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Association between nontraditional lipid profiles and peripheral arterial disease in Chinese adults with hypertension.
- Source :
-
Lipids in health and disease [Lipids Health Dis] 2020 Nov 03; Vol. 19 (1), pp. 231. Date of Electronic Publication: 2020 Nov 03. - Publication Year :
- 2020
-
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.<br />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.<br />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.<br />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.<br />Trial Registration: CHiCTR, ChiCTR1800017274 . Registered 20 July 2018.
- Subjects :
- Aged
Antihypertensive Agents therapeutic use
Asian People
Biomarkers blood
Cholesterol, HDL blood
Cross-Sectional Studies
Female
Humans
Hypertension blood
Hypertension drug therapy
Male
Middle Aged
Peripheral Arterial Disease etiology
Triglycerides blood
Hypertension complications
Lipids blood
Peripheral Arterial Disease blood
Subjects
Details
- Language :
- English
- ISSN :
- 1476-511X
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Lipids in health and disease
- Publication Type :
- Academic Journal
- Accession number :
- 33143696
- Full Text :
- https://doi.org/10.1186/s12944-020-01407-3