Trends in Serum Total Cholesterol and High Total Cholesterol Prevalence Among Royal Thai Army Personnel in Thailand, 2017-2022.

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE

High Blood Pressure & Cardiovascular Prevention Pub Date : 2023-09-01 Epub Date: 2023-08-22 DOI:10.1007/s40292-023-00596-z

Boonsub Sakboonyarat, Jaturon Poovieng, Kanlaya Jongcherdchootrakul, Phutsapong Srisawat, Panadda Hatthachote, Mathirut Mungthin, Ram Rangsin

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引用次数: 0

Abstract

Introduction: High total cholesterol (TC) is a robust-documented risk factor for atherosclerosis cardiovascular diseases. Approximately one-fourth (23.5%) of Thai civilians had high TC. However, the information on high TC among the Royal Thai Army (RTA) personnel is limited.

Aim: The study aimed to identify the trends in serum TC and high TC prevalence among RTA personnel from 2017 to 2022.

Methods: A serial cross-sectional study from 2017 to 2022 was conducted. A total of 318,353 active-duty RTA personnel aged 35-60 years were included in the study. High TC was defined as fasting TC ≥ 240 mg/dL. A multivariable log-binomial regression analysis was performed to investigate factors associated with high TC.

Results: The overall age- and sex-adjusted high TC prevalence was 26.3% in 2017 and dropped to 22.9% in 2020; then, it increased to 26.4% in 2022 (p for quadratic trend < 0.001). Younger-aged RTA personnel have significantly rising trends in sex-adjusted high TC prevalence over 6 years. In the south, the age- and sex-adjusted high TC prevalence was 24.4% in 2017 and substantially rose to 33.6% in 2022 (p for quadratic trend < 0.001). Meanwhile, in the northeast, it rose by 3.6% over 6 years. High body mass index, high blood pressure, and hyperglycemia were associated with high TC prevalence among this population.

Conclusion: High TC was a common essential health issue among RTA personnel. Rising trends in mean serum TC and high TC prevalence from 2017 to 2022 were discovered, especially in younger participants and those residing in the south and northeast.

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2017-2022年泰国皇家泰国军队人员血清总胆固醇和高总胆固醇患病率趋势

引言：高总胆固醇（TC）是动脉粥样硬化性心血管疾病的一个强有力的风险因素。大约四分之一（23.5%）的泰国平民患有高TC。然而，泰国皇家陆军（RTA）人员中关于高TC的信息有限。目的：本研究旨在确定2017年至2022年RTA人员血清TC和高TC患病率的趋势。共有318353名年龄在35-60岁之间的现役RTA人员被纳入研究。高TC定义为空腹TC≥240 mg/dL。对高TC相关因素进行了多变量对数二项回归分析。结果：2017年，经年龄和性别调整的总高TC患病率为26.3%，2020年降至22.9%；然后，它在2022年增加到26.4%（二次趋势p）结论：高TC是RTA人员中常见的基本健康问题。从2017年到2022年，平均血清TC和高TC患病率呈上升趋势，尤其是在年轻参与者和居住在南部和东北部的人中。

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来源期刊

High Blood Pressure & Cardiovascular Prevention PERIPHERAL VASCULAR DISEASE-

CiteScore

5.70

自引率

3.30%

发文量

期刊介绍： High Blood Pressure & Cardiovascular Prevention promotes knowledge, update and discussion in the field of hypertension and cardiovascular disease prevention, by providing a regular programme of independent review articles covering key aspects of the management of hypertension and cardiovascular diseases. The journal includes: Invited ''State of the Art'' reviews. Expert commentaries on guidelines, major trials, technical advances.Presentation of new intervention trials design.''Pros and Cons'' or round tables on controversial issues.Statements on guidelines from hypertension and cardiovascular scientific societies.Socio-economic issues.Cost/benefit in prevention of cardiovascular diseases.Monitoring of healthcare systems.News and views from the Italian Society of Hypertension (including abstracts).All manuscripts are subject to peer review by international experts. Letters to the editor are welcomed and will be considered for publication.