2000, Number 1
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Med Sur 2000; 7 (1)
Plasma cholesterol levels: prevalence and associated risk factors. A cross sectional study in the Check-up Unit of Medica Sur
Morán S, Rodríguez-Leal G, Ramos MH, Duque MX, Guevara L, Uribe M
Language: Spanish
References: 33
Page: 6-9
PDF size: 129.91 Kb.
ABSTRACT
Epidemiological studies in different socioeconomic groups and regions of Mexico have shown that significant differences in serum cholesterol values exist between them. In those regions with higher cholesterol values a there is a greater prevalence of diseases associated with atheroesclerosis. Considering this heterogeneous background, we performed a prospective study that included 2,111 apparently healthy individuals, to determine the prevalence of hypercholesterolemia (HC) and clinical associations. Two groups were formed according to cholesterol values › 240 mg/dL and under ‹ 200 mg/dL. All participants in the study answered a questionnaire that included demographic data, alcohol consumption, smoking habit, contraceptive use and presence of hypertension and/or diabetes mellitus. Serum lipid profile and liver ultrasound were performed in all individuals. Multiple logistic regression analysis was performed to explore associations, prevalence of HC in this population was 23.6%. Mean serum cholesterol in women was 204 ± 48 mg/dL (X ± DE) and 214 ± 45 mg/dL in men. A positive association was found between HC and male sex, Odds Ratio (OR) = 1.90, age (OR = 1.047), obesity (OR = 1.78) Ad hypertrigliceridemia (OR = 10.25). This prevalence in inferior to that reported from Finland or USA.
REFERENCES
Stemler J, Wentforth D, Neaton JD. Is the relationship between serum cholesterol and risk of premature death from coronary heart disease continuous and graded? Findings in 356.222 primary screnees of the multiple risk factor intervention trial (MRFIT). JAMA 1986; 256: 2823-2828.
Grundy SM. Cholesterol and coronary heart disease: a new era. JAMA 1986; 256: 2849-2858.
Dawber TR. Diabetes, blood lipids, and the role of obesity in coronary heart disease risk for women. The farmingham study. Ann of lntern Med 1977; 87: 393.
Martin MJ, Hulley SB, Browner WS et al. Serum cholesterol, blood pleasure, and mortality: implications from cohort of 361,662 men. Lancet 1986; 2: 933-936.
Calva R, Cerqueira MI, Espinoza A et al. Factores de riesgo y enfermedades cardiovasculares en una población seleccionada. Rev Servicio Médico de Pemex 1978; 1: 101-106.
Cueto GL, Brito E, Barrera GJ, Gutiérrez AM. Prevención de la ateroesclerosis coronaria (III). Prevalencia de factores de riesgo en burócratas de México, Distrito Federal. Arch lnst Cardiol Mex 1987; 59: 19-27.
Posadas-Romero C, Sepúlveda J, Tapia-Conyer R et al. Valores de colesterol sérico en la población Mexicana. Salud Pública Mex 1990; 32: 405-415.
González C, Stern M, Valdez R. Niveles de lípidos sanguíneos y riesgo aterogénico en población abierta urbana. Rev lnv Clin 1993; 45: 127-132.
Lozano-Ascencio R, Escamilla-Cejudo JA, Escobedo-De la Peña J, López Cervantes M. Tendencia de la mortalidad por cardiopatía isquémica en México, de 1950 al 1985. Salud Pública Méx 1990; 32: 405-415.
Diehl AK, Stern MP. Special health problems of Mexicans-Americans: Obesity, gallbladder disease, diabetes mellitus, and cardivascular disease. Adv lntern Med 1989; 34: 73-96.
Stern MP, Haskell WL, Wood PD et al. Affluence and cardiovascular risk factors in Mexican-Americans and other whites in three northern California communities. J Chron Dis 1975; 28: 623-636.
Report of the National cholesterol Education program Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults. Arch intern Med 1988; 148: 36-69.
Ferris B. Epidemiology standarization project. Ann Rev Resp Dis (suppl) 1978; 118: 1-120.
Marmot MG, Rose G, Shipley MJ, Thomas BJ. Alcohol and mortality: A U-shaped curve. Lancet 1981; 1: 580-583.
Richmond W, Czok R. Abbott Spectrum high performance diagnostic system. Clinical Chemistry 1988; 34: 193-210.
Lopes-Virella MF, Stone P, Ellis S et al. Cholesterol determination in HDL separated by three different methods. Clin Chem 1984; 23: 882-890.
Bourges H. Nutritional status of the Mexican population. In: Nutrition in the 1980’s; Contraints in our knowledge 1981; 249-261.
Xu C-F, Boerwinkle E, Tikkanen MJ et al. Genetic variation at the apolipoprotein gene loci contribute to response of plasma lipids to dietary change. Gent Epidemiol 1990; 7: 261-275.
Savolaine MJ, Rantala M, Kervinen K et al. Magnitude of dietary effects on plasma cholesterol concentration: Role of sex and apolipoprotein E phenotype. Atherosclerosis 1991; 86: 145-152.
Manttari M, Koskinen P, Ehnholm C et al. Apolipoprotein E polymorphism influences the serum cholesterol response to dietary intervention. Metabolism 1991; 40: 217-221.
Miller NE. Why does plasma low density lipoprotein concentration in adults increase with age? Lancet 1984; 1: 263-266.
Ericsson S, Erikson M, Vitols S et al. lnfluence of age on the metabolism of plasma low density lipoprotein in healthy males. J Clin lnvest 1991; 87: 591-596.
Spady DK, Dietschy JM. interaction of aging and dietary fat in the regulation of low-density lipoprotein transport in the hamster. J Lipid Res 1989; 30: 559-569.
Garcia-Plamieri MR, Sorlie P Tillotson J et al. Relationship of dietary intake to subsequent coronary heart disease incidence: The Puerto Rico health Program. Am J Clin Nutr 1980; 33: 1818-1827.
Gordon T, Kagan A, Garcia-Palmieri M et al. Diet and its relation to coronary heart disease and death in three populations. Circulation 1981; 63: 500-515.
Kromhout D. Body weight, diet and serum cholesterol in 871 middle-aged men during 10 years of follow-up (The Zutphen Study). Am J Clin Nutr 1983; 38: 591-598.
Shekelle RB, Stambleler J. Dietary cholesterol and ischaemic heart disease. Lancet 1989; 1: 1177-1179.
Van Horn LV, Ballew, Liu K et al. Diet, body size, and plasma lipid-lipoproteins in young adults: Differences by race and sex. The Coronary artery disease development in young adults (CARDIA) study. Am J Epidemiol 1991; 133: 9-23.
Jacobsen Bk, Thelle DS. The Tromso Heart study: Food habits, serum total cholesterol, HDL cholesterol, and triglicerydes. Am J Epidemiol 1987; 125: 622-630.
Savolaine MJ, Rantala M, Kervinen K et al. Magnitude of dietary effects on plasma cholesterol concentration: Role of sex and apolipoprotein E phenotype. Atherosclerosis 1991; 86: 145-152.
Kannel WB. Hypertension and other risk factors in coronary heart disease. Am Heart J 1987; 114: 918-924.
Stular MW. Atherosclerosis in diabetes, the role of hyperinsulinemia metabolism 1988; 3(2): 1.
Strong JP, Richards ML. Cigarette smoking and atherosclerosis in autopsied men. Atherosclerosis 1976; 23: 451-476.