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The Independent Association Between Age and Serum Cholesterol Levels in Patients with Familial Hypercholesterolemia
Jinchun He1,2, Yan Wu1, Yaodong Wang3
1Department of Laboratory Medicine, The First Hospital of Lanzhou University, The First School of Clinical Medicine, Lanzhou University, Lanzhou 730030, Gansu, China.
Insights
Age significantly impacts total cholesterol (TC) in familial hypercholesterolemia (FH) patients. Early screening and intervention are crucial for managing cardiovascular disease (CVD) risk in FH.
Area of Science:
- Cardiology
- Genetics
- Metabolic Disorders
Background:
- Familial hypercholesterolemia (FH) is a genetic disorder leading to high cholesterol.
- Age and serum total cholesterol (TC) are known cardiovascular disease (CVD) risk factors.
- The specific relationship between age and TC in FH patients requires further investigation.
Purpose of the Study:
- To investigate the correlation between age and serum total cholesterol (TC) levels in patients diagnosed with familial hypercholesterolemia (FH).
Main Methods:
- Recruited 103 FH patients and 106 non-FH controls between 2004 and 2017.
- Employed Spearman, partial correlation, multiple linear, and logistic regression analyses.
- Evaluated the relationship between age and TC, controlling for other variables.
Main Results:
- FH patients exhibited significantly higher TC, LDL-C, HDL-C, Lp(a), and non-HDL-C compared to controls.
- Serum TC levels were significantly higher in FH patients aged 50 years and older.
- Age demonstrated a significant positive correlation with serum TC in FH patients (p < 0.001), but not in controls.
Conclusions:
- Age is an independent factor influencing serum TC levels in individuals with FH.
- Highlights the necessity for early screening and timely intervention strategies in FH management.
- Emphasizes the importance of considering age in risk stratification for cardiovascular events in FH.
Background:
Studies have suggested that age and the serum total cholesterol (TC) concentration are independent risk factors for cardiovascular disease (CVD) in patients with familial hypercholesterolemia (FH); however, the relationship between age and TC in patients with FH is unclear. We aimed to investigate the correlation between age and TC in patients with FH.
Methods:
In this study, 103 patients with FH and 106 non-FH controls were recruited from 2004 to 2017. Spearman and partial correlation analyses, as well as multiple regression analyses, were used to evaluate the relationship between TC and age.
Results:
There were no significant differences in age, gender, or BMI between the FH group and the control group (p > 0.05). Family history of CVD, TC, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), lipoprotein (a) (Lp[a]), and non-HDL-C levels were significantly higher in patients with FH compared with the controls (p < 0.01). Additionally, the serum TC levels for ages ≥ 50 years were significantly higher than those for ages < 50 years (p < 0.05) in FH patients. In both Spearman and partial correlation analyses, age was found to be significantly correlated with serum TC (p < 0.001) in the FH group but not in the control group, which was confirmed by further multiple linear regression analyses and logistic regression analyses.
Conclusions:
Age is an independent factor influencing serum TC level in patients with FH, and it is necessary to conduct early screening and early intervention.
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