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Prevalence of Elevated Cholesterol in Portugal: National Health Examination Survey (2015) results

dc.contributor.authorRodrigues, Ana Paula
dc.contributor.authorKislaya, Irina
dc.contributor.authorAntunes, Liliana
dc.contributor.authorGaio, Vânia
dc.contributor.authorBarreto, Marta
dc.contributor.authorSantos, Ana João
dc.contributor.authorGil, Ana Paula
dc.contributor.authorNamorado, Sónia
dc.contributor.authorLyshol, Heidi
dc.contributor.authorNunes, Baltazar
dc.contributor.authorDias, Carlos Matias
dc.date.accessioned2017-02-17T14:49:38Z
dc.date.available2017-02-17T14:49:38Z
dc.date.issued2016-11-11
dc.description.abstractBackground: High cholesterol level is a major and modifiable cardiovascular (CV) risk factor. This study aims to estimate the prevalence of elevated cholesterol in the Portuguese population based in the direct measurement of total serum cholesterol. Methods: The First National Health Examination Survey (INSEF) is a cross-sectional epidemiological study representative of the Portuguese population using a random sample (N = 4,911) aged between 25 and 74 years. Data collection included physical examination, blood collection and personal interview. Serum from participants’ blood samples was used for total cholesterol measuring, using the enzymatic method in accordance with international quality standards. Elevated cholesterol (EC) was defined as having a total serum cholesterol concentration ≥ 190 mg/dL or reporting taking lipid-lowering medication. EC estimated prevalence was stratified by sex, age, educational level and employment status. Adjusted prevalence ratios (aPR) were estimated using Poisson regression. Results: The overall prevalence of EC was 63.3 % [95 %CI:61.2-65.4]. Significant differences in EC prevalence between age groups were found: prevalence was twice higher among groups aged 55-64 (80.1 % aPR =2 [1.8-2.3]) and 65-74 (79.2 % aPR= 2 [1.7-2.3]) when compared to 25-34 (38.4 %). No significant differences were observed according sex, level of education, and employment status. 43.3 % [38.9-47.8] of the individuals taking lipid-lowering medication showed EC. Conclusions: INSEF results showed that 63.3 % of the Portuguese population aged between 25-74 years had total cholesterol above the desirable level. Among those under treatment, almost half was also EC. Although total cholesterol level should be evaluated considering other CV risk factors, lowering total cholesterol levels may contribute for reducing the burden of CV diseases in Portugal. Main messages: In Portugal 2/3 of adult population (25-74 years) has total cholesterol above desirable levels. Lowering total cholesterol levels may contribute for reducing the burden of cardiovascular diseases.pt_PT
dc.description.sponsorshipThe Portuguese National Health Examination Survey is developed as a part of the project “Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation”, that benefits from a 1.500.000€ Grant from Iceland, Liechtenstein and Norway through the EEA Grants.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.doi10.13140/RG.2.2.35595.49448pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/4268
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto Nacional de Saúde Doutor Ricardo Jorge, IPpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectDeterminantes de Saúdept_PT
dc.subjectEstados de Saúdept_PT
dc.subjectINSEFpt_PT
dc.subjectCholesterolpt_PT
dc.subjectPrevalencept_PT
dc.subjectPortugalpt_PT
dc.subjectNational Health Examination Surveypt_PT
dc.titlePrevalence of Elevated Cholesterol in Portugal: National Health Examination Survey (2015) resultspt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceViena, Áustriapt_PT
oaire.citation.title9th European Public Health Conference, 9-12 November 2016pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT

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