The Association between Serum Lipid Profile Levels and Hypertension Grades: A Cross-Sectional Study at a Health Examination Center.

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE

High Blood Pressure & Cardiovascular Prevention Pub Date : 2024-11-27 DOI:10.1007/s40292-024-00683-9

Ling Huang, Zhangyi Liu, Huayang Zhang, Dan Li, Zhiyi Li, Jie Huang, Jie He, Lin Lu, Hu Wen, Huan Yuan, Yinshan Gu, Yunli Ye, Jian Lu, Bin Liao, Zhengye Li, Lin Wu, Jinbo Liu, Miaoling Li

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Abstract

Introduction: Hypertension and dyslipidemia are major cardiovascular risk factors that often coexist. Hyperlipidemia is a crucial modifiable risk factor in preventing cardiovascular disease.

Aim: We aimed to explore the relationship between lipid levels and the grading of hypertension in a community-based adult population.

Methods: A total of 63,091 non-employed individuals were included in this study. Measurements included systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), fasting plasma glucose (FPG), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (STB), serum creatinine (SCr), blood urea nitrogen (BUN), total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-c), and high-density lipoprotein cholesterol (HDL-c). Chi-square and t-tests were used to obtain basic population characteristics. Multivariate logistic regression was used to evaluate the association between the prevalence of hypertension and lipid profiles, as well as to identify influencing factors. A P-value < 0.05 was considered statistically significant. Statistical charts were utilized to analyze the relationship between lipid parameters and hypertension grades.

Results: A total of 30,588 men and 32,503 women with an average age of 64.57 ± 12.5 years participated in this study. After adjusting STB and TC, every 1 mmol/L increase in TG and LDL-c was associated with a 6.0% and 6.5% increase in the prevalence of hypertension, respectively. Conversely, for every 1 mmol/L increase in HDL-c, the prevalence of hypertension decreased by 4.1%. Increases in TG and LDL-c levels were observed across all grades of hypertension, while very high HDL-c was significantly associated in grade III hypertension (1.54→1.66 mmol/L). Additionally, age, BMI, FPG, ALT, AST, SCr, and BUN significantly influenced the association between hypertension and lipid levels.

Conclusion: Hyperlipidemia and hypertension often coexist in health examination populations. Elevated levels of TG and LDL-C are associated with all grades of hypertension, while extremely high HDL-C level is linked to more severe hypertension.

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血清脂质谱水平与高血压分级之间的关系：健康检查中心的一项横断面研究。

引言高血压和血脂异常是主要的心血管风险因素，两者往往同时存在。高脂血症是预防心血管疾病的一个重要的可改变的危险因素。目的：我们的目的是在社区成年人群中探讨血脂水平与高血压分级之间的关系：方法：本研究共纳入了 63091 名非就业人员。测量指标包括收缩压 (SBP)、舒张压 (DBP)、体重指数 (BMI)、空腹血浆葡萄糖 (FPG)、丙氨酸氨基转移酶 (ALT)、天冬氨酸氨基转移酶 (AST)、总胆红素（STB）、血清肌酐（SCr）、血尿素氮（BUN）、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-c）和高密度脂蛋白胆固醇（HDL-c）。采用卡方检验和 t 检验来获得基本人群特征。采用多元逻辑回归评估高血压患病率与血脂状况之间的关系，并确定影响因素。A P值结果：共有 30,588 名男性和 32,503 名女性参与了这项研究，平均年龄为 64.57 ± 12.5 岁。对 STB 和 TC 进行调整后，TG 和 LDL-c 每增加 1 mmol/L，高血压患病率分别增加 6.0% 和 6.5%。相反，高密度脂蛋白胆固醇每增加 1 毫摩尔/升，高血压患病率就会降低 4.1%。在所有等级的高血压中都观察到 TG 和 LDL-c 水平的增加，而极高的 HDL-c 与 III 级高血压（1.54→1.66 mmol/L）有显著相关性。此外，年龄、体重指数（BMI）、血脂指数（FPG）、谷丙转氨酶（ALT）、谷草转氨酶（AST）、血清胆固醇（SCr）和尿素氮（BUN）也对高血压与血脂水平之间的关系有显著影响：在体检人群中，高脂血症和高血压常常同时存在。结论：在体检人群中，高脂血症和高血压常常同时存在。TG 和 LDL-C 水平的升高与所有等级的高血压都有关联，而极高的 HDL-C 水平则与更严重的高血压有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.