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 / NCD Risk Factor Collaboration (NCD-RisC)

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 nonHDL 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 similar to 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 similar to 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 similar to 0.7 per decade in Swiss men (equivalent to similar 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..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

International journal of epidemiology - 49(2020), 1 vom: Feb., Seite 173-192

Sprache:

Englisch

Beteiligte Personen:

Taddei, Cristina [VerfasserIn]
Brenner, Hermann [VerfasserIn]
Jonas, Jost B., 1958- [VerfasserIn]
Saum, Kai-Uwe, 1984- [VerfasserIn]
Schöttker, Ben [VerfasserIn]

Links:

Volltext [lizenzpflichtig]
Volltext [lizenzpflichtig]

Themen:

Blood lipids
Blood-pressure
Cardiovascular risk-factors
Coronary-heart-disease
Dietary-fat
HDL cholesterol
High-density-lipoprotein
Individual data
LDL cholesterol
Ldl cholesterol
Metaanalysis
Multi-country study
Serum-lipids
Total cholesterol
Worldwide trends

Anmerkungen:

NCD Risk Factor Collaboration (NCD-RisC): Cristina Taddei, Hermann Brenner, Jost B. Jonas, Kai-Uwe Saum, Ben Schoettker [und viele weitere]

Advance access publication date: 18 July 2019

Gesehen am 17.05.2021

Umfang:

20

doi:

10.1093/ije/dyz099

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

1757901183

Zugang & Verfügbarkeit




Zugehörige Publikationen/Bände

    Haven't found what you're looking for?