Trends in Serum Total Cholesterol and High Total Cholesterol Prevalence Among Royal Thai Army Personnel in Thailand, 2017-2022.

Blood pressure Body mass index High total cholesterol Royal Thai Army personnel Thailand Total cholesterol

Journal

High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
ISSN: 1179-1985
Titre abrégé: High Blood Press Cardiovasc Prev
Pays: New Zealand
ID NLM: 9421087

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 10 05 2023
accepted: 25 07 2023
medline: 26 10 2023
pubmed: 22 8 2023
entrez: 22 8 2023
Statut: ppublish

Résumé

High total cholesterol (TC) is a robust-documented risk factor for atherosclerosis cardiovascular diseases. Approximately one-fourth (23.5%) of Thai civilians had high TC. However, the information on high TC among the Royal Thai Army (RTA) personnel is limited. The study aimed to identify the trends in serum TC and high TC prevalence among RTA personnel from 2017 to 2022. A serial cross-sectional study from 2017 to 2022 was conducted. A total of 318,353 active-duty RTA personnel aged 35-60 years were included in the study. High TC was defined as fasting TC ≥ 240 mg/dL. A multivariable log-binomial regression analysis was performed to investigate factors associated with high TC. The overall age- and sex-adjusted high TC prevalence was 26.3% in 2017 and dropped to 22.9% in 2020; then, it increased to 26.4% in 2022 (p for quadratic trend < 0.001). Younger-aged RTA personnel have significantly rising trends in sex-adjusted high TC prevalence over 6 years. In the south, the age- and sex-adjusted high TC prevalence was 24.4% in 2017 and substantially rose to 33.6% in 2022 (p for quadratic trend < 0.001). Meanwhile, in the northeast, it rose by 3.6% over 6 years. High body mass index, high blood pressure, and hyperglycemia were associated with high TC prevalence among this population. High TC was a common essential health issue among RTA personnel. Rising trends in mean serum TC and high TC prevalence from 2017 to 2022 were discovered, especially in younger participants and those residing in the south and northeast.

Identifiants

pubmed: 37606810
doi: 10.1007/s40292-023-00596-z
pii: 10.1007/s40292-023-00596-z
doi:

Substances chimiques

Cholesterol 97C5T2UQ7J

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

445-456

Informations de copyright

© 2023. Italian Society of Hypertension.

