of the ethnic-specific populations is very important in development of tailored strategies for the prevention of CVD.

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High-density lipoprotein cholesterol levels increase with age, body mass index, blood pressure and fasting blood glucose in a rural Uygur population in China

Cited by 14 publications

References 12 publications

Comparison of demography, diet, lifestyle, and serum lipid levels between the Guangxi Bai Ku Yao and Han populations

Comparison of demography, diet, lifestyle, and serum lipid levels between the Guangxi Bai Ku Yao and Han populations

Pre-hypertension and hypertension in college students in Kuwait: A neglected issue

Cross-sectional study of sociodemographic patterning of risk factors for cardiovascular disease in three isolated-based subgroups of the Uyghur population in Xinjiang, China

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