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ABSTRACT: Objective
This study was conducted to estimate the incidence of cardiovascular disease (CVD) independently from low-density lipoprotein (LDL) cholesterol according to triglyceride (TG) levels in young adults.Methods
Subjects aged 30-49 years with data from routine health check-ups provided by the National Health Insurance Service during 2009 were selected. The primary outcome was incident CVD, defined as a composite of ischemic heart disease and ischemic stroke during the follow-up period from 2009 to 2018.Results
The mean age of study subjects (n=1,823,537) was 40.1±5.7 years, and the median follow-up period was 8.3 years. The quartiles of serum TG levels at the baseline were calculated: Q1, <74 mg/dL; Q2, 74-108 mg/dL; Q3, 109-166 mg/dL; and Q4: >166 mg/dL. The highest quartile of TG levels (Q4) had a significantly higher risk of the primary outcome than Q1 (hazard ratio [HR], 2.40 [95% confidence interval; CI, 2.33-2.47]). Q2 and Q3 also experienced the primary outcome more frequently than Q1 (HR, 1.37 [95% CI, 1.33-1.42] and HR, 1.80 [95% CI, 1.75-1.86], respectively). Even after adjustment for age, sex, obesity, alcohol drinking amount, smoking, LDL cholesterol, diabetes mellitus, hypertension, lipid-lowering medication use, and family history of CVD, there was a significant dose-response relationship between TG quartiles and the risk of the primary outcome (HR per quartile, 1.13 [95% CI, 1.12-1.14]).Conclusion
In conclusion, in the Korean population aged 30-49 years, high TG levels independently increased future CVD risk in both men and women.
SUBMITTER: Koo BK
PROVIDER: S-EPMC7838513 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Koo Bo Kyung BK Park SangHyun S Han Kyung-Do KD Moon Min Kyong MK
Journal of lipid and atherosclerosis 20210105 1
<h4>Objective</h4>This study was conducted to estimate the incidence of cardiovascular disease (CVD) independently from low-density lipoprotein (LDL) cholesterol according to triglyceride (TG) levels in young adults.<h4>Methods</h4>Subjects aged 30-49 years with data from routine health check-ups provided by the National Health Insurance Service during 2009 were selected. The primary outcome was incident CVD, defined as a composite of ischemic heart disease and ischemic stroke during the follow- ...[more]