Serum Lipids and Lipoproteins in Chinese Men and Women

Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population. We conducted a cross-sectional study in a nationally representative...

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Published inCirculation (New York, N.Y.) Vol. 125; no. 18; pp. 2212 - 2221
Main Authors Yang, Wenying, Xiao, Jianzhong, Yang, Zhaojun, Ji, Linong, Jia, Weiping, Weng, Jianping, Lu, Juming, Shan, Zhongyan, Liu, Jie, Tian, Haoming, Ji, Qiuhe, Zhu, Dalong, Ge, Jiapu, Lin, Lixiang, Chen, Li, Guo, Xiaohui, Zhao, Zhigang, Li, Qiang, Zhou, Zhiguang, Shan, Guangliang, He, Jiang
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 08.05.2012
Subjects
Adult
Asian Continental Ancestry Group - statistics & numerical data
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cross-Sectional Studies
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
General and cellular metabolism. Vitamins
Health Knowledge, Attitudes, Practice
Humans
Lipids - blood
Lipoproteins - blood
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Asia
China
Human
lipids
Prevalence
China
Chinese
Cardiovascular disease
Lipoprotein
cross-sectional studies
lipoproteins
Online AccessGet full text
ISSN0009-7322
1524-4539
1524-4539
DOI10.1161/CIRCULATIONAHA.111.065904

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Abstract Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population. We conducted a cross-sectional study in a nationally representative sample of 46 239 adults aged ≥20 years. Fasting serum total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were measured by standard methods. The age-standardized estimates of total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were 4.72 (95% confidence interval, 4.70-4.73), 1.30 (1.29-1.30), 2.68 (2.67-2.70), and 1.57 (1.55-1.58) mmol/L, respectively, in the Chinese adult population. In addition, 22.5% (21.8-23.3%) or 220.4 million (212.1-228.8) Chinese adults had borderline high total cholesterol (5.18-6.21 mmol/L), and 9.0% (8.5-9.5%) or 88.1 million (83.4-92.8) had high total cholesterol (≥6.22 mmol/L). The population estimates for borderline high (3.37-4.13 mmol/L), high (4.14-4.91 mmol/L), and very high (≥4.92 mmol/L) low-density lipoprotein cholesterol were 13.9% (13.3-14.5%) or 133.5 million (127.0-140.1), 3.5% (3.3-3.8%) or 33.8 million (31.2-36.5), and 3.0% (2.8-3.3%) or 29.0 million (26.3-31.8) persons, respectively. In addition, 22.3% (21.6-23.1%) or 214.9 million (207.0-222.8) persons had low high-density lipoprotein cholesterol (<1.04 mmol/L). The awareness, treatment, and control of borderline high or high total cholesterol were 11.0%, 5.1%, and 2.8%, respectively, in the Chinese adult population. Serum total and low-density lipoprotein cholesterol levels were high and increasing in the Chinese population. Without effective intervention, atherosclerotic cardiovascular diseases may soar in the near future in China.
