Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths

Abstract High baseline atherogenic lipid level has been an established risk factor for the risk of cardiovascular events. Evidence concerning the role of lipid changes in cardiovascular and death risks are inconclusive. A cohort study was conducted based on the Taiwanese Survey on Hypertension, Hype...

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Autores principales: Hsin-Yin Hsu, Ming-Chieh Tsai, Tzu-Lin Yeh, Le-Yin Hsu, Lee-Ching Hwang, Kuo-Liong Chien
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/b3edcee822c1400790af434c3d29ec5c
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spelling oai:doaj.org-article:b3edcee822c1400790af434c3d29ec5c2021-12-02T13:26:50ZAssociation of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths10.1038/s41598-021-86336-62045-2322https://doaj.org/article/b3edcee822c1400790af434c3d29ec5c2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86336-6https://doaj.org/toc/2045-2322Abstract High baseline atherogenic lipid level has been an established risk factor for the risk of cardiovascular events. Evidence concerning the role of lipid changes in cardiovascular and death risks are inconclusive. A cohort study was conducted based on the Taiwanese Survey on Hypertension, Hyperglycemia, and Hyperlipidemia (n = 4072, mean 44.8 years, 53.5% women) assessing lipid levels of the participants repeatedly measured in 2002 and 2007. Combined baseline and changes in lipid levels were classified into four groups—stable or decreasing lipid changes and increasing lipid changes with low- and high-risk baseline lipid levels. Developing cardiovascular events (n = 225) and all-cause deaths (n = 345) were ascertained during a median follow-up of 13.3 years. Participants with increasing and higher total cholesterol level were more likely to develop cardiovascular risks. Similar patterns for cardiovascular events were observed across other lipid profile changes. However, participants with increasing total cholesterol, LDL-C, and non-high-density lipoprotein cholesterol (non-HDL-C) levels were more likely to be at a lower risk for all-cause deaths. Baseline and changes in total cholesterol, triglycerides, and LDL-C levels were positively associated with the risk of cardiovascular diseases, whereas baseline and changes in total cholesterol and LDL-C and non-HDL-C levels were inversely associated with all-cause deaths.Hsin-Yin HsuMing-Chieh TsaiTzu-Lin YehLe-Yin HsuLee-Ching HwangKuo-Liong ChienNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hsin-Yin Hsu
Ming-Chieh Tsai
Tzu-Lin Yeh
Le-Yin Hsu
Lee-Ching Hwang
Kuo-Liong Chien
Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
description Abstract High baseline atherogenic lipid level has been an established risk factor for the risk of cardiovascular events. Evidence concerning the role of lipid changes in cardiovascular and death risks are inconclusive. A cohort study was conducted based on the Taiwanese Survey on Hypertension, Hyperglycemia, and Hyperlipidemia (n = 4072, mean 44.8 years, 53.5% women) assessing lipid levels of the participants repeatedly measured in 2002 and 2007. Combined baseline and changes in lipid levels were classified into four groups—stable or decreasing lipid changes and increasing lipid changes with low- and high-risk baseline lipid levels. Developing cardiovascular events (n = 225) and all-cause deaths (n = 345) were ascertained during a median follow-up of 13.3 years. Participants with increasing and higher total cholesterol level were more likely to develop cardiovascular risks. Similar patterns for cardiovascular events were observed across other lipid profile changes. However, participants with increasing total cholesterol, LDL-C, and non-high-density lipoprotein cholesterol (non-HDL-C) levels were more likely to be at a lower risk for all-cause deaths. Baseline and changes in total cholesterol, triglycerides, and LDL-C levels were positively associated with the risk of cardiovascular diseases, whereas baseline and changes in total cholesterol and LDL-C and non-HDL-C levels were inversely associated with all-cause deaths.
format article
author Hsin-Yin Hsu
Ming-Chieh Tsai
Tzu-Lin Yeh
Le-Yin Hsu
Lee-Ching Hwang
Kuo-Liong Chien
author_facet Hsin-Yin Hsu
Ming-Chieh Tsai
Tzu-Lin Yeh
Le-Yin Hsu
Lee-Ching Hwang
Kuo-Liong Chien
author_sort Hsin-Yin Hsu
title Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
title_short Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
title_full Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
title_fullStr Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
title_full_unstemmed Association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
title_sort association of baseline as well as change in lipid levels with the risk of cardiovascular diseases and all-cause deaths
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b3edcee822c1400790af434c3d29ec5c
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