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Prevalence, pattern, and correlates of dyslipidemia in Bangladeshi individuals
Journal article   Open access   Peer reviewed

Prevalence, pattern, and correlates of dyslipidemia in Bangladeshi individuals

Md Tauhidul Islam, Md Taqbir Us Samad Talha, Sabit Saad Shafiq, Tapas Mazumder, Rajat Das Gupta and Shahjahan Siraj
Journal of Clinical Lipidology, Vol.17(6), pp.788-799
2023
PMID: 37743185
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CC BY V4.0 Open Access

Abstract

Bangladesh Dyslipidemia Prevalence Risk factors Serum lipid levels
Background The burden of dyslipidemia in Bangladesh remains inadequately characterized. Objectives To determine and describe the prevalence and pattern of dyslipidemia and its associated risk factors among an adult Bangladeshi population. Design Population-based, cross-sectional study. Participants were adults living in all eight administrative divisions of Bangladesh. The total sample size was 7084 (53.1 % women, 46.9% urban residents). Primary outcome measures were triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and the use of lipid lowering medication. In addition, control of LDL-C and control of non high-density lipoprotein cholesterol (non-HDL-C) were investigated. Results The overall dyslipidemia prevalence was 76.7%, with 35.7% showing a high TG level, 18.5% showing a high LDL-C level, 63.8% showing a low HDL-C level, and 7.2% of the participants showing all three lipid abnormalities. Sylhet division had the highest prevalence (83.8%) of overall dyslipidemia, while Rangpur had the lowest prevalence (69.3%). The control of LDL-C (<50 mg/dL) and non-HDL-C (<80 mg/dl) among adults with a previous history of atherosclerotic cardiovascular diseases (ASCVD) were 5.1% and 6.9% respectively. The regression models showed that male sex and age 45–59 years were significant predictors of overall dyslipidemia. Both smokers and smokeless tobacco users were significant factors for overall dyslipidemia and high TG. A high waist-hip ratio was associated with overall dyslipidemia and all other subtypes of dyslipidemia. Conclusion The high prevalence of dyslipidemia in Bangladesh necessitates lifestyle interventions to prevent and control this cardiovascular risk factor.

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