Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States

Carlos J. Rodriguez, Martha L. Daviglus, Katrina Swett, Hector M. González, Linda C. Gallo, Sylvia Wassertheil-Smoller, Aida L. Giachello, Yanping Teng, Neil Schneiderman, Gregory A. Talavera, Robert C. Kaplan

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Methods Lipid and lipoprotein data were used from the Hispanic Community Health Study/Study of Latinos-a population-based cohort of 16,415 US Hispanic/Latinos ages 18-74 years. National Cholesterol Education Program cutoffs were employed. Differences in demographics, lifestyle factors, and biological and acculturation characteristics were compared among those with and without dyslipidemia.

Results Mean age was 41.1 years, and 47.9% were male. The overall prevalence of any dyslipidemia was 65.0%. The prevalence of elevated low-density lipoprotein cholesterol was 36.0%, and highest among Cubans (44.5%; P <.001). Low high-density lipoprotein cholesterol (HDL-C) was present in 41.4% and did not significantly differ across Hispanic background groups (P =.09). High triglycerides were seen in 14.8% of Hispanics/Latinos, most commonly among Central Americans (18.3%; P <.001). Elevated non-HDL-C was seen in 34.7%, with the highest prevalence among Cubans (43.3%; P <.001). Dominicans consistently had a lower prevalence of most types of dyslipidemia. In multivariate analyses, the presence of any dyslipidemia was associated with increasing age, body mass index, and low physical activity. Older age, female sex, diabetes, low physical activity, and alcohol use were associated with specific dyslipidemia types. Spanish-language preference and lower educational status were associated with higher dyslipidemia prevalence.

Conclusion Dyslipidemia is highly prevalent among US Hispanics/Latinos; Cubans seem particularly at risk. Determinants of dyslipidemia varied across Hispanic backgrounds, with socioeconomic status and acculturation having a significant effect on dyslipidemia prevalence. This information can help guide public health measures to prevent disparities among the US Hispanic/Latino population.

Background The prevalence and determinants of dyslipidemia patterns among Hispanics/Latinos are not well known.

Original languageEnglish (US)
Pages (from-to)1186-1194.e1
JournalAmerican Journal of Medicine
Volume127
Issue number12
DOIs
StatePublished - Dec 1 2014

Fingerprint

Dyslipidemias
Hispanic Americans
Acculturation
LDL Cholesterol
Exercise
Educational Status
Social Class
HDL Cholesterol
Population
Lipoproteins
Life Style
Triglycerides
Body Mass Index
Language
Multivariate Analysis
Public Health
Cholesterol
Alcohols
Demography

Keywords

  • Dyslipidemia
  • Epidemiology
  • Hispanics
  • Lipids
  • Race-ethnic

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States. / Rodriguez, Carlos J.; Daviglus, Martha L.; Swett, Katrina; González, Hector M.; Gallo, Linda C.; Wassertheil-Smoller, Sylvia; Giachello, Aida L.; Teng, Yanping; Schneiderman, Neil; Talavera, Gregory A.; Kaplan, Robert C.

In: American Journal of Medicine, Vol. 127, No. 12, 01.12.2014, p. 1186-1194.e1.

Research output: Contribution to journalArticle

Rodriguez, CJ, Daviglus, ML, Swett, K, González, HM, Gallo, LC, Wassertheil-Smoller, S, Giachello, AL, Teng, Y, Schneiderman, N, Talavera, GA & Kaplan, RC 2014, 'Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States', American Journal of Medicine, vol. 127, no. 12, pp. 1186-1194.e1. https://doi.org/10.1016/j.amjmed.2014.07.026
Rodriguez, Carlos J. ; Daviglus, Martha L. ; Swett, Katrina ; González, Hector M. ; Gallo, Linda C. ; Wassertheil-Smoller, Sylvia ; Giachello, Aida L. ; Teng, Yanping ; Schneiderman, Neil ; Talavera, Gregory A. ; Kaplan, Robert C. / Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States. In: American Journal of Medicine. 2014 ; Vol. 127, No. 12. pp. 1186-1194.e1.
@article{6575f3575e5547bba926db513a40f8ea,
title = "Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States",
abstract = "Methods Lipid and lipoprotein data were used from the Hispanic Community Health Study/Study of Latinos-a population-based cohort of 16,415 US Hispanic/Latinos ages 18-74 years. National Cholesterol Education Program cutoffs were employed. Differences in demographics, lifestyle factors, and biological and acculturation characteristics were compared among those with and without dyslipidemia.Results Mean age was 41.1 years, and 47.9{\%} were male. The overall prevalence of any dyslipidemia was 65.0{\%}. The prevalence of elevated low-density lipoprotein cholesterol was 36.0{\%}, and highest among Cubans (44.5{\%}; P <.001). Low high-density lipoprotein cholesterol (HDL-C) was present in 41.4{\%} and did not significantly differ across Hispanic background groups (P =.09). High triglycerides were seen in 14.8{\%} of Hispanics/Latinos, most commonly among Central Americans (18.3{\%}; P <.001). Elevated non-HDL-C was seen in 34.7{\%}, with the highest prevalence among Cubans (43.3{\%}; P <.001). Dominicans consistently had a lower prevalence of most types of dyslipidemia. In multivariate analyses, the presence of any dyslipidemia was associated with increasing age, body mass index, and low physical activity. Older age, female sex, diabetes, low physical activity, and alcohol use were associated with specific dyslipidemia types. Spanish-language preference and lower educational status were associated with higher dyslipidemia prevalence.Conclusion Dyslipidemia is highly prevalent among US Hispanics/Latinos; Cubans seem particularly at risk. Determinants of dyslipidemia varied across Hispanic backgrounds, with socioeconomic status and acculturation having a significant effect on dyslipidemia prevalence. This information can help guide public health measures to prevent disparities among the US Hispanic/Latino population.Background The prevalence and determinants of dyslipidemia patterns among Hispanics/Latinos are not well known.",
keywords = "Dyslipidemia, Epidemiology, Hispanics, Lipids, Race-ethnic",
author = "Rodriguez, {Carlos J.} and Daviglus, {Martha L.} and Katrina Swett and Gonz{\'a}lez, {Hector M.} and Gallo, {Linda C.} and Sylvia Wassertheil-Smoller and Giachello, {Aida L.} and Yanping Teng and Neil Schneiderman and Talavera, {Gregory A.} and Kaplan, {Robert C.}",
year = "2014",
month = "12",
day = "1",
doi = "10.1016/j.amjmed.2014.07.026",
language = "English (US)",
volume = "127",
pages = "1186--1194.e1",
journal = "American Journal of Medicine",
issn = "0002-9343",
publisher = "Elsevier Inc.",
number = "12",

