Prevalence, patterns, and associations of dyslipidemia among Sri Lankan adults—Sri Lanka Diabetes and Cardiovascular Study in 2005–2006

Katulanda, Prasad; Dissanayake, Harsha; Silva, S. D. N. De; Katulanda, Gaya; Liyanage, Isurujith Kongala; Constantine, Godwin; Sheriff, Rezvi; Matthews, David R.

doi:10.1016/j.jacl.2018.01.006

Cited by 32 publications

(30 citation statements)

References 12 publications

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“…However, an average BMI for women similar to the present study has also been reported [45,47,48]. The mean BMI of women was higher than that of the men which is similar to previous studies [44,45,47]. The mean WC of women (85.96 [9.53] cm) was higher than the Asian cut-off and previously reported values by Katulanda et al (76.8 [12.2] [49].…”

Section: Discussionsupporting

confidence: 91%

“…The mean (SD) BMI of the total study population was 23.06 (4.2) kg/m 2 , which is similar to the average BMI reported by Ranasinghe et al (23.8 [4.2] kg/m 2 ) [28], but higher than the mean BMI observed in a national survey (21.8 [4.2] kg/m 2 ) [44] and in the Kaluthara district (22.9 [0.28] kg/m 2 ) for adults [45]. The mean BMI for men in the present study is similar to the average BMI for men reported using national (21.1 [3.7] kg/m 2 ) [8], provincial (Central Province, 22.7 [4.2] kg/m 2 [46]; four provinces, 21.5 [3.7] kg/m 2 [47]) and district (Colombo district, 22.8 [4.3] kg/m 2 [48]; Kaluthara district, 21.9 [0.46] kg/m 2 [45]) populations.…”

Section: Discussionsupporting

confidence: 82%

“…Only 16.7% of our study group were physically inactive, which is much less compared to the 38% prevalence of low PA among government officials in the Colombo district [60]. Interestingly, the prevalence of low PA was higher and vigorous PA was lower in our study population than in a national survey (low PA, 11.1%; vigorous PA, 60%) [44].…”

Section: Discussioncontrasting

confidence: 74%

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Assessment of Nutritional Status and Dietary Pattern of a Rural Adult Population in Dry Zone, Sri Lanka

Abeywickrama

Wimalasiri

Koyama

et al. 2019

IJERPH

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The objective of this work was to describe average dietary intake, physical activity (PA) and nutritional status of the adult population of Girandurukotte, Sri Lanka. A cross-sectional survey, including one 24-h dietary recall, international physical activity questionnaire and anthropometric measurements was conducted in a representative sample of 120 adults. Mean (SD) for body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR) and waist to height ratio (WHtR) were 23.06(4.20) kg/m2, 85.6(9.5) cm, 0.95(0.05) and 0.55(0.07), respectively. Significant differences were observed in height, body fat %, body muscle %, hip circumference, WHR, WHtR, fat mass index and hand grip strength between men and women (p < 0.05). Among the study group, 35.8% were overweight, 13.3% were obese and 11.7% were underweight. Central obesity was observed in 59.2%, 97.5% and 74.2% of adults by WC, WHR and WHtR, respectively. Mean (SD) dietary diversity score and dietary diversity score with portions were 4.77(1.28) and 4.09(1.32), respectively. Mean daily intake of protein, fruits, vegetables and dairy were well below the national recommendations. Despite the higher PA level, nearly half the population was overweight and obese and the majority was centrally obese. None of the dietary diversity scores met the optimal levels, suggesting poor quality and quantity of the diet.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 82%

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Assessment of Nutritional Status and Dietary Pattern of a Rural Adult Population in Dry Zone, Sri Lanka

Abeywickrama

Wimalasiri

Koyama

et al. 2019

IJERPH

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“…Older age has historically been established as the most devastating contributor of dyslipidemia. Both crosssectional and longitudinal studies have shown that TC, LDLC, and TG concentrations were positively associated with age, whilst a significant negative association with HDLC concentrations [23][24][25][26]. Such results were independent of ethnicity, race, and many other relevant risk factors.…”

Section: Discussionmentioning

confidence: 83%

Associations between age and dyslipidemia are differed by education level: The Cardiovascular and Metabolic Diseases Etiology Research Center (CMERC) cohort

et al. 2020

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Background: Dyslipidemia is a multifactorial disorder, which arises from complex interactions among genetic and environmental risk factors. Previous studies have established the deteriorating effect of aging on lipid profiles. However, little is known about the role of education level, a stable marker of socioeconomic status, which reflect modifiability of lifestyle risk factors. Therefore, we examined the association between age and individual dyslipidemia parameter across education level among healthy, middle-aged Korean women. Methods: From 2049 middle-aged women, education attainment was classified into completion of elementary school or below, middle school, high school, college or above. Dyslipidemia was assessed in adherence to the 2018 Korean Dyslipidemia Treatment Guideline. Multivariable logistic regression and generalized linear model tested for associations between age and dyslipidemia parameter across education level and other known risk factors, including menopause, obesity, and current drinking and smoking. Results: In this cross-sectional analysis, the prevalence of each dyslipidemia parameter was significantly different by age and education level. The odds ratio (OR) for dyslipidemia was higher among participants who were older and had received higher education (OR = 2.31, p for interaction = 0.008) than younger and low education counterpart. The interaction between age and education level remained significant for hypercholesterolemia (p for interaction = 0.003) and hyper-LDL-cholesterolemia (p for interaction = 0.002). Conclusions: Separate examination of individual dyslipidemia parameter indicated varying degree of interaction with age and education level. Such results imply that each type of lipid abnormality may arise from and be exacerbated by heterogeneous composition of biological and lifestyle risk factors, which may be reflected by education level.

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“…Ischaemic heart disease is still the leading cause of death worldwide [0] and has a prevalence of 9.3% in Sri Lanka [2]. Although the disease is highly prevalent, elucidation of its pathogenesis is still ongoing due to the complexity of the disease.…”

Section: Introductionmentioning

confidence: 99%

The pattern of on-admission hematological cellular response in patients with ST segment elevated myocardial infarction

Bandara

Jegavanthan

Kogulan

et al. 2018

J. Postgrad. Inst. Med.

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Background According to current understanding, atherosclerosis is believed to be inflammatory in origin. Haematological parameters, as markers of inflammation, have been shown to be linked to various outcomes among patients with ST segment elevated myocardial infarction (STEMI). Objectives To identify the pattern of haematological cellular response in patients with STEMI and to compare the results among patients with different sub-groups of STEMIs. Methods A descriptive cross-sectional study was conducted at the Cardiology Unit, Teaching Hospital, Kandy in 2016 and 2017. Full blood counts of all eligible patients who had acute STEMI were obtained on admission. Patients with clinical evidence of inflammatory or infectious conditions preceding STEMI were excluded. Controls were defined as patients who had STEMI six months previously and were treated with medical thrombolysis with no further events of acute coronary syndrome.

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Prevalence, patterns, and associations of dyslipidemia among Sri Lankan adults—Sri Lanka Diabetes and Cardiovascular Study in 2005–2006

Cited by 32 publications

References 12 publications

Assessment of Nutritional Status and Dietary Pattern of a Rural Adult Population in Dry Zone, Sri Lanka

Assessment of Nutritional Status and Dietary Pattern of a Rural Adult Population in Dry Zone, Sri Lanka

Associations between age and dyslipidemia are differed by education level: The Cardiovascular and Metabolic Diseases Etiology Research Center (CMERC) cohort

The pattern of on-admission hematological cellular response in patients with ST segment elevated myocardial infarction

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