Lipid Control and Social Determinants: Their Association With LDL and Non-HDL Cholesterol Goals in Older Adults—A Population-Based Study

IF 2.4 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Clinical Cardiology Pub Date : 2025-05-07 DOI:10.1002/clc.70146

Cristian Orlando Porras Bueno, Jesús Andrés Beltrán España, Carolina Murgueitio Guzmán, Cándida Diaz-Brochero, Ángel Alberto García Peña

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引用次数: 0

Abstract

Background

Social determinants of health (SDH) significantly influence cardiovascular outcomes; however, their role in achieving lipid profile goals in older adults remains underexplored. This study aimed to evaluate the association between SDH and nonachievement of LDL cholesterol (LDL-C) and non-HDL cholesterol (non-HDL-C) targets in Colombian adults aged ≥ 60 years.

Methods

A cross-sectional analysis was conducted using data from 1270 participants in the SABE Colombia 2015 study. Logistic regression was applied to estimate odds ratios (ORs) for not achieving LDL-C and non-HDL-C goals on the basis of the Framingham, ASCVD 2013, and SCORE2 models.

Results

Non achieving LDL-C goals were associated with female sex, lack of affiliation with the health system and physical inactivity. Physical inactivity was associated with noncompliance on non-HDL-C goals, among others.

Conclusions

SDH are strongly associated with poor lipid control. Addressing modifiable SDHs could enhance cardiovascular risk management in older adults.

Abstract Image

查看原文本刊更多论文

血脂控制和社会决定因素：它们与老年人低密度脂蛋白和非高密度脂蛋白胆固醇目标的关系——一项基于人群的研究

健康的社会决定因素（SDH）显著影响心血管结局；然而，它们在实现老年人血脂水平目标中的作用仍未得到充分探讨。本研究旨在评估哥伦比亚≥60岁成人中SDH与未达到LDL- c和非hdl - c目标之间的关系。方法对SABE哥伦比亚2015年研究中1270名参与者的数据进行横断面分析。在Framingham、ASCVD 2013和SCORE2模型的基础上，应用逻辑回归来估计未达到LDL-C和非hdl - c目标的比值比（or）。结果未达到LDL-C目标与女性、缺乏与卫生系统的联系以及缺乏体育锻炼有关。缺乏运动与未达到非hdl - c目标有关。结论SDH与血脂控制不良密切相关。解决可改变的sdh可以加强老年人心血管风险管理。

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

Clinical Cardiology 医学-心血管系统

CiteScore

5.10

自引率

3.70%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.