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Association between remnant cholesterol and cardio-cerebrovascular mortality in the elderly in communities of Beijing

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收录情况: ◇ 统计源期刊 ◇ 北大核心 ◇ 卓越:领军期刊 ◇ 中华系列

机构: [1]解放军医学院,北京 100853 [2]中国人民解放军总医院第二医学中心老年医学研究所, 衰老及相关疾病研究北京市重点实验室,国家老年疾病临床医学研究中心,北京 100853 [3]中国人民解放军总医院研究生院三防医学教研室,北京 100853 [4]中国人民解 放军总医院第一医学中心疾病预防控制科,北京 100853 [5]首都医科大学附属北京友谊 医院老年医学科,北京 100050 [6]中国人民解放军总医院第二医学中心心血管内科,北 京 100853 [7]首都医科大学宣武医院循证医学中心,北京 100053 [8]北京密云区中医医 院,北京 101500 [9]肾脏疾病国家重点实验室,北京 100853
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关键词: 老年人  残余胆固醇  心脑血管死亡

摘要:
Objective: To analyze the association between different lipid indicators and cardio-cerebrovascular mortality in the elderly, identify a better lipid indicator for the risk for cardio-cerebrovascular mortality in the elderly in communities of Beijing. Methods: The elderly aged 60 years and above were selected from the Beijing Healthy Aging Cohort Study from July 2009 to September 2015. Remnant cholesterol (RC) was derived by calculation. The Cox proportional hazard regression models determined the HR and 95%CI incidating the associations of baseline different lipid indicators with cardio-cerebrovascular and all-cause mortality. Results: By March 31, 2021, with a mean follow-up duration of 6.88 years in the study population, a total of 492 cardio-cerebrovascular deaths and 1 056 all-cause deaths wre recorded. The HR values indicating the association between LDL-C, HDL-C, and RC were 0.87 (95%CI: 0.78-0.97), 0.46 (95%CI: 0.35-0.62), and 1.29 (95%CI: 1.14-1.45) for cardio-cerebrovascular mortality, respectively, and 0.93 (95%CI: 0.86-1.00), 0.66 (95%CI: 0.55-0.80) and 1.22 (95%CI: 1.12-1.33) for all-cause mortality. The associations of RC and HDL-C with cardio-cerebrovascular mortality were consistent regardless of hyperlipidemia in the elderly. Subgroup analyses showed that elevated RC was associated with increased risk for cardio-cerebrovascular mortality, and elevated HDL-C was associated with decreased risk for cardio-cerebrovascular mortality in the elderly in different gender, age, smoking status, drinking status, and diabetes status groups in communities of Beijing. Conclusion: RC might be a better potential lipid indicator for the risk for cardio-cerebrovascular mortality in the elderly in communities compared with traditional cholesterol indicator.

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第一作者机构: [1]解放军医学院,北京 100853 [2]中国人民解放军总医院第二医学中心老年医学研究所, 衰老及相关疾病研究北京市重点实验室,国家老年疾病临床医学研究中心,北京 100853
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通讯机构: [2]中国人民解放军总医院第二医学中心老年医学研究所, 衰老及相关疾病研究北京市重点实验室,国家老年疾病临床医学研究中心,北京 100853 [9]肾脏疾病国家重点实验室,北京 100853
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