Références

Liu X, Yan L, Xue F. The associations of lipids and lipid ratios with stroke: a prospective cohort study. J Clin Hypertens. 2019;21:127–35.
Wannamethee SG, Shaper AG, Ebrahim S. HDL-cholesterol, total cholesterol, the risk of stroke middle-aged British men. Stroke. 2000;31:1882–8.
doi: 10.1161/01.STR.31.8.1882 pubmed: 10926951
Jousilahti P, Vartiainen E, Pekkanen J, Tuomilehto J, Sundvall J, Puska P. Serum cholesterol distribution and coronary heart disease risk. Circulation. 1998;97:1087–94.
doi: 10.1161/01.CIR.97.11.1087 pubmed: 9531256
Peters SAE, Singhateh Y, Mackay D, Huxley RR, Woodward M. Total cholesterol as a risk factor for coronary heart disease and stroke in women compared with men: a systematic review and meta-analysis. Atherosclerosis. 2016;248:123–31.
Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, et al. Heart disease and stroke statistics—2023 update: a report from the American Heart Association. Circulation. 2023;147(8):e93–621.
Wichai Aekplakorn. Thai National Health Examination Survey VI (2019–2020) [Internet]. 2019. https://online.fliphtml5.com/bcbgj/znee/#p=187 . Accessed 6 May 2023.
Wichai Aekplakorn. Thai National Health Examination Survey V (2014) [Internet]. 2014. https://kb.hsri.or.th/dspace/handle/11228/4604?locale-attribute=th . Accessed 6 May 2023.
Baygi F, Herttua K, Jensen OC, Djalalinia S, Mahdavi Ghorabi A, Asayesh H, et al. Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis. BMC Endocr Disord. 2020;20:1–17.
Sakboonyarat B. Rising trends in the predicted 10-year risk of cardiovascular diseases among Royal Thai Army personnel from 2017 to 2021. Sci Rep. 2023;13:1476.
doi: 10.1038/s41598-023-28494-3
Sakboonyarat B, Poovieng J, Jongcherdchootrakul K, Srisawat P, Hatthachote P, Mungthin M, et al. Rising trends in obesity prevalence among Royal Thai Army personnel from 2017 to 2021. Sci Rep. 2022;12:7726.
Sakboonyarat B, Poovieng J, Srisawat P, Hatthachote P, Mungthin M, Rangsin R, et al. Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021. Sci Rep. 2023;13:6946. 
doi: 10.1038/s41598-023-34023-z pubmed: 37117457 pmcid: 10141845
Sakboonyarat B, Poovieng J, Jongcherdchootrakul K, Srisawat P, Hatthachote P, Mungthin M, et al. Prevalence of hypertriglyceridemia among Royal Thai Army personnel and its related cardiometabolic risk factors, from 2017 to 2021. BMC Public Health. 2022;22:1569.
doi: 10.1186/s12889-022-13992-2 pubmed: 35978422 pmcid: 9387031
Kunanon S, Chattranukulchai P, Chotruangnapa C, Kositanurit W, Methavigul K, Boonyasirinant T, et al. 2019 Thai guidelines on the treatment of hypertension: executive summary. J Med Assoc Thai. 2021;104:1729–38.
doi: 10.35755/jmedassocthai.2021.10.12199
Daniel WW. Biostatistics: a foundation for analysis in the health sciences. Biometrics. 1995;51:386.
doi: 10.2307/2533362
American Diabetes Association. Executive summary: standards of medical care in diabetes—2012. Diabetes Care. 2012;35(Suppl):1.
Inoue S, Zimmet P, Caterson I, Chunming C, Ikeda Y, Khalid AK, et al. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications Australia Pty Ltd.; 2000.
Sweeney JP, WeBirauch JL. Summary of available data for cholesterol in foods and methods for its determination. Crit Rev Food Sci Nutr. 1976;8:131–59.
doi: 10.1080/10408397609527220
Carson JAS, Lichtenstein AH, Anderson CAM, Appel LJ, Kris-Etherton PM, Meyer KA, et al. Dietary cholesterol and cardiovascular risk: a science advisory from the American heart association. Circulation. 2020;141(3):e39–e53.
Afolabi WAO, Oyawoye OO, Sanni SA, Onabanjo OO. Proximate and cholesterol composition of selected fast foods sold in Nigeria. Niger Food J. 2013;31:70–6.
doi: 10.1016/S0189-7241(15)30058-8
Huang PL. A comprehensive definition for metabolic syndrome. Dis Model Mech. 2009;2:231–7.
doi: 10.1242/dmm.001180 pubmed: 19407331 pmcid: 2675814
Sakboonyarat B, Rangsin R, Mittleman MA. Incidence and risk factors of metabolic syndrome among Royal Thai Army personnel. Sci Rep. 2022;12:1–11.
doi: 10.1038/s41598-022-19024-8
Sangbangmud J, Kaewthanasin B, Jintabunyat K, Pokabarl C, Limcharoenchai C, Kanchana-Udomkan N, et al. Incidence and risk factors of metabolic syndrome and 9-year follow-up in Na Yao Community, Sanam Chai Khet District, Chacheongsao, Thailand. J Southeast Asian Med Res. 2018;2:7–15.
doi: 10.55374/jseamed.v2i1.18
Haruyama Y, Nakagawa A, Kato K, Motoi M, Sairenchi T, Umesawa M, et al. Incidence of metabolic syndrome in young japanese adults in a 6-year cohort study: the Uguisudani Preventive Health Large-Scale cohort study (uphls). J Epidemiol. 2020;30:219–26.
doi: 10.2188/jea.JE20180246 pubmed: 31080190 pmcid: 7153962
Shang P, Shu Z, Wang Y, Li N, Du S, Sun F, et al. Veganism does not reduce the risk of the metabolic syndrome in a taiwanese cohort. Asia Pac J Clin Nutr. 2011;20:401–10.
Mann S, Beedie C, Jimenez A. Differential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: review, synthesis and recommendations. Sports Med. 2014;44:211–21.
The Royal College of Physicians of Thailand. 2016 RCPT clinical practice guideline on pharmacologic therapy of dyslipidemia for atherosclerotic cardiovascular disease prevention [Internet]. 1st ed. Pathumthani: A-Plus Print; 2016. http://www.thaiheart.org/Download/2016-RCPT-Dyslipidemia-Guideline.html . Accessed 6 May 2023.
Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn, Endocrine Society of Thailand, Department of Medical Services M of PH, Office NHS. Clinical Practice Guideline for Diabetes 2017. Bangkok, Thailand; 2017.
Kim HL, Chung J, Kim KJ, Kim HJ, Seo WW, Jeon KH, et al. Lifestyle modification in the management of metabolic syndrome: statement from Korean Society of CardioMetabolic Syndrome (KSCMS). Korean Circ J. 2022;52:93–109.
doi: 10.4070/kcj.2021.0328 pubmed: 35128848
Karmali KN, Lloyd-Jones DM, van der Leeuw J, Goff DC, Yusuf S, Zanchetti A, et al. Blood pressure-lowering treatment strategies based on cardiovascular risk versus blood pressure: a meta-analysis of individual participant data. PLoS Med. 2018;15:e1002538.
doi: 10.1371/journal.pmed.1002538 pubmed: 29558462 pmcid: 5860698
Hajifathalian K, Ueda P, Lu Y, Woodward M, Ahmadvand A, Aguilar-Salinas CA, et al. A novel risk score to predict cardiovascular disease risk in national populations (Globorisk): a pooled analysis of prospective cohorts and health examination surveys. Lancet Diabetes Endocrinol. 2015;3:339–55.
doi: 10.1016/S2213-8587(15)00081-9 pubmed: 25819778 pmcid: 7615120
Guideline CG181 N. Cardiovascular disease: risk assessment and reduction, including lipid modification. Methods. 2023.

Auteurs

Boonsub Sakboonyarat (B)

Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand. boonsub1991@pcm.ac.th.

Jaturon Poovieng (J)

Department of Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Kanlaya Jongcherdchootrakul (K)

Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Phutsapong Srisawat (P)

Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Panadda Hatthachote (P)

Department of Physiology, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Mathirut Mungthin (M)

Department of Parasitology, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Ram Rangsin (R)

Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH