[The hyperlipidemia diagnosis based on phenotype].
OBJECTIVE
to describe the different clinical profiles of patients with dyslipidemia based on lipid phenotype, in an urban setting.


METHODS
a survey was carried out among college students and general population. A structured interview was conducted. Blood was drawn for glucose and lipid profile from subjects considered to be healthy.


RESULTS
we included 1286 subjects. They were grouped by socioeconomic status (low income = 437, medium income = 162 and high income = 133) and 554 college students who had lived in the area for at least one year. Women composed 61 % of the cohort; 86 % of the cases were studied after an overnight fasting period. The prevalent lipid phenotype was hypoalphalipoproteinemia, followed by mixed hyperlipidemia. Among medium income group, isolated hypercholesterolemia was a common finding. High fasting glucose and low c-HDL were observed among the low income group. Male gender and age are predictors for hypercholesterolemia. The BMI is the only identified predictor of hypertriglyceridemia (OR = 10.089). We identified that age > 55-year old (OR = 2.6), male gender (OR = 1.6), and sedentary life (OR = 1.35), were predictors of hypoalphalipoproteinemia.


CONCLUSIONS
the most common lipid phenotype was hypoalphalipoproteinemia.
Aude-Rueda
Olga
O
Facultad de Medicina, Universidad Autónoma de Veracruz Villa Rica, Boca del Río, Veracruz, Mexico.
Aguilar-Nungaray
Gloria
G
Villa-Romero
Antonio
A
Cruz-Bautista
Ivette
I
Aguilar-Salinas
Carlos Alberto
CA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood* / Q000175:diagnosis* / Q000235:genetics; D008297:Male; D008875:Middle Aged; D010641:Phenotype; D055815:Young Adult