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Dyslipidemia: A Growing Health Concern in China

Dyslipidemia rates soar in China, posing risks to heart health.

Adila Sulidan, Xiamusiye Muyiduli, Jun Zhang, Chunmei Ling, Maidina Abudusilimu, Parman Mardan, Yilixiati Kulaixi, Siyu Zhang, Yongqi Ding, Rong Zhang

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In recent years, people in China are living longer. This is great news! But with longer life comes a rise in health issues, especially those related to the heart and blood vessels. A common problem some people face is known as dyslipidemia, which is a fancy word for having abnormal levels of fats (lipids) in the blood. These fats include Cholesterol and Triglycerides, and having the wrong amounts can lead to serious health problems.

The Rising Challenge of Cardiovascular Diseases

As the population ages and cities grow, more people are experiencing chronic diseases. Sadly, illnesses related to the heart and blood vessels, known as cardiovascular diseases, are becoming more common. Why? Well, factors like lifestyle changes, urban living, and various health risks are contributing to this rise.

One prime culprit is dyslipidemia. It plays a big role in forming plaque in blood vessels, which is a significant risk factor for heart disease. Thus, managing dyslipidemia is crucial for preventing these heart-related problems.

Current Situation of Dyslipidemia in China

The number of adults in China diagnosed with dyslipidemia is on the rise. Recent statistics revealed that about 35.6% of adults had this condition, which increased significantly since the early 2000s. This makes it vital to keep track of lipid levels and promote healthier lifestyles.

To learn more about this issue, researchers decided to investigate blood lipid levels among adults in a specific area of China, Xinjiang. This study aimed to understand how common dyslipidemia is among different people based on their age, gender, and living situation.

The Research Process

Researchers conducted a survey in Xinjiang between July and November 2018. They selected participants randomly from various towns and cities to ensure everyone had a fair chance of being included. In total, they looked at 4,865 adults who were permanently living in the area.

Before starting, all participants were informed about the study, and their consent was obtained. Trained investigators gathered data through questionnaires and blood tests to check the levels of cholesterol and triglycerides in the participants.

What is Dyslipidemia?

So, what exactly is dyslipidemia? It means that certain fats in the blood aren't at the levels they should be. There are several markers that help identify this condition:

  • Total Cholesterol (TC): Usually, a high TC level is concerning.
  • Low-density Lipoprotein (LDL): Often called "bad" cholesterol; high levels can lead to heart troubles.
  • High-density Lipoprotein (HDL): Known as "good" cholesterol; low levels are not good news.
  • Triglycerides (TG): Another type of fat in the blood; high levels can also be risky.

Survey Results: Who is Affected?

Among the 4,865 surveyed residents, a staggering 48.35% had dyslipidemia. This number is higher than in previous years, indicating a growing concern. When breaking this down further, researchers found:

  • 18.58% had high total cholesterol
  • 28.04% had high triglycerides
  • 25.30% had high LDL
  • 13.40% had low HDL

Interestingly, the findings showed that men generally had higher levels of some fats compared to women. But women, especially those aged 45-59, also have their own set of concerns regarding lipid levels.

Urban vs. Rural Residents

When contrasting urban and rural populations, the results were eye-opening. Rural residents showed a higher prevalence of dyslipidemia compared to those living in cities. This may be due to differences in access to healthcare and health education in various areas.

Understanding Lipid Levels Across Gender and Age

The study highlighted some fascinating trends. For instance, men had higher levels of total cholesterol and triglycerides, while women experienced increased lipid levels after the age of 45. This aligns with changes in hormones, particularly during menopause, which can impact cholesterol levels.

It was also noted that as people age, levels of unhealthy fats tend to go up. This means that middle-aged individuals might need to pay extra attention to their health and diet.

The Bigger Picture

The problem of dyslipidemia isn't just a personal issue; it has broader implications for public health. As more people in China face cardiovascular health problems, the overall quality of life could decline, leading to increased healthcare costs and challenges for families and the healthcare system alike.

What Can Be Done?

So, what should we do about this? First and foremost, prevention is key. Creating awareness about healthy eating and regular exercise can go a long way in reducing dyslipidemia rates. Public health initiatives that emphasize nutrition and physical activity may help combat this growing concern.

