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Niveles de colesterol no HDL en la población chilena y su asociación con enfermedad cardiovascular y diabetes mellitus: estudio de corte transversal en Encuesta Nacional de Salud 2009-2010 / Non-HDL cholesterol levels in Chilean population and their association with diabetes mellitus and cardiovascular disease
Alé, María Consuelo; Echeverría, Guadalupe; Jugo, Aranzazu; Villarroel, Luis; Maiz, Alberto; Rigotti, Attilio.
Afiliação
  • Alé, María Consuelo; Pontificia Universidad Católica de Chile. Escuela de Medicina. Centro de Nutrición Molecular y Enfermedades Crónicas. Santiago. CL
  • Echeverría, Guadalupe; Pontificia Universidad Católica de Chile. Escuela de Medicina. Centro de Nutrición Molecular y Enfermedades Crónicas. Santiago. CL
  • Jugo, Aranzazu; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Nutrición, Diabetes y Metabolismo. Santiago. CL
  • Villarroel, Luis; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Salud Pública. Santiago. CL
  • Maiz, Alberto; Pontificia Universidad Católica de Chile. Escuela de Medicina. Departamento de Nutrición, Diabetes y Metabolismo. Santiago. CL
  • Rigotti, Attilio; Pontificia Universidad Católica de Chile. Escuela de Medicina. Centro de Nutrición Molecular y Enfermedades Crónicas. Santiago. CL
Rev. méd. Chile ; 147(11): 1365-1373, nov. 2019. tab, graf
Article em Es | LILACS | ID: biblio-1094165
Biblioteca responsável: CL1.1
ABSTRACT
Background Despite aggressive treatment aimed at lowering LDL cholesterol (LDL-C) levels with statins, there is a high residual prevalence of cardiovascular diseases, which may depend on plasma cholesterol transported in other atherogenic lipoproteins. Aims To describe non-HDL cholesterol (non-HDL-C) levels in the Chilean population and their association with diabetes mellitus and cardiovascular disease. To evaluate compliance with non-HDL-C therapeutic goals -according to individual cardiovascular risk- at different levels of triglycerides, in comparison with LDL-C goal achievement. Material and

Methods:

We analyzed data from 2,792 Chilean subjects aged ≥ 15 years who were included in the 2009-2010 National Health Survey and had valid data for blood lipids, diabetes, and cardiovascular disease. Results Forty five percent of subjects had high non-HDL-C levels. The proportion of diabetic and non-diabetic subjects with high non-HDL-C levels was 81 and 42%, respectively (p < 0.01). A significant discordance was observed in the achievement of therapeutic objectives when LDL-C or non-HDL-C levels were considered, particularly in presence of triglycerides ≥ 150 mg/dl. Namely, 8% of the population showed elevated levels of high non-HDL-C despite adequate LDL-C levels. Conclusions Evaluation and management of elevated non-HDL-C in patients with adequate levels of LDL-C seems worthwhile considering the discordance observed between these blood cholesterol fractions. This strategy may be effective to reduce the residual cardiovascular risk in the Chilean population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Doenças Cardiovasculares / Colesterol / Diabetes Mellitus Tipo 2 Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Doenças Cardiovasculares / Colesterol / Diabetes Mellitus Tipo 2 Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile