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Non-High-Density Lipoprotein Cholesterol on the Risks of Stroke: A Result from the Kailuan Study

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机构: [1]Capital Med Univ, Beijing TianTan Hosp, Dept Neurol, Beijing, Peoples R China; [2]Gen Hosp Chinese Peoples Armed Police Forces, Dept Neural Stem Cell Transplantat, Beijing, Peoples R China; [3]Brigham & Womens Hosp, Dept Med, Channing Lab, Boston, MA USA; [4]Harvard Univ, Sch Med, Boston, MA USA; [5]Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA; [6]Univ Penn, Dept Med, Perelman Sch Med, Philadelphia, PA 19104 USA; [7]Hebei United Univ, Kailuan Hosp, Dept Cardiol, Tangshan, Peoples R China
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Aims: To prospectively explore the association between non-high-density lipoprotein cholesterol (non-HDLC) and the risks of stroke and its subtypes. Methods: A total of 95,916 participants (18-98 years old; 76,354 men and 19,562 women) from a Chinese urban community who were free of myocardial infarction and stroke at baseline time point (2006-2007) were eligible and enrolled in the study. The serum non-HDLC levels of participants were determined by subtracting the high-density lipoprotein cholesterol (HDLC) from total serum cholesterol. The primary outcome was the first occurrence of stroke, which was diagnosed according to the World Health Organization criteria and classified into three subtypes: ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. The Cox proportional hazards models were used to estimate risk of stroke and its subtypes. Results: During the four-year follow-up, we identified 1614 stroke events (1,156 ischemic, 416 intracerebral hemorrhagic and 42 subarachnoid hemorrhagic). Statistical analyses showed that hazard ratios (HR) (95% Confidence Interval: CI) of serum Non-HDLC level for total and subtypes of stroke were: 1.08 (1.03-1.12) (total), 1.10 (1.05-1.16) (ischemic), 1.03 (0.96-1.10) (intracerebral hemorrhage) and 0.83 (0.66-1.05) (subarachnoid hemorrhage). HR for non-HDLC refers to the increase per each 20 mg/dl. For total and ischemic stroke, the risks were significantly higher in the fourth and fifth quintiles of non-HDLC concentrations compared to the first quintile after adjusting the confounding factors (total stroke: 4th quintile HR=1.33 (1.12-1.59); 5th quintile HR = 1.36 (1.15-1.62); ischemic stroke: 4th quintile HR = 1.34 (1.09-1.66); 5th quintile HR = 1.53 (1.24-1.88)). Conclusions: Our data suggest that serum non-HDLC level is an independent risk factor for total and ischemic stroke, and that higher serum non-HDLC concentrations are associated with increased risks for total stroke and ischemic stroke, but not for intracerebral and subarachnoid hemorrhage.

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出版当年[2012]版:
大类 | 2 区 生物
小类 | 2 区 生物学
最新[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2011]版:
Q1 BIOLOGY
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2011版] 出版当年五年平均 出版前一年[2010版] 出版后一年[2012版]

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第一作者机构: [1]Capital Med Univ, Beijing TianTan Hosp, Dept Neurol, Beijing, Peoples R China;
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通讯机构: [7]Hebei United Univ, Kailuan Hosp, Dept Cardiol, Tangshan, Peoples R China
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