Additionally, regular health check-ups and blood tests can help individuals stay on top of their health status. By catching issues early, people can make informed choices about their diets and lifestyles.

Conclusion

Dyslipidemia is a rising issue among residents in China, particularly in regions like Xinjiang. While it can pose serious health risks, understanding its prevalence among different age groups, genders, and urban versus rural populations is the first step in tackling this problem.

Whether it’s high cholesterol, triglycerides, or low good cholesterol, the key takeaway is that everyone can benefit from leading a healthier lifestyle. As they say, “A healthy heart is a happy heart!”

Original Source

Title: The levels distribution of the serum lipids in Xinjiang adults, 2018

Abstract: ObjectiveTo analyze the prevalence and distribution characteristics of dyslipidemia in adult residents of Xinjiang Uygur Autonomous Region (Xinjiang), and to provide effective prevention and control measures for dyslipidemia. MethodsIn 2018, a total of 4865 permanent residents aged 18 years and above were investigated by multi-stage stratified cluster random sampling in 8 monitoring counties (cities and districts) in Xinjiang. Questionnaire survey and laboratory tests were conducted, and fasting venous blood was collected to detect the levels of TC, TG, HDL-C and LDL-C in serum. To analyze the difference of the detection results of relevant indexes in serum of different age, sex and urban and rural adults. ResultsThe prevalence of dyslipidemia in adults in Xinjiang was 48.35%, among which the prevalence of hypercholesterolemia(high TC), hypertriglyceridemia(high TG), high low-density lipoprotein cholesterol(high LDL-C) and low high-density lipoprotein cholesterol (low HDL-C)were 18.58%, 28.04%, 25.30% and 13.40%. In 2018, the serum TC level in Xinjiang adults was (4.46{+/-}0.91) mmol/L, and that in males and females was (4.42{+/-}0.89) and (4.49{+/-}0.92) mmol/L, respectively (t=-2.848, p < 0.05). The serum TC level of urban residents (4.57{+/-}0.93) mmol/L was higher than that of rural residents (4.38{+/-}0.89) mmol/L, and the difference was statistically significant (t=6.979, p < 0.001). The difference of serum TC levels in different age groups was statistically significant (F=199.389, p < 0.001). The serum TG level was (1.52{+/-}1.12) mmol/L, (1.64{+/-}1.31) in male and (1.43{+/-}0.93) mmol/L in female, (t=6.359, p < 0.001). The serum TG level of urban residents (1.66{+/-}1.33) mmol/L was higher than that of rural residents (1.43{+/-}0.94) mmol/L, and the difference was statistically significant (t=7.088, p < 0.001). There were significant differences in serum TG levels among different age groups (F=31.355, p < 0.001). Serum HDL-C level was (1.23{+/-}0.33) mmol/L, (1.14{+/-}0.32) in male and (1.29{+/-}0.33) mmol/L in female, (t=-16.033, p < 0.001). The serum HDL-C level of urban residents (1.25{+/-}0.34 mmol/L) was higher than that of rural residents (1.21{+/-}0.33 mmol/L), and the difference was statistically significant (t=4.298, p < 0.001). The difference of serum HDL-C level in different age groups was statistically significant (F=10.992, p < 0.001). Serum LDL-C level was (2.55{+/-}0.77) mmol/L, (2.54{+/-}0.76) in male and (2.55{+/-}0.78) mmol/L in female, (t=-0.426, p > 0.05). The serum LDL-C level of urban residents (2.58{+/-}0.82) mmol/L was higher than that of rural residents (2.53{+/-}0.74) mmol/L, and the difference was statistically significant (t=2.180, p < 0.05). There were significant differences in serum LDL-C levels among different age groups (F=121.679, p < 0.001). ConclusionThe prevalence of dyslipidemia in adults in Xinjiang is higher than the national level, the serum LDL-C level in men is lower than that in women, and the serum TC, TG and HDL-C levels are higher than that in women.

Authors: Adila Sulidan, Xiamusiye Muyiduli, Jun Zhang, Chunmei Ling, Maidina Abudusilimu, Parman Mardan, Yilixiati Kulaixi, Siyu Zhang, Yongqi Ding, Rong Zhang

Last Update: 2024-12-13 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.12.12.24318932

Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.12.24318932.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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