AbstractList Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population.BACKGROUNDBecause of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population.We conducted a cross-sectional study in a nationally representative sample of 46 239 adults aged ≥20 years. Fasting serum total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were measured by standard methods. The age-standardized estimates of total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were 4.72 (95% confidence interval, 4.70-4.73), 1.30 (1.29-1.30), 2.68 (2.67-2.70), and 1.57 (1.55-1.58) mmol/L, respectively, in the Chinese adult population. In addition, 22.5% (21.8-23.3%) or 220.4 million (212.1-228.8) Chinese adults had borderline high total cholesterol (5.18-6.21 mmol/L), and 9.0% (8.5-9.5%) or 88.1 million (83.4-92.8) had high total cholesterol (≥6.22 mmol/L). The population estimates for borderline high (3.37-4.13 mmol/L), high (4.14-4.91 mmol/L), and very high (≥4.92 mmol/L) low-density lipoprotein cholesterol were 13.9% (13.3-14.5%) or 133.5 million (127.0-140.1), 3.5% (3.3-3.8%) or 33.8 million (31.2-36.5), and 3.0% (2.8-3.3%) or 29.0 million (26.3-31.8) persons, respectively. In addition, 22.3% (21.6-23.1%) or 214.9 million (207.0-222.8) persons had low high-density lipoprotein cholesterol (<1.04 mmol/L). The awareness, treatment, and control of borderline high or high total cholesterol were 11.0%, 5.1%, and 2.8%, respectively, in the Chinese adult population.METHODS AND RESULTSWe conducted a cross-sectional study in a nationally representative sample of 46 239 adults aged ≥20 years. Fasting serum total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were measured by standard methods. The age-standardized estimates of total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were 4.72 (95% confidence interval, 4.70-4.73), 1.30 (1.29-1.30), 2.68 (2.67-2.70), and 1.57 (1.55-1.58) mmol/L, respectively, in the Chinese adult population. In addition, 22.5% (21.8-23.3%) or 220.4 million (212.1-228.8) Chinese adults had borderline high total cholesterol (5.18-6.21 mmol/L), and 9.0% (8.5-9.5%) or 88.1 million (83.4-92.8) had high total cholesterol (≥6.22 mmol/L). The population estimates for borderline high (3.37-4.13 mmol/L), high (4.14-4.91 mmol/L), and very high (≥4.92 mmol/L) low-density lipoprotein cholesterol were 13.9% (13.3-14.5%) or 133.5 million (127.0-140.1), 3.5% (3.3-3.8%) or 33.8 million (31.2-36.5), and 3.0% (2.8-3.3%) or 29.0 million (26.3-31.8) persons, respectively. In addition, 22.3% (21.6-23.1%) or 214.9 million (207.0-222.8) persons had low high-density lipoprotein cholesterol (<1.04 mmol/L). The awareness, treatment, and control of borderline high or high total cholesterol were 11.0%, 5.1%, and 2.8%, respectively, in the Chinese adult population.Serum total and low-density lipoprotein cholesterol levels were high and increasing in the Chinese population. Without effective intervention, atherosclerotic cardiovascular diseases may soar in the near future in China.CONCLUSIONSSerum total and low-density lipoprotein cholesterol levels were high and increasing in the Chinese population. Without effective intervention, atherosclerotic cardiovascular diseases may soar in the near future in China.
Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population. We conducted a cross-sectional study in a nationally representative sample of 46 239 adults aged ≥20 years. Fasting serum total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were measured by standard methods. The age-standardized estimates of total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were 4.72 (95% confidence interval, 4.70-4.73), 1.30 (1.29-1.30), 2.68 (2.67-2.70), and 1.57 (1.55-1.58) mmol/L, respectively, in the Chinese adult population. In addition, 22.5% (21.8-23.3%) or 220.4 million (212.1-228.8) Chinese adults had borderline high total cholesterol (5.18-6.21 mmol/L), and 9.0% (8.5-9.5%) or 88.1 million (83.4-92.8) had high total cholesterol (≥6.22 mmol/L). The population estimates for borderline high (3.37-4.13 mmol/L), high (4.14-4.91 mmol/L), and very high (≥4.92 mmol/L) low-density lipoprotein cholesterol were 13.9% (13.3-14.5%) or 133.5 million (127.0-140.1), 3.5% (3.3-3.8%) or 33.8 million (31.2-36.5), and 3.0% (2.8-3.3%) or 29.0 million (26.3-31.8) persons, respectively. In addition, 22.3% (21.6-23.1%) or 214.9 million (207.0-222.8) persons had low high-density lipoprotein cholesterol (<1.04 mmol/L). The awareness, treatment, and control of borderline high or high total cholesterol were 11.0%, 5.1%, and 2.8%, respectively, in the Chinese adult population. Serum total and low-density lipoprotein cholesterol levels were high and increasing in the Chinese population. Without effective intervention, atherosclerotic cardiovascular diseases may soar in the near future in China.
