Abstract
BackgroundOur latest study reported the grim status of hypertension in rural China with the prevalence of hypertension reached 51.1 %. However, we lack the latest data about the prevalence and epidemiological features of dyslipidemia among hypertensive residents in rural China.MethodsA cross-sectional survey was conducted from July 2012 to August 2013 through a cluster multistage sampling to a resident group of 4048 individuals (2152 men, 2896 women) with hypertension, age ≥ 35 years, in the rural Northeast China. Serum lipids level were proposed by National Cholesterol Education Program Adult Treatment Panel III.ResultsOf the hypertension residents without antihypertension treatment, 34.5 % had borderline high total cholesterol, 19.2 % had high total cholesterol, 11.4 % had low high-density lipoprotein cholesterol and 37.4 % had high non HDL-C. The population with borderline high, high, and very high low-density lipoprotein cholesterol was 20.9, 6.7 and 2.3 %, respectively. In addition, 14.3 % had borderline high triglycerides, 17.4 % had high TG and 2.4 % had very high TG. The awareness rate of dyslipidemia among the study population was 5.9 %. After adjusting for independent variables, fasting plasma glucose, body mass index, Han nationality, current drinking and smoking, higher annual income and classification of blood pressure were risk factors for dyslipidemia while moderate physical activity was protective factor for dyslipidemia. On the contrary, gender and current drinking decrease the risk of HDL-C.ConclusionThe prevalence of dyslipidemia was dramatically high and dyslipidemia screening was in-need in all diagnosed hypertensive individuals.
Highlights
Our latest study reported the grim status of hypertension in rural China with the prevalence of hypertension reached 51.1 %
Hypertensive women had higher levels of total cholesterol (TC), Low-density lipoprotein cholesterol (LDL-C) and non High-density lipoprotein cholesterol (HDL-C)(P < 0.001), but current smoking and drinking, Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and Waist circumference (WC) were significantly higher in men than in women (P < 0.001)
The age-specific prevalence of borderline high TC for women increased with increased age (P < 0.001) while high TC increased with increased age for both genders (P < 0.001)
Summary
Our latest study reported the grim status of hypertension in rural China with the prevalence of hypertension reached 51.1 %. We lack the latest data about the prevalence and epidemiological features of dyslipidemia among hypertensive residents in rural China. In the National lipid association recommendations for patient-centered management of dyslipidemia, they concluded that an elevated level of cholesterol, including non-HDL-C and LDL-C, is a root cause of atherosclerosis, the key underling process contributing to most of clinical ASCVD events [6]. The prevalence and epidemiologic characters of hypertension in China had been thoroughly studied in resent years and reached the conclusion that hypertension became prevalent in urban and in rural areas [7]. There was high prevalence of hypertension in rural northern, northeastern, and northwestern China; but low level of awareness, and treatment rates. Blood pressure control rates were very low in all the populations
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