Archivio istituzionale della ricerca dell'Università degli Studi di Palermo
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EnglishBackground: Although high-density lipoprotein (HDL) and non-HDL cholesterol have opposite associations with coronary heart disease, multi-country reports of lipid trends only use total cholesterol (TC). Our aim was to compare trends in total, HDL and non- HDL cholesterol and the total-to-HDL cholesterol ratio in Asian and Western countries. Methods: We pooled 458 population-based studies with 82.1 million participants in 23 Asian and Western countries. We estimated changes in mean total, HDL and non-HDL cholesterol and mean total-to-HDL cholesterol ratio by country, sex and age group. Results: Since 1980, mean TC increased in Asian countries. In Japan and South Korea, the TC rise was due to rising HDL cholesterol, which increased by up to 0.17 mmol/L per decade in Japanese women; in China, it was due to rising non-HDL cholesterol. TC declined in Western countries, except in Polish men. The decline was largest in Finland and Norway, at 0.4 mmol/L per decade. The decline in TC in most Western countries was the net effect of an increase in HDL cholesterol and a decline in non-HDL cholesterol, with the HDL cholesterol increase largest in New Zealand and Switzerland. Mean total-to-HDL cholesterol ratio declined in Japan, South Korea and most Western countries, by as much as 0.7 per decade in Swiss men (equivalent to 26% decline in coronary heart disease risk per decade). The ratio increased in China. Conclusions: HDL cholesterol has risen and the total-to-HDL cholesterol ratio has declined in many Western countries, Japan and South Korea, with only a weak correlation with changes in TC or non-HDL cholesterol.
Taddei, C., Zhou, B., Bixby, H., Danaei, G., Di Cesare, M., Kuulasmaa, K., et al. (2020). National Trends in Total Cholesterol Obscure Heterogeneous Changes in HDL and non-HDL Cholesterol and total-to-HDL Cholesterol Ratio: A Pooled Analysis of 458 Population-Based Studies in Asian and Western Countries. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 173-192.
| Data di pubblicazione: | 2020 |
| Titolo: | National Trends in Total Cholesterol Obscure Heterogeneous Changes in HDL and non-HDL Cholesterol and total-to-HDL Cholesterol Ratio: A Pooled Analysis of 458 Population-Based Studies in Asian and Western Countries |
| Autori: | |
| Citazione: | Taddei, C., Zhou, B., Bixby, H., Danaei, G., Di Cesare, M., Kuulasmaa, K., et al. (2020). National Trends in Total Cholesterol Obscure Heterogeneous Changes in HDL and non-HDL Cholesterol and total-to-HDL Cholesterol Ratio: A Pooled Analysis of 458 Population-Based Studies in Asian and Western Countries. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 173-192. |
| Rivista: | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1093/ije/dyz099 |
| Abstract: | Background: Although high-density lipoprotein (HDL) and non-HDL cholesterol have opposite associations with coronary heart disease, multi-country reports of lipid trends only use total cholesterol (TC). Our aim was to compare trends in total, HDL and non- HDL cholesterol and the total-to-HDL cholesterol ratio in Asian and Western countries. Methods: We pooled 458 population-based studies with 82.1 million participants in 23 Asian and Western countries. We estimated changes in mean total, HDL and non-HDL cholesterol and mean total-to-HDL cholesterol ratio by country, sex and age group. Results: Since 1980, mean TC increased in Asian countries. In Japan and South Korea, the TC rise was due to rising HDL cholesterol, which increased by up to 0.17 mmol/L per decade in Japanese women; in China, it was due to rising non-HDL cholesterol. TC declined in Western countries, except in Polish men. The decline was largest in Finland and Norway, at 0.4 mmol/L per decade. The decline in TC in most Western countries was the net effect of an increase in HDL cholesterol and a decline in non-HDL cholesterol, with the HDL cholesterol increase largest in New Zealand and Switzerland. Mean total-to-HDL cholesterol ratio declined in Japan, South Korea and most Western countries, by as much as 0.7 per decade in Swiss men (equivalent to 26% decline in coronary heart disease risk per decade). The ratio increased in China. Conclusions: HDL cholesterol has risen and the total-to-HDL cholesterol ratio has declined in many Western countries, Japan and South Korea, with only a weak correlation with changes in TC or non-HDL cholesterol. |
| Settore Scientifico Disciplinare: | Settore MED/09 - Medicina Interna |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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http://hdl.handle.net/10447/416986
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