scholarly journals Low-density lipoprotein cholesterol within the normal range and nonalcoholic fatty liver disease in the non-obese Chinese population: a secondary analysis based on a cross-sectional study

2020 ◽  
Author(s):  
Zhigang (N/A) Xu ◽  
Baohong Xu
Keyword(s):  
Fatty Liver Disease ◽  
Chinese Population ◽  
Low Density Lipoprotein ◽  
Secondary Analysis ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Low Density Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
The Relationship

Abstract Background Evidence regarding the relationship between normal low-density lipoprotein cholesterol (LDL-c) levels and non-alcoholic fatty liver disease (NAFLD) was limited. Therefore, this dissertation seeks to investigate the relationship between LDL-c and NAFLD in the non-obese Chinese population after adjusting for other covariates. Methods The present study was a cross-sectional study. A total of 183903 non-obese participants were involved in a Wenzhou Medical Center of Wenzhou People’s Hospital from 2010 to 2014. The target independent variable and the dependent variable were LDL-c measured at baseline and NAFLD respectively. Covariates involved in this study included SEX, AGE, BMI, SBP, DBP, FPG, ALB, ALT, AST, BUN, Cr, TG, TC, HDL-c, UA. It was noted that the entire study was completed by Dan-Qin Sun et al., and uploaded the data to the DATADRYAD website. The author only used this data for secondary analysis. Results The average age of 183903 selected participants was 41.0 ± 14.1 years old,and about 49.6% of them was male. After adjusting potential confounders (SEX, AGE, BMI, FPG, ALB, GLB, ALT, AST, GGT, BUN, Cr, TG, TC, HDL-c, UA), non-linear relationship was detected between normal LDL-c levels and NAFLD, whose point was 1.51. The effect sizes and the confidence intervals on the left and right sides of inflection point were 0.87 (0.64, 1.18) and 1.79 (1.67, 1.92), respectively. Conclusion The relationship between normal LDL-c levels and NAFLD is non-linear. Normal LDL-c levels was positively correlated with NAFLD when LDL-c was more than 1.51.

scholarly journals Glycaemic, blood pressure and low-density lipoprotein-cholesterol control among patients with diabetes mellitus in a specialised clinic in Botswana: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026807 ◽  
Author(s):  
Julius Chacha Mwita ◽  
Joel M Francis ◽  
Bernard Omech ◽  
Elizabeth Botsile ◽  
Aderonke Oyewo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Low Density ◽  
Sectional Study ◽  
Low Density Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
Patients With Diabetes

ObjectiveControl of glycaemic, hypertension and low-density lipoprotein-cholesterol (LDL-C) among patients with type 2 diabetes mellitus (T2DM) is vital for the prevention of cardiovascular diseases. The current study was an audit of glycaemic, hypertension and LDL-C control among ambulant patients with T2DM in Botswana. Also, the study aimed at assessing factors associated with attaining optimal glycaemic, hypertension and LDL-C therapeutic goals.DesignA cross-sectional study.SettingA specialised public diabetes clinic in Gaborone, Botswana.ParticipantsPatients with T2DM who had attended the clinic for ≥3 months between August 2017 and February 2018.Primary outcome measureThe proportion of patients with optimal glycaemic (HbA1c<7%), hypertension (blood pressure <140/90 mm Hg) and LDL-C (<1.8 mmol/L) control.ResultsThe proportions of patients meeting optimal targets were 32.3% for glycaemic, 54.2% for hypertension and 20.4% for LDL-C. Age≥ 50 years was positively associated with optimal glycaemic control (adjusted OR [AOR] 5.79; 95% CI 1.08 to 31.14). On the other hand, an increase in diabetes duration was inversely associated with optimal glycemic control (AOR 0.91; 95% CI 0.85 to 0.98). Being on an ACE inhibitor was inversely associated with optimal hypertension control (AOR 0.35; 95% CI 0.14 to 0.85). Being female was inversely associated with optimal LDL-C control (AOR 0.24; 95% CI (0.09 - 0.59).ConclusionPatients with T2DM in Gaborone, Botswana, presented with suboptimal control of recommended glycaemic, hypertension and LDL-C targets. These findings call for urgent individual and health systems interventions to address key determinants of the recommended therapeutic targets among patients with diabetes in this setting.

scholarly journals Factors associated with elevated low-density lipoprotein cholesterol levels among hill tribe people aged 30 years and over in Thailand: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Niwed Kullawong ◽  
Tawatchai Apidechkul ◽  
Panupong Upala ◽  
Ratipark Tamornpark ◽  
Vivat Keawdounglek ◽  
...  
Keyword(s):  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Lipoprotein Cholesterol ◽  
Sectional Study ◽  
Low Density Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hill Tribe ◽  
Hba1c Levels

Abstract Background Low-density lipoprotein cholesterol (LDL-C) is one of the most important types of cholesterol and has an impact on health. Certain lifestyle and dietary habits in different populations may leads to increased levels of LDL-C, particularly among those with poor education and economic statuses, such as hill tribe people in Thailand. This study aimed to estimate the prevalence of and determine the factors associated with high LDL-C levels among hill tribe people in northern Thailand. Methods A cross-sectional study was performed to gather information from six main hill tribe populations: Akha, Lahu, Hmong, Yao, Karen, and Lisu. Individuals who were aged over 30 years and living in 30 selected hill tribe villages were invited to participate in the study. A validated questionnaire and 5-mL blood specimens were used to obtain data. Correlation analyses, chi-square tests, t-tests, and logistic regression were used to detect correlations and associations. Results A total of 2552 participants were recruited into the study; 65.9% were females, and 64.1% were aged younger than 60 years old. Approximately 69.6% of participants had abnormal LDL-C levels; 33.6% had above-optimal levels, 24.3% had borderline high levels, 8.0% had high levels, and 3.7% had very high levels. A total of 17.4% of participants had low high-density lipoprotein cholesterol (HDL-C) and high LDL-C levels, while 14.9% had high triglyceride and LDL-C levels. After controlling for sex, age, religion, education, annual family income, and marital status in the multivariate model, three variables were found to be associated with high LDL-C levels: occupation, the amount of lard used in daily cooking, and glycated hemoglobin (HbA1c). Those who were working as agriculturalists had a 1.34-fold greater chance of having abnormal LDL-C than traders and others (95% CI = 1.09–1.34). Those who used moderate and high quantities of lard in their daily cooking had a 1.45-fold (95% CI = 1.15–1.82) and 1.31-fold (95% CI = 1.04–1.68) greater likelihood of having abnormal LDL-C levels than those who used low quantities, respectively. Those who had abnormal HbA1c levels were less likely to develop abnormal LDL-C levels than those who had normal HbA1c levels (AOR = 0.69, 95% CI = 0.51–92). Conclusions Effective public health programs that do not conflict with the cultures of hill tribes are urgently needed, particularly programs encouraging the use of small quantities of lard for daily cooking practices.

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