Trends in Lipids Level and Dyslipidemia among Chinese Adults, 2002-2015

• Published in: Biomedical and environmental sciences Vol. 32; no. 8; pp. 559 - 570
• Main Authors: SONG, Peng Kun, MAN, Qing Qing, LI, Hong, PANG, Shao Jie, JIA, Shan Shan, LI, Yu Qian, HE, Li, ZHAO, Wen Hua, ZHANG, Jian
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.08.2019; National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050,China%Central laboratory of Beijing Center for Disease Control and Prevention, Beijing 100013, China%Academy of National Food and Strategic Reserves Administration, Beijing 100037, China
• Subjects: Adults; China; Cross-sectional study; Dyslipidemia; Lipids; Lipids; Adults; Cross-sectional study; China; Dyslipidemia
• ISSN: 0895-3988; 2214-0190; 2214-0190
• DOI: 10.3967/bes2019.074

To investigate the trends of lipid profiles and dyslipidemia among Chinese adults from 2002 to 2015. Data were collected from three nationally representative cross-sectional surveys. Fasting venous blood samples were collected and serum lipids were tested by biochemical analysis and enzymatic determination. Lipid levels and the prevalence of dyslipidemia among adults were analyzed with complex sampling weighting adjustment for age and gender. The weighted means of TC, TG, and LDL-c significantly increased linearly from 3.93, 1.12, and 2.12 mmol/L in 2002 to 4.59, 1.41, and 2.78 mmol/L in 2010 and then to 4.63, 1.47, and 2.87 mmol/L in 2015, respectively; by contrast, HDL-c levels decreased significantly from 1.30 mmol/L to 1.26 mmol/L over the same period. Similar trends in mean non-HDL-c and lipid-related ratios were observed. The weighted dyslipidemia prevalence linearly increased; in particular, hypercholesterolemia increased from 1.6% to 5.6% and then to 5.8%, hypertriglyceridemia increased from 5.7% to 13.6% and then to 15.0%, low HDL-c increased from 18.8% to 35.5% and then to 24.9%, and high LDL-c increased from 1.3% to 5.6% and then to 7.2% (P for trend < 0.001). Dyslipidemia increased among Chinese adults from 2002 to 2015. Development of a comprehensive strategy to decrease lipid levels in this population is urgently required.