title: Serum lipids and lipoproteins in Chinese men and women.
abstract: BACKGROUND
  Because of rapid change in lifestyle risk factors, cardiovascular disease has become the leading cause of death in China. We sought to estimate the national levels of serum lipids and lipoproteins among the Chinese adult population.
  
  
  RESULTS
  We conducted a cross-sectional study in a nationally representative sample of 46 239 adults aged ≥20 years. Fasting serum total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were measured by standard methods. The age-standardized estimates of total, high-density lipoprotein, and low-density lipoprotein cholesterol and triglycerides were 4.72 (95% confidence interval, 4.70-4.73), 1.30 (1.29-1.30), 2.68 (2.67-2.70), and 1.57 (1.55-1.58) mmol/L, respectively, in the Chinese adult population. In addition, 22.5% (21.8-23.3%) or 220.4 million (212.1-228.8) Chinese adults had borderline high total cholesterol (5.18-6.21 mmol/L), and 9.0% (8.5-9.5%) or 88.1 million (83.4-92.8) had high total cholesterol (≥6.22 mmol/L). The population estimates for borderline high (3.37-4.13 mmol/L), high (4.14-4.91 mmol/L), and very high (≥4.92 mmol/L) low-density lipoprotein cholesterol were 13.9% (13.3-14.5%) or 133.5 million (127.0-140.1), 3.5% (3.3-3.8%) or 33.8 million (31.2-36.5), and 3.0% (2.8-3.3%) or 29.0 million (26.3-31.8) persons, respectively. In addition, 22.3% (21.6-23.1%) or 214.9 million (207.0-222.8) persons had low high-density lipoprotein cholesterol (<1.04 mmol/L). The awareness, treatment, and control of borderline high or high total cholesterol were 11.0%, 5.1%, and 2.8%, respectively, in the Chinese adult population.
  
  
  CONCLUSIONS
  Serum total and low-density lipoprotein cholesterol levels were high and increasing in the Chinese population. Without effective intervention, atherosclerotic cardiovascular diseases may soar in the near future in China.
authors.affiliation: Department of Endocrinology, China-Japan Friendship Hospital, Beijing, China. ywy_1010@yahoo.com.cn
authors.forename: Wenying
authors.initials: W
authors.lastname: Yang
authors.forename: Jianzhong
authors.initials: J
authors.lastname: Xiao
authors.forename: Zhaojun
authors.initials: Z
authors.lastname: Yang
authors.forename: Linong
authors.initials: L
authors.lastname: Ji
authors.forename: Weiping
authors.initials: W
authors.lastname: Jia
authors.forename: Jianping
authors.initials: J
authors.lastname: Weng
authors.forename: Juming
authors.initials: J
authors.lastname: Lu
authors.forename: Zhongyan
authors.initials: Z
authors.lastname: Shan
authors.forename: Jie
authors.initials: J
authors.lastname: Liu
authors.forename: Haoming
authors.initials: H
authors.lastname: Tian
authors.forename: Qiuhe
authors.initials: Q
authors.lastname: Ji
authors.forename: Dalong
authors.initials: D
authors.lastname: Zhu
authors.forename: Jiapu
authors.initials: J
authors.lastname: Ge
authors.forename: Lixiang
authors.initials: L
authors.lastname: Lin
authors.forename: Li
authors.initials: L
authors.lastname: Chen
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Guo
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Zhao
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.forename: Zhiguang
authors.initials: Z
authors.lastname: Zhou
authors.forename: Guangliang
authors.initials: G
authors.lastname: Shan
authors.forename: Jiang
authors.initials: J
authors.lastname: He
mesh_terms: D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data*; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008055:Lipids / Q000097:blood*; D008074:Lipoproteins / Q000097:blood*; D008297:Male; D008875:Middle Aged
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D008055:Lipids; D008074:Lipoproteins; D002784:Cholesterol