Author Jia, Weiping
Yang, Wenying
Lu, Juming
Tian, Haoming
Zhu, Dalong
Shan, Guangliang
Chen, Li
He, Jiang
Guo, Xiaohui
Liu, Jie
Ji, Qiuhe
Xiao, Jianzhong
Li, Qiang
Lin, Lixiang
Ge, Jiapu
Zhou, Zhiguang
Yang, Zhaojun
Ji, Linong
Zhao, Zhigang
Weng, Jianping
Shan, Zhongyan
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  surname: Yang
  fullname: Yang, Wenying
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
– sequence: 2
  givenname: Jianzhong
  surname: Xiao
  fullname: Xiao, Jianzhong
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
– sequence: 3
  givenname: Zhaojun
  surname: Yang
  fullname: Yang, Zhaojun
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
– sequence: 4
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  givenname: Zhiguang
  surname: Zhou
  fullname: Zhou, Zhiguang
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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  givenname: Guangliang
  surname: Shan
  fullname: Shan, Guangliang
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
– sequence: 21
  givenname: Jiang
  surname: He
  fullname: He, Jiang
  organization: From the China-Japan Friendship Hospital, Beijing, China (W.Y., J.X., Z.Y.); Peking University Peoples' Hospital, Beijing, China (L.J.); Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China (W.J.); Sun Yat-sen University Third Hospital, Guangzhou, China (J.W.); Chinese PLA General Hospital, Beijing, China (J. Lu); First Affiliated Hospital, Chinese Medical University, Liaoling, China (Z.S.); Shanxi Province People's Hospital, Shanxi, China (J. Liu); West China Hospital
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ContentType Journal Article
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Tian, Haoming
Wang, Beibei
Lu, Li
Liu, Jie
Yi, Wan
Xiang, Kunsan
Zou, Dajing
Mu, Panwei
Shan, Zhongyan
Yang, Wenying
Chen, Fei
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Han, Gang
Zeng, Longyi
Gu, Huilin
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Ji, Qiuhe
Xie, Xiaohua
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Pan, Zhijian
Wang, Shuyu
Xu, Ning
Sun, Xiuqing
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Zhang, Yaping
Xu, Xiaodong
Ran, Xingwu
Zhao, Jingxin
Lu, Hualin
Xiao, Jianzhong
Aireti, Maimaiti
Xing, Huifang
Hu, Yun
Ji, Linong
Wang, Jiani
Dong, Liguang
Zhu, Dalong
Zhou, Xianghai
Wang, Rong
Bu, Shi
Hu, Ling
Lin, Mingzhu
Pei, Jiong
Yang, Shuyu
Zhang, Baojing
Hou, Xuhong
Ruan, Danjie
Ren, Yan
Cao, Lisheng
Li, Hongliang
Teng, Xiaochun
Wang, Peng
Pan, Changyu
Dou, Jingtao
Lu, Huijuan
Zhao, Dong
Gao, Xilian
Luo, Yingying
Mu, Huijie
Shan, Ling
Chen, Chung-Shiuan
Shi, Liangfeng
Lin, Keyi
Han, Xueyao
Jiang, Fengwei
Wang, Sen
Tong, Guoyu
Sun, Yan
Jin, Nan
Yu, Qiuqiong
Xiao, Zhiyun
Hou, Yuying
Lin, Lixiang
Lai, Yaxin
Chen, Gang
Li, Zhong
Yang, Zhaojun
Li, Yufeng
Zhang, Xinquan
Jia, Weiping
Cheng, Jinluo
Li, Jing
Hu, Renming
Huang, Junbin
He, Jiang
Liu, Lei
Shen, Weizhen
Zhan
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Copyright 2015 INIST-CNRS
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Issue 18
Keywords Human
lipids
Prevalence
China
Chinese
Cardiovascular disease
Lipoprotein
cross-sectional studies
lipoproteins
Language English
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PublicationTitle Circulation (New York, N.Y.)
PublicationTitleAlternate Circulation
PublicationYear 2012
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References Luepker RV (e_1_3_3_11_2) 2004
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Wong LD (e_1_3_3_17_2) 2005
Li YH (e_1_3_3_15_2) 2002; 12
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Snippet Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national...
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SubjectTerms Adult
Asian Continental Ancestry Group - statistics & numerical data
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cross-Sectional Studies
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
General and cellular metabolism. Vitamins
Health Knowledge, Attitudes, Practice
Humans
Lipids - blood
Lipoproteins - blood
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Title Serum Lipids and Lipoproteins in Chinese Men and Women
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