The relationship between high-density lipoprotein cholesterol levels and arterial stiffness in a Taiwanese population.

The relationship between high-density lipoprotein cholesterol levels and arterial stiffness in a Taiwanese population.
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台湾人群高密度脂蛋白胆固醇水平与动脉僵硬度之间的关系。

DOI:
10.1016/j.numecd.2017.10.003
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发表时间:
2017
期刊:
Nutrition, metabolism, and cardiovascular diseases : NMCD
影响因子:
--
通讯作者:
C
C
中科院分区:
--
文献类型:
--
作者:
W;F. Lu;Y;J;Y.;Y;C

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背景和目的目前关于高密度脂蛋白胆固醇(HDL-C)水平与动脉硬化(AS)之间关系的研究很少。HDL-C水平在男性和女性中存在差异,目前尚不清楚HDL-C水平与AS之间的关系是否受性别影响。本研究的目的是探讨性别差异之间的关联HDL-C水平和AS在adult.Methods和ResultsAfter排除受试者使用降脂剂,7254名受试者参加。通过测量臂踝脉搏波传导速度(baPWV)值评估AS。HDL-C的四分位数在男性中分别为<38、38-45、45-53和>53 mg/dL,在女性中分别为<48、48-57、57-69和>68 mg/dL。在年龄<50岁的受试者中,HDL-C四分位数均与baPWV值无关。在年龄≥50岁的受试者中,HDL-C的最高四分位数(β:−37.57,95% CI:−61.61至−13.54)与baPWV值呈负相关。当考虑年龄≥50岁受试者的性别差异时,HDL-C的最高四分位数(Q4 beta:−57.22,95% CI:-95.63至-18.81)与女性baPWV值呈负相关,但HDL-C四分位数与男性baPWV值无关。在年龄≥50岁的女性中,C水平与AS风险降低相关,但在男性中则无关,尽管这种关系在年龄<50岁的受试者中并不明显。因此,在年龄≥50岁的人群中,HDL-C水平与AS之间的相关性受到性别的影响。
Background and aimsThere are few studies on the association between HDL-C levels and arterial stiffness (AS). HDL-C levels vary in males and females, and it is not clear whether the relationship between HDL-C levels and AS is influenced by gender. The purpose of this study was to investigate gender differences in the association between HDL-C levels and AS in adults.Methods and ResultsAfter excluding subjects using lipid-lowering agent, 7254 subjects were enrolled. The AS was assessed by measuring the brachial-ankle pulse wave velocity (baPWV) value. The quartiles of HDL-C were <38, 38–45, 45–53 and >53 mg/dL in men and <48, 48–57, 57–69 and >68 mg/dL in women, respectively. In subjects aged <50 years, none of the HDL-C quartiles were associated with baPWV values. In subjects aged ≥50 years, the highest quartile of HDL-C (beta: −37.57, 95% CI: −61.61 to −13.54) was negatively related to baPWV values. When considering gender difference in subjects aged ≥50 years, the highest quartile of HDL-C (Q4 beta: −57.22, 95% CI: −95.63 to −18.81) was inversely associated with baPWV values in women, but none of the HDL-C quartiles were related to baPWV values in men.ConclusionsA high HDL-C level was associated with a lower risk of AS in subjects aged ≥50 years in women but not in men, although this relationship was not apparent in subjects aged <50 years. The association between HDL-C level and AS is thus influenced by gender in people aged ≥50 years.
DOI: 10.1093/aje/kwv305
发表时间: 2016-05-15
影响因子: 5
作者:
Ahmed, Haitham M.;Miller, Michael;Blaha, Michael J.
通讯作者: Blaha, Michael J.