Repositioning of the global epicentre of non-optimal cholesterol
High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct...
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Robert Koch-Institut
2020
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ftrobertkoch:oai:edoc.rki.de:176904/11415 2024-01-14T10:07:24+01:00 Repositioning of the global epicentre of non-optimal cholesterol NCD Risk Factor Collaboration 2020-06-03 application/pdf https://doi.org/10.1038/s41586-020-2338-1 http://edoc.rki.de/176904/11415 https://nbn-resolving.org/urn:nbn:de:0257-176904/11415-6 eng eng Robert Koch-Institut doi:10.1038/s41586-020-2338-1 http://edoc.rki.de/176904/11415 urn:nbn:de:0257-176904/11415-6 (CC BY 3.0 DE) Namensnennung 3.0 Deutschland http://creativecommons.org/licenses/by/3.0/de/ cardiovascular diseases risk factors 610 Medizin und Gesundheit ddc:610 article doc-type:article publishedVersion 2020 ftrobertkoch https://doi.org/10.1038/s41586-020-2338-1 2023-12-18T00:47:39Z High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment ... Article in Journal/Newspaper Greenland Iceland Robert Koch Institute: Publications Greenland Norway Pacific Nature 582 7810 73 77 |
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Robert Koch Institute: Publications |
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ftrobertkoch |
language |
English |
topic |
cardiovascular diseases risk factors 610 Medizin und Gesundheit ddc:610 |
spellingShingle |
cardiovascular diseases risk factors 610 Medizin und Gesundheit ddc:610 NCD Risk Factor Collaboration Repositioning of the global epicentre of non-optimal cholesterol |
topic_facet |
cardiovascular diseases risk factors 610 Medizin und Gesundheit ddc:610 |
description |
High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment ... |
format |
Article in Journal/Newspaper |
author |
NCD Risk Factor Collaboration |
author_facet |
NCD Risk Factor Collaboration |
author_sort |
NCD Risk Factor Collaboration |
title |
Repositioning of the global epicentre of non-optimal cholesterol |
title_short |
Repositioning of the global epicentre of non-optimal cholesterol |
title_full |
Repositioning of the global epicentre of non-optimal cholesterol |
title_fullStr |
Repositioning of the global epicentre of non-optimal cholesterol |
title_full_unstemmed |
Repositioning of the global epicentre of non-optimal cholesterol |
title_sort |
repositioning of the global epicentre of non-optimal cholesterol |
publisher |
Robert Koch-Institut |
publishDate |
2020 |
url |
https://doi.org/10.1038/s41586-020-2338-1 http://edoc.rki.de/176904/11415 https://nbn-resolving.org/urn:nbn:de:0257-176904/11415-6 |
geographic |
Greenland Norway Pacific |
geographic_facet |
Greenland Norway Pacific |
genre |
Greenland Iceland |
genre_facet |
Greenland Iceland |
op_relation |
doi:10.1038/s41586-020-2338-1 http://edoc.rki.de/176904/11415 urn:nbn:de:0257-176904/11415-6 |
op_rights |
(CC BY 3.0 DE) Namensnennung 3.0 Deutschland http://creativecommons.org/licenses/by/3.0/de/ |
op_doi |
https://doi.org/10.1038/s41586-020-2338-1 |
container_title |
Nature |
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582 |
container_issue |
7810 |
container_start_page |
73 |
op_container_end_page |
77 |
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1788061798810779648 |