}

TY - JOUR

T1 - Dyslipidemia patterns among Hispanics/Latinos of diverse background in the United States

AU - Rodriguez, Carlos J.

AU - Daviglus, Martha L.

AU - Swett, Katrina

AU - González, Hector M.

AU - Gallo, Linda C.

AU - Wassertheil-Smoller, Sylvia

AU - Giachello, Aida L.

AU - Teng, Yanping

AU - Schneiderman, Neil

AU - Talavera, Gregory A.

AU - Kaplan, Robert C.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Methods Lipid and lipoprotein data were used from the Hispanic Community Health Study/Study of Latinos-a population-based cohort of 16,415 US Hispanic/Latinos ages 18-74 years. National Cholesterol Education Program cutoffs were employed. Differences in demographics, lifestyle factors, and biological and acculturation characteristics were compared among those with and without dyslipidemia.Results Mean age was 41.1 years, and 47.9% were male. The overall prevalence of any dyslipidemia was 65.0%. The prevalence of elevated low-density lipoprotein cholesterol was 36.0%, and highest among Cubans (44.5%; P <.001). Low high-density lipoprotein cholesterol (HDL-C) was present in 41.4% and did not significantly differ across Hispanic background groups (P =.09). High triglycerides were seen in 14.8% of Hispanics/Latinos, most commonly among Central Americans (18.3%; P <.001). Elevated non-HDL-C was seen in 34.7%, with the highest prevalence among Cubans (43.3%; P <.001). Dominicans consistently had a lower prevalence of most types of dyslipidemia. In multivariate analyses, the presence of any dyslipidemia was associated with increasing age, body mass index, and low physical activity. Older age, female sex, diabetes, low physical activity, and alcohol use were associated with specific dyslipidemia types. Spanish-language preference and lower educational status were associated with higher dyslipidemia prevalence.Conclusion Dyslipidemia is highly prevalent among US Hispanics/Latinos; Cubans seem particularly at risk. Determinants of dyslipidemia varied across Hispanic backgrounds, with socioeconomic status and acculturation having a significant effect on dyslipidemia prevalence. This information can help guide public health measures to prevent disparities among the US Hispanic/Latino population.Background The prevalence and determinants of dyslipidemia patterns among Hispanics/Latinos are not well known.

AB - Methods Lipid and lipoprotein data were used from the Hispanic Community Health Study/Study of Latinos-a population-based cohort of 16,415 US Hispanic/Latinos ages 18-74 years. National Cholesterol Education Program cutoffs were employed. Differences in demographics, lifestyle factors, and biological and acculturation characteristics were compared among those with and without dyslipidemia.Results Mean age was 41.1 years, and 47.9% were male. The overall prevalence of any dyslipidemia was 65.0%. The prevalence of elevated low-density lipoprotein cholesterol was 36.0%, and highest among Cubans (44.5%; P <.001). Low high-density lipoprotein cholesterol (HDL-C) was present in 41.4% and did not significantly differ across Hispanic background groups (P =.09). High triglycerides were seen in 14.8% of Hispanics/Latinos, most commonly among Central Americans (18.3%; P <.001). Elevated non-HDL-C was seen in 34.7%, with the highest prevalence among Cubans (43.3%; P <.001). Dominicans consistently had a lower prevalence of most types of dyslipidemia. In multivariate analyses, the presence of any dyslipidemia was associated with increasing age, body mass index, and low physical activity. Older age, female sex, diabetes, low physical activity, and alcohol use were associated with specific dyslipidemia types. Spanish-language preference and lower educational status were associated with higher dyslipidemia prevalence.Conclusion Dyslipidemia is highly prevalent among US Hispanics/Latinos; Cubans seem particularly at risk. Determinants of dyslipidemia varied across Hispanic backgrounds, with socioeconomic status and acculturation having a significant effect on dyslipidemia prevalence. This information can help guide public health measures to prevent disparities among the US Hispanic/Latino population.Background The prevalence and determinants of dyslipidemia patterns among Hispanics/Latinos are not well known.

KW - Dyslipidemia

KW - Epidemiology

KW - Hispanics

KW - Lipids

KW - Race-ethnic

UR - http://www.scopus.com/inward/record.url?scp=84919662208&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919662208&partnerID=8YFLogxK

U2 - 10.1016/j.amjmed.2014.07.026

DO - 10.1016/j.amjmed.2014.07.026

M3 - Article

C2 - 25195188

AN - SCOPUS:84919662208

VL - 127

SP - 1186-1194.e1

JO - American Journal of Medicine

JF - American Journal of Medicine

SN - 0002-9343

IS - 12

ER -