Key result
Severe lipid disorders affect 23% of economically active Russian adults.
Cross-Sectional (n=20,360)
Yes
The ESSE-RF study reveals a high prevalence of severe lipid disorders among economically active adults in Russia, highlighting a significant need for cardiovascular prevention and management.
Alerts clinicians to high severe dyslipidemia burden in working-age Russians; leaves open whether targeted screening improves outcomes.
Elevated level of plasma cholesterol, together with arterial hypertension, is the main modifiable factor of cardiovascular diseases (CVD) development. Monitoring of lipid levels at populational level is an important instrument of the prevention medicine, applied for CVD populational risk assessment. Aim . Blood lipid levels assessment, with the data obatined during epidemiological study “ESSE-RF” (Epidemiology of cardiovascular diseases in various regions of Russian Federation) in 13 regions of Russia. Material and methods. In the study, the patients were included, of 25-64 y.o. All participants underwent specimens collection for total cholesterol (TC), triglycerides (TG), high density lipoproteides cholesterol (HDL-C) and low density lipoproteides cholesterol (LDL-C) by enzymatic methods on automatic analyzer Abbott Architect 8000. Also, in all the participants, hypolipidemic therapy was evaluated. Results . Totally, 21167 persons included into analysis, 7937 males and 13230 females. 807 (3,81%) had been taking hypolipidemic therapy and were ruled out from further analysis. Mean age 44±12 and 47±11 y.o., respectively. Mean values for men were TC 5,31±1,15 mM/L, TG 1,58±1,24 mM/L, HDL-C 1,30±0,33 mM/L and LDL-C 3,38±0,99 mM/L (7643 persons), for women — 5,48±1,18 mM/L, 1,36±0,85 mM/L, 1,47±0,35 mM/L and 3,42±1,04 mM/L, respectively (12717 persons). In the study we present percentile variations of the studied groups by the measured levels of TC, TG, HDL-C, LDL-C according to the age and sex. There were moderate correlations found of HDL-C with age and sex (r=0,34, p=0,000) and LDL-C (r=0,33, p=0,000). Correlation of TG with age and sex was low, but significant (r=0,18, p=0,000). There was no correlation of HDL-C with age and sex (r=-0,002, p=0,740). Also, a high prevalence is shown for severe lipid disorders. 23% of the participants had severely increased TC level (>6,2 mM/L), and 20,6% — of LDL-C (>4,2 mM/L). Severe increase of TG (>5,0 mM/L) was found much more rarely (1,1%). Conclusion . In the ESSE-RF study the prevalence of significant lipid disorders was shown as high, that demands respective prevention and management. This study might be a starting point for lipids populational dynamics analysis in Russia.
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Мешков et al. (2017) conducted a cross-sectional in Dyslipidemia (n=20,360). Russian population (epidemiological assessment) was evaluated on Prevalence of severe lipid disorders (TC >6.2 mM/L and LDL-C >4.2 mM/L). Among economically active adults in Russia, severe lipid disorders were highly prevalent, with 23% having severely increased total cholesterol (>6.2 mM/L) and 20.6% having elevated LDL-C (>4.2 mM/L).
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