Serum Non-high-density lipoprotein cholesterol concentration and risk of death from cardiovascular diseases among U.S. adults with diagnosed diabetes: the Third National Health and Nutrition Examination Survey linked mortality study
2011

Non-HDL Cholesterol and Cardiovascular Death Risk in Diabetics

Sample size: 1122 publication 10 minutes Evidence: high

Author Information

Author(s): Li Chaoyang, Ford Earl S, Tsai James, Zhao Guixiang, Balluz Lina S, Gidding Samuel S

Primary Institution: Centers for Disease Control and Prevention

Hypothesis

Among adults with diabetes, non-HDL-C may be related to the risk of death from cardiovascular diseases.

Conclusion

Higher serum non-HDL-C concentrations were significantly associated with increased risk of death from cardiovascular diseases in diabetics.

Supporting Evidence

  • 299 deaths from cardiovascular diseases were recorded among the participants.
  • Participants with higher non-HDL-C levels had a greater risk of death from total cardiovascular diseases.
  • Significant linear trends were found for death from ischemic heart disease and stroke.

Takeaway

If you have diabetes, having high levels of a certain type of cholesterol can make it more likely that you might die from heart problems.

Methodology

Data from 1,122 adults with diabetes from the NHANES III survey were analyzed to assess the relationship between non-HDL-C levels and cardiovascular death risk over a median follow-up of 12.4 years.

Potential Biases

Potential misclassification of diabetes status and reliance on a single baseline measurement of cholesterol levels.

Limitations

The study relied on a single measurement of non-HDL-C and self-reported diabetes status, which may introduce bias.

Participant Demographics

Adults aged 20 years and older with diagnosed diabetes, including a diverse racial composition.

Statistical Information

P-Value

0.003

Confidence Interval

95% CI: 1.30-3.91

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2840-10-46

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