Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
Association of remnant cholesterol with intra- and extra-cranial atherosclerosis in Chinese community population
First author：Anxin Wang,Xue Tian
Corresponding author：Yongjun Wang,Xingquan Zhao
essential_information
- Person in charge：Anxin Wang,Xue Tian
- Data Sources： APAC
- Number of papers：APAC20210181
- Published time：2021-11-01
2021-11-01
Published articles
Journal：Atherosclerosis Plus
Publication type: Article
IF(IF): 3.235
PMID: 待更新 Link To Pubmed Full text Download
Background And Purpose
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.
Method
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.
Conclusion
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.
Main results
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.