The atherogenic and metabolic impact of non-HDL cholesterol versus other lipid sub-components among non-diabetic and diabetic Saudis
2007

Impact of Non-HDL Cholesterol on Heart Disease in Saudis

Sample size: 733 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nasser M Al-Daghri, Omar S Al-Attas, Khalid Al-Rubeaan

Primary Institution: King Saud University

Hypothesis

This study aims to determine and compare the impact of non-HDL-C versus other lipid parameters in predicting coronary heart disease among diabetic versus non-diabetic adult Saudis.

Conclusion

This study supports the use of non-HDL cholesterol as the more practical and reliable target for lipid lowering therapy among the Saudi population.

Supporting Evidence

  • Non-HDL cholesterol was the best predictor among non-diabetics.
  • 21.3% of non-diabetics had coronary heart disease compared to 52.5% of diabetics.
  • Elevated triglycerides were a significant contributor to coronary heart disease.

Takeaway

This study found that non-HDL cholesterol is better at predicting heart disease than other types of cholesterol in Saudis, especially in non-diabetics.

Methodology

733 adult Saudis were recruited, divided into diabetic and non-diabetic groups, and underwent physical exams and blood tests to analyze lipid parameters.

Potential Biases

The unequal distribution of non-diabetics and diabetics may have influenced the results.

Limitations

The study did not control for confounding factors such as smoking, hypertension, obesity, gender, and family history.

Participant Demographics

462 non-diabetics (average age 45.03) and 271 diabetics (average age 52.73) were included.

Statistical Information

P-Value

0.03

Confidence Interval

1.10–7.58

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1476-511X-6-9

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