Abstract
Background: Hypertension (HBP) is usually accompanied by hypertriglyceridemia that represents the increased triglyceride-rich lipoproteins and cholesterol content in remnant lipoproteins [i.e., remnant cholesterol (RC)]. According to the European Atherosclerosis Society (EAS), high RC (HRC) is defined as fasting RC ≥0.8 mmol/L and/or postprandial RC ≥0.9 mmol/L. However, little is known about postprandial change in RC level after a daily meal in Chinese patients with HBP.Methods: One hundred thirty-five subjects, including 90 hypertensive patients (HBP group) and 45 non-HBP controls (CON group), were recruited in this study. Serum levels of blood lipids, including calculated RC, were explored at 0, 2, and 4 h after a daily breakfast. Receiver operating characteristic (ROC) curve analysis was used to determine the cutoff point of postprandial HRC.Results: Fasting TG and RC levels were significantly higher in the HBP group (P < 0.05), both of which increased significantly after a daily meal in the two groups (P < 0.05). Moreover, postprandial RC level was significantly higher in the HBP group (P < 0.05). ROC curve analysis showed that the optimal cutoff point for RC after a daily meal to predict HRC corresponding to fasting RC of 0.8 mmol/L was 0.91 mmol/L, which was very close to that recommended by the EAS, i.e., 0.9 mmol/L. Fasting HRC was found in 31.1% of hypertensive patients but not in the controls. According to the postprandial cutoff point, postprandial HRC was found in approximately half of hypertensive patients and ~1-third of the controls.Conclusion: Postprandial RC level increased significantly after a daily meal, and hypertensive patients had higher percentage of HRC at both fasting and postprandial states. More importantly, the detection of postprandial lipids could be helpful to find HRC.
Highlights
Hypertension (HBP) is usually accompanied by hypertriglyceridemia that represents the increased triglyceride-rich lipoproteins and cholesterol content in remnant lipoproteins [i.e., remnant cholesterol (RC)]
The HBP group had a higher percentage of overweight/obesity and diastolic and systolic blood pressures than the non-HBP controls (CON) group; the difference did not reach statistical significance
(P < 0.05), whereas those of HDL-C and low-density lipoprotein (LDL)-C were similar between the two groups (Table 1)
Summary
Hypertension (HBP) is usually accompanied by hypertriglyceridemia that represents the increased triglyceride-rich lipoproteins and cholesterol content in remnant lipoproteins [i.e., remnant cholesterol (RC)]. Little is known about postprandial change in RC level after a daily meal in Chinese patients with HBP. Evidence showed that hypertriglyceridemia and visceral obesity predicted the prevalence of HBP in the Chinese population [2, 3]. Hypertriglyceridemia represents the increased number of triglyceride-rich lipoproteins (TRLs) and their remnant lipoproteins (RLPs) in the circulation [4, 5]. The content of cholesterol within RLPs is termed as remnant cholesterol (RC). Both cross-sectional study and prospective research showed that RC was associated with the development of HBP [7, 8]. It is essential to detect the RC level in hypertensive patients
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