Association between nontraditional lipid profiles and peripheral arterial disease in Chinese adults with hypertension

Abstract Background: Data on the relationship of nontraditional lipid profiles [total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio, triglyceride (TG)/HDL-C ratio, low-density lipoprotein cholesterol (LDL-C)/HDL-C ratio, non-high-density lipoprotein cholesterol (non-HDL-C)] with the risk of peripheral artery disease (PAD) are limited. The present study investigated the relationship of nontraditional lipid indices with PAD in hypertensive patients.Methods: This cross-sectional study was performed among 10,900 adults with hypertension. Participants were diagnosed with PAD when their ankle-brachial index (ABI) < 0.9. The association of nontraditional lipid profiles with PAD was examined using multivariate logistic regression analysis and the restricted cubic spline.Results: All nontraditional lipid indices were independently and positively associated with PAD in a dose-response fashion. After multivariable adjustment, the per SD increments of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C were all significantly associated with 37%, 14%, 40%, and 24% higher risk for PAD, respectively. The adjusted ORs (95% CI) for PAD were 1.77 (1.31, 2.40), 1.71 (1.25, 2.34), 2.03 (1.50, 2.74), and 1.70 (1.25, 2.31) when comparing the highest tertile to the lowest tertile of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C, respectively. Conclusions: Among Chinese hypertensive adults, all nontraditional lipid indices were positively associated with PAD, and the LDL-C/HDL-C and TC/HDL-C ratios were better for predicting PAD than other nontraditional lipid indices, which may improve the risk stratification of cardiovascular disease and dyslipidemia management. Trial registration: CHiCTR, ChiCTR1800017274. Registered 20 July 2018

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Association between nontraditional lipid profiles and peripheral arterial disease in Chinese adults with hypertension

Lipids in Health and Disease ◽

10.1186/s12944-020-01407-3 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Congcong Ding ◽

Yang Chen ◽

Yumeng Shi ◽

Minghui Li ◽

Lihua Hu ◽

...

Keyword(s):

High Density Lipoprotein ◽

High Density Lipoprotein Cholesterol ◽

Ankle Brachial Index ◽

Multivariate Logistic Regression Analysis ◽

Density Lipoprotein ◽

Lipid Profiles ◽

High Density ◽

Lipoprotein Cholesterol ◽

Cross Sectional ◽

The Relationship

Abstract Background Data on the relationship between nontraditional lipid profiles [total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio, triglyceride (TG)/HDL-C ratio, low-density lipoprotein cholesterol (LDL-C)/HDL-C ratio, non-high-density lipoprotein cholesterol (non-HDL-C)] and the risk of peripheral artery disease (PAD) are limited. The present study investigated the relationship of nontraditional lipid indices with PAD in hypertensive patients. Methods This cross-sectional study was performed among 10,900 adults with hypertension. Participants were diagnosed with PAD when their ankle-brachial index (ABI) was < 0.9. The association between nontraditional lipid profiles and PAD was examined using multivariate logistic regression analysis and the restricted cubic spline. Results All nontraditional lipid indices were independently and positively associated with PAD in a dose-response fashion. After multivariable adjustment, the per SD increments of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C were all significantly associated with 37, 14, 40, and 24% higher risk for PAD, respectively. The adjusted ORs (95% CI) for PAD were 1.77 (1.31, 2.40), 1.71 (1.25, 2.34), 2.03 (1.50, 2.74), and 1.70 (1.25, 2.31) when comparing the highest tertile to the lowest tertile of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C, respectively. Conclusions Among Chinese hypertensive adults, all nontraditional lipid indices were positively associated with PAD, and the LDL-C/HDL-C and TC/HDL-C ratios were better than the other nontraditional lipid indices for predicting PAD. These findings may improve the risk stratification of cardiovascular disease and dyslipidemia management. Trial registration CHiCTR, ChiCTR1800017274. Registered 20 July 2018.

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Association between nontraditional lipid profiles and peripheral arterial disease in Chinese adults with hypertension

10.21203/rs.3.rs-55449/v4 ◽

2020 ◽

Author(s):

Congcong Ding ◽

Yang Chen ◽

Yumeng Shi ◽

Minghui Li ◽

Lihua Hu ◽

...

Keyword(s):

High Density Lipoprotein ◽

High Density Lipoprotein Cholesterol ◽

Ankle Brachial Index ◽

Multivariate Logistic Regression Analysis ◽

Density Lipoprotein ◽

Lipid Profiles ◽

High Density ◽

Lipoprotein Cholesterol ◽

Cross Sectional ◽

The Relationship

Abstract Background: Data on the relationship between nontraditional lipid profiles [total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio, triglyceride (TG)/HDL-C ratio, low-density lipoprotein cholesterol (LDL-C)/HDL-C ratio, non-high-density lipoprotein cholesterol (non-HDL-C)] and the risk of peripheral artery disease (PAD) are limited. The present study investigated the relationship of nontraditional lipid indices with PAD in hypertensive patients. Methods: This cross-sectional study was performed among 10,900 adults with hypertension. Participants were diagnosed with PAD when their ankle-brachial index (ABI) was < 0.9. The association between nontraditional lipid profiles and PAD was examined using multivariate logistic regression analysis and the restricted cubic spline. Results: All nontraditional lipid indices were independently and positively associated with PAD in a dose-response fashion. After multivariable adjustment, the per SD increments of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C were all significantly associated with 37%, 14%, 40%, and 24% higher risk for PAD, respectively. The adjusted ORs (95% CI) for PAD were 1.77 (1.31, 2.40), 1.71 (1.25, 2.34), 2.03 (1.50, 2.74), and 1.70 (1.25, 2.31) when comparing the highest tertile to the lowest tertile of the TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios and non-HDL-C, respectively. Conclusions: Among Chinese hypertensive adults, all nontraditional lipid indices were positively associated with PAD, and the LDL-C/HDL-C and TC/HDL-C ratios were better than the other nontraditional lipid indices for predicting PAD. These findings may improve the risk stratification of cardiovascular disease and dyslipidemia management.

