Racial/Ethnic Differences in Dyslipidemia Patterns

• Published in: Circulation (New York, N.Y.) N.Y.), 2014-02, Vol.129 (5), p.570-579
• Main Authors: Frank, Ariel T.H, Zhao, Beinan, Jose, Powell O, Azar, Kristen M.J, Fortmann, Stephen P, Palaniappan, Latha P
• Format: Article
• Language: English
• Subjects: Adult; Aged; Asian - ethnology; Biological and medical sciences; Black or African American; Black People - ethnology; Blood and lymphatic vessels; California - ethnology; Cardiology. Vascular system; Cholesterol, HDL - blood; Cholesterol, LDL - blood; Cross-Sectional Studies; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Disorders of blood lipids. Hyperlipoproteinemia; Dyslipidemias - diagnosis; Dyslipidemias - ethnology; Ethnicity - ethnology; Female; Humans; Male; Medical sciences; Metabolic diseases; Mexican Americans - ethnology; Middle Aged; Risk Factors; Triglycerides - blood; White People - ethnology
• ISSN: 0009-7322; 1524-4539; 1524-4539
• DOI: 10.1161/CIRCULATIONAHA.113.005757

BACKGROUND—No studies have comprehensively examined the prevalence of dyslipidemia, a major risk factor for cardiovascular disease, among diverse racial/ethnic minority groups. The primary aim of this study was to identify racial/ethnic differences in dyslipidemia among minorities including Asian Americans (Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese), Mexican Americans, and blacks compared with non-Hispanic whites. METHODS AND RESULTS—Using a 3-year cross section (2008–2011), we identified 169 430 active primary care patients (35 years or older) from an outpatient healthcare organization in northern California. Age-standardized prevalence rates were calculated for 3 dyslipidemia subtypeshigh triglycerides (fasting laboratory value ≥150 mg/dL), low levels of high-density lipoprotein cholesterol (fasting laboratory value