Prevention of cardiovascular disease based on lipid lowering treatment: a challenge for the Mexican health system.
OBJECTIVE
To estimate the percentage of Mexican adults that may require lipid-lowering treatment according to National Cholesterol Education Program-III guidelines, using data from the National Health and Nutrition Survey 2006 (ENSANut 2006).


METHODS
Information was obtained from 4 040 subjects aged 20 to 69 years, studied after a 9 to 12 hours fast.


RESULTS
A cardiovascular risk equivalent was found in 13.8% and >or=2 risk factors were present in 31.5% of the population. LDL-C concentrations were above the treatment goal in 70% of the high-risk group and in 38.6% of subjects with >or=2 risk factors. Nearly 12 million Mexicans should be taught how to change their lifestyles and close to 8 million individuals require drug therapy to decrease their cardiovascular risk.


CONCLUSIONS
Thirty percent of Mexican adults require some form of lipid-lowering treatment (lifestyle modifications in 36.25%, drug therapy in 24.19%).
Gómez-Pérez
Francisco J
FJ
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico.
Rojas
Rosalba
R
Villalpando
Salvador
S
Barquera
Simón
S
Rull
Juan
J
Aguilar-Salinas
Carlos A
CA
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005215:Fasting / Q000097:blood; D005260:Female; D006040:Goals; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000150:complications / Q000188:drug therapy* / Q000453:epidemiology; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009749:Nutrition Surveys; D010353:Patient Education as Topic; D015995:Prevalence; D011634:Public Health; D012307:Risk Factors; D012424:Rural Population; D012494:Sampling Studies; D014505:Urban Population
D000960:Hypolipidemic Agents