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Association Between Nontraditional Lipid Profiles and Peripheral Arterial Disease in Chinese adults with Hypertension

10.21203/rs.3.rs-55449/v1 ◽

2020 ◽

Author(s):

Congcong Ding ◽

Yang Chen ◽

Yumeng Shi ◽

Minghui Li ◽

Lihua Hu ◽

...

Keyword(s):

High Density Lipoprotein ◽

High Density Lipoprotein Cholesterol ◽

Ankle Brachial Index ◽

Multivariate Logistic Regression Analysis ◽

Density Lipoprotein ◽

Lipid Profiles ◽

High Density ◽

Lipoprotein Cholesterol ◽

Characteristic Analysis ◽

Chinese Adults

Abstract Background: Data concerning the association between nontraditional lipid profiles [total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio, triglyceride (TG)/HDL-C ratio, low-density lipoprotein cholesterol (LDL-C)/HDL-C ratio, non-high-density lipoprotein cholesterol (non-HDL-C)] and the risk of peripheral artery disease (PAD) are limited. We aimed to evaluate the association between nontraditional lipid indices and the risk of PAD in Chinese hypertensive population.Methods: In the cross-sectional study, a total of 10,900 adults with hypertension were enrolled. PAD was defined as ankle-brachial index < 0.9. Multivariate logistic regression analysis was performed to examine the association between nontraditional lipid profiles and PAD. Receiver operating characteristic analysis was also used. Results: All nontraditional lipid profiles were independently and positively associated with the prevalence of PAD in a dose response fashion. In multivariable models, we observed a 37%, 14%, 40%, and 24% higher risk for PAD with each SD increment in TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios, and non-HDL-C levels, respectively. Compared with the lowest tertile, the multivariate-adjusted ORs (95% CI) were 1.77 (1.31, 2.40), 1.71 (1.25, 2.34), 2.03 (1.50, 2.74), 1.70 (1.25, 2.31) for the highest tertile of TC/HDL-C, TG/HDL-C, LDL-C/HDL-C ratios, and non-HDL-C, respectively. Furthermore, the area under the curves (AUCs) for LDL-C/HDL-C ratio (0.548; 95% CI, 0.516-0.581) and TC/HDL-C ratio (0.547; 95% CI, 0.514-0.579) were significantly larger than those for TG/HDL-C ratio (0.508; 95% CI, 0.461-0.523) and non-HDL-C (0.519; 95% CI, 0.486-0.552).Conclusions: All nontraditional lipid profiles were positively associated with PAD in Chinese adults with hypertension, among which LDL-C/HDL-C and TC/HDL-C ratio were better for predicting PAD.Trial registration: CHiCTR, ChiCTR1800017274. Registered 20 July 2018

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Contribution of Nontraditional Lipid Profiles to Hyperuricemia in a Hypertensive Population: Findings from the China Hypertension Registry Study

10.21203/rs.3.rs-92273/v1 ◽

2020 ◽

Author(s):

Yu Yu ◽

Wangsheng Fang ◽

Dandan Wang ◽

Yu Tao ◽

Minghui Li ◽

...

Keyword(s):

High Density Lipoprotein ◽

High Density Lipoprotein Cholesterol ◽

Multivariate Logistic Regression Analysis ◽

Density Lipoprotein ◽

Lipid Profiles ◽

High Density ◽

Lipoprotein Cholesterol ◽

Lipid Lowering ◽

Hypertensive Population ◽

The Relationship

Abstract Background: Current studies support nontraditional lipid profiles [total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio, triglyceride (TG)/HDL-C ratio, low-density lipoprotein cholesterol (LDL -C)/HDL-C ratio, non-high-density lipoprotein cholesterol (non-HDL-C)] as reliable indicators of cardiovascular disease, stroke and diabetes. However, whether nontraditional lipid profiles can be used as reliable markers for hyperuricemia (HUA) remains unclear due to limited research. The present study investigated the relationship of nontraditional lipid profiles with HUA in hypertensive patients.Methods: We analyzed data from 13,721 Chinese hypertensive population untreated with lipid-lowering drugs. The relationship between non-traditional lipid profiles and HUA was examined by multivariate logistic regression analysis and smooth curve fitting (penalized spline method).Results: The results showed that there were positive associations of TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio, and non-HDL-C with HUA, respectively (all P <0.001). Furthermore, nontraditional lipid profiles were converted from continuous variables to tertiles. Compared with lowest tertile, the multivariate adjusted ORs (95% CI) of TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio and non-HDL-C in highest tertile were 1.79 (1.62, 1.99), 2.09 (1.88, 2.32), 1.67 (1.51, 1.86), 1.93 (1.74, 2.13), respectively (all P <0.001).Conclusions: In Chinese hypertensive population, there were positive associations between nontraditional lipid profiles (TC/HDL-C ratio, TG/HDL-C ratio, LDL-C/HDL-C ratio, and non-HDL-C) and HUA. Our findings further expand the scope of application of nontraditional lipid profiles. These novel and important results suggest that nontraditional lipid profiles can be used as potential and valuable indicators of HUA, and provide a new strategy for the prevention and treatment of HUA.

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