Prevalence of dyslipidemia and associated factors among the hypertensive population from rural Northeast China

Abstract

BackgroundOur latest study reported the grim status of hypertension in rural China with the prevalence of hypertension reached 51.1 %. However, we lack the latest data about the prevalence and epidemiological features of dyslipidemia among hypertensive residents in rural China.MethodsA cross-sectional survey was conducted from July 2012 to August 2013 through a cluster multistage sampling to a resident group of 4048 individuals (2152 men, 2896 women) with hypertension, age ≥ 35 years, in the rural Northeast China. Serum lipids level were proposed by National Cholesterol Education Program Adult Treatment Panel III.ResultsOf the hypertension residents without antihypertension treatment, 34.5 % had borderline high total cholesterol, 19.2 % had high total cholesterol, 11.4 % had low high-density lipoprotein cholesterol and 37.4 % had high non HDL-C. The population with borderline high, high, and very high low-density lipoprotein cholesterol was 20.9, 6.7 and 2.3 %, respectively. In addition, 14.3 % had borderline high triglycerides, 17.4 % had high TG and 2.4 % had very high TG. The awareness rate of dyslipidemia among the study population was 5.9 %. After adjusting for independent variables, fasting plasma glucose, body mass index, Han nationality, current drinking and smoking, higher annual income and classification of blood pressure were risk factors for dyslipidemia while moderate physical activity was protective factor for dyslipidemia. On the contrary, gender and current drinking decrease the risk of HDL-C.ConclusionThe prevalence of dyslipidemia was dramatically high and dyslipidemia screening was in-need in all diagnosed hypertensive individuals.

Prevalence and risk factors for dyslipidemia among adults in rural and urban China: findings from the China National Stroke Screening and prevention project (CNSSPP)

“…And our study found that subjects from rural areas had higher values for current drinking, current smoking and hypertension. This result was consistent with a previous report which indicated that current smoking and drinking increase the risk of dyslipidemia [37]. A study in Central India reported a higher dyslipidemia prevalence in rural (74.5%) and urban (68.8%) areas [38].…”

“…Similarly, not only did Cetin et al [43] demonstrate a positive correlation between raised (TC, LDL-C and TG) and hypertension, but they also reported the combined effects of hypertension and dyslipidemia on the greater likelihood of cardiovascular events. Consequently, the risk of acquiring CVD owing to dyslipidemia and hypertension co-existence could be multiplicative [37]. Appropriate management of this comorbidity will remain crucial to minimizing disease complications in the short- and medium-term.…”

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“…Similarly, one more meta-analysis study also suggested the same result above, which reported fewer outcomes in SBP and DBP but more clinical efficacy rates that may lead to a discrepancy [53]. ere were a series of studies for hypertension in China, which suggested that dyslipidemia was one of risk factors of hypertension, and hyperlipidemia was associated with increased risk of hypertension [54][55][56][57]. e main effects of lowering blood lipids of GBE were sourced from flavonoids which could improve blood lipids through antioxidant effect and blood pressure reductions were achieved then [58][59][60][61].…”

Prevalence of Dyslipidemia and Its Determinants in Rural Delhi

“…Same has been mentioned by Yu et al in their study in which higher annual income was associated with increased risk of dyslipidemia. 16 Similarly, occupation classes were also significantly associated with dyslipidemia. The above-mentioned nonmodifiable factors play an important role in dyslipidemia.…”