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Published on: January 28, 2021
Hypercholesterolemia among apparently healthy university students
Said M Shawar1, Neda A Al-Bati, Ali Al-Mahameed
1Biotechnology Program, School of Graduate Studies, Arabian Gulf University, Manama, Kingdom of Bahrain.
Insights
Hypercholesterolemia (HC) affects 26.5% of young students in the Arab Gulf. After counseling, 15.6% still had HC, suggesting a potential genetic link and need for further research into this coronary heart disease risk factor.
Area of Science:
- Cardiology
- Public Health
- Genetics
Background:
- Hypercholesterolemia (HC) is a significant risk factor for coronary heart disease (CHD).
- Limited data exists on HC prevalence among youth in Arab Gulf countries.
- Assessing HC in young, healthy university students can identify early CHD risks.
Purpose of the Study:
- To evaluate the prevalence of HC in young, healthy university students in the Arab Gulf.
- To identify potential risk factors and associations with HC in this demographic.
- To inform future strategies for CHD prevention in young populations.
Main Methods:
- Lipid profiles, glucose, total protein, albumin, TSH, and hsCRP were analyzed in 166 students (ages 16-30).
- Lifestyle, medical history, and BMI were assessed via questionnaires and measurements.
- Data analysis included Chi-Square tests with statistical significance set at p<0.05.
Main Results:
- 26.5% of students initially presented with primary hypercholesterolemia (PHC).
- After counseling, 15.6% remained hypercholesterolemic.
- Significant correlations were found between high total cholesterol (TC)/HDL-C, hsCRP, and TC/HDL-C (p<0.001). Males showed higher TC/HDL-C and hsCRP.
Conclusions:
- A notable percentage of young students exhibit PHC, warranting further investigation.
- A genetic component is suspected to contribute to the high PHC prevalence.
- Early identification and intervention are crucial for managing HC and preventing future CHD.
Background:
Hypercholesterolemia (HC) is a major risk factor in the development of coronary heart disease (CHD). Serum cholesterol is directly related to complications and mortalities associated with heart diseases. There are a few studies that describe HC among youths in the Arab Gulf countries. We sought to evaluate HC among young healthy university students to assess their risk of developing CHD.
Methods:
Lipid profile of 166 students between the ages of 16-30 years (Mean: 20.49±2.96) were examined and blood glucose, total protein, albumin, thyroid stimulating hormone (TSH) and the inflammation marker high sensitivity CRP (hsCRP) were determined. Each volunteer filled a questionnaire about her/his lifestyle and personal and family medical histories and height and weight were measured to determine body mass index (BMI). The data were analyzed using SPSS version 17. Chi-Square was used to determine the relation between categorical variables. A p-value <0.05 was considered statistically significant.
Results:
According to the American Heart Association criteria, 44 (26.5%) students were identified with primary hypercholesterolemia (PHC) in the first testing round. After proper health counseling, the same tests were repeated after 2-3 weeks in all 44 hypercholesterolemic students. We found only 26 (15.6%) of them to be hypercholesterolemic. There was a significant relation between high total cholesterol (TC) and high TC/HDLC, as well as high or very high hsCRP and high TC/HDLC (both, p<0.001). Males tend to have higher TC/HDLC and hsCRP than females (both p0.002 and 0.005, respectively). Family history of CHD was found in 8 students and obesity was recorded in 5 volunteers.
Conclusion:
The results necessitate further studies in determining the cause of PHC. We predict a genetic element contributing to the high percentage of PHC in the current study.
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