Prevalence and factors associated with non-high density lipoprotein cholesterol among Thai adults in Khon Kaen Province of Northeastern Thailand

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Pornpimon Chupanit
Frank Peter Schelp
Benja Muktabhant

Abstract

The presence of elevated non-high density lipoprotein cholesterol (non-HDL-C) is considered to indicate a  risk  for  cardiovascular  diseases.  The  purpose  of  this  study  was  to  determine  the  prevalence  of  high non-HDL-C level and to explore factors associated with non-HDL-C among northeastern Thai adults. A  crosssectional study was carried out among 444 Thai adults aged 35 to 60 years living in Khon Kaen Province, Northeastern  Thailand.  A  cluster  random  sampling  was  used  to  select  subjects.  The  lipid  blood  parameters measured were total cholesterol (TC), triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C). The  level  of  non-HDL-C  was  calculated  by  subtracting  HDL-C  from  TC.  The  Pearson’s  correlation  was used to examine the correlation between non-HDL-C levels with metabolic risk factors and multiple logistic regressions were used to  define  factors associated  with  non-HDL-C.


The results showed that the mean age of the participants was 49.1 years and that 70.5% of the participants were women. The proportion of participants with high non-HDL-C (≥ 160 mg/dL) was 40.1%. Non-HDL-C level was positively correlated with metabolic risk factors including waist circumference, systolic and diastolic
blood  pressure,  triglyceride,  and  LDL-C  level.  Multiple  logistic  regression  showed  that  high  non-HDL-C were significantly  correlated with  increasing  age (Adj.OR =  2.15,  95% CI =  1.42 – 3.25), high  body mass index (Adj.OR = 1.98, 95% CI =1.33 – 2.96), and abdominal obesity (Adj.OR = 1.93, 95% CI =1.28 – 2.90).


These  findings  confirm  that  obesity  is  commonly  associated  with  the  risk  indicator  of  high  non-HDLC.  Further  research  is  needed  to  find  effective  prevention  programmes  for  reducing  obesity  and  increasing
healthy  lifestyles.

Article Details

How to Cite
1.
Chupanit P, Schelp FP, Muktabhant B. Prevalence and factors associated with non-high density lipoprotein cholesterol among Thai adults in Khon Kaen Province of Northeastern Thailand. J Public Hlth Dev [Internet]. 2017 Jul. 17 [cited 2024 Apr. 21];15(1):49-61. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/83320
Section
Original Articles
Author Biographies

Pornpimon Chupanit, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

123 Mittraphap Faculty of Public HealthKhon Kaen UniversityKhon Kaen Province40002

Frank Peter Schelp, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

123 Mittraphap Faculty of Public HealthKhon Kaen UniversityKhon Kaen Province40002

Benja Muktabhant, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

123 Mittraphap Faculty of Public HealthKhon Kaen UniversityKhon Kaen Province40002