国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

《国家中心数据管理与共享系统操作说明书 —— 研究者部分》

Association of remnant cholesterol with intra- and extra-cranial atherosclerosis in Chinese community population

第一作者：Anxin Wang,Xue Tian

通讯作者：Yongjun Wang,Xingquan Zhao

Remnant cholesterol; Intracranial atherosclerosis; Extracranial atherosclerosis; Plaque Stenosis

基本信息

2021-11-01

已发表文章

发表杂志：Atherosclerosis Plus

发表类型: Article

影响因子(IF): 3.235

PMID: 待更新 Pubmed原文链接 全文下载

主要研究背景及目的

Multifocal atherosclerosis has dramatically increased annual risk of adverse cardiovascular events than single artery affected. Triglyceride-rich lipoprotein (TRL) has been implicated in the early development of atherosclerosis. However, evidence on the effect of remnant cholesterol, a major atherogenic component of TRL, on multifocal atherosclerosis in Chinese health asymptomatic subjects is insufficient. This study aimed to investigate the association of remnant cholesterol with intra- and extra-cranial atherosclerosis in Chinese population.

方法

This study enrolled 3665 participants (median age 52.31 years) from the Asymptomatic Polyvascular Abnormalities Community study. Parameters of intra- and extra-cranial atherosclerosis includes intracranial artery stenosis (ICAS), carotid plaque, carotid artery stenosis (CAS), and carotid hypertrophy (intima-media thickness >0.9 mm). Logistic regression was used to assess these associations.

结论

Individuals with a high level of remnant cholesterol had a higher risk of intra- and extracranial atherosclerosis in Chinese population. Interventions aimed at reducing remnant cholesterol to prevent atherosclerotic diseases warrant further investigations.

主要结果

The prevalence of vascular atherosclerosis significantly increased with increasing remnant cholesterol quartiles (P for trend <0.0001). In the multivariable-adjusted model, the odds ratio with 95% confidence interval comparing participants in Q4 versus Q1 of remnant cholesterol was 1.73 (1.29e2.31) for ICAS, 1.54 (1.22e1.94) for carotid plaque, 1.47 (1.17e1.84) for CAS, and 1.93 (1.48e2.52) for carotid hypertrophy, respectively. Furthermore, multivariable-adjusted spline regression showed S-shaped associations between remnant cholesterol and these outcomes.