Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study

Objective: To evaluate the pattern of dyslipidaemia, risk factors, and comorbidities in young Indian adults with dyslipidaemia. Methods: A retrospective, multi-centric real-world study included individuals with dyslipidaemia, aged 18 - 45 years, attending to 623 hospitals/clinics across India. Data...

Full description

Bibliographic Details
Main Authors: S S Iyengar, S N Narasingan, Pramod Gandhi, Navneet Jaipuriar, Asha Mahilmaran, Sachin Patil, Mahesh V Abhyankar, Santosh Revankar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4156;epage=4164;aulast=Iyengar
_version_ 1811224621080379392
author S S Iyengar
S N Narasingan
Pramod Gandhi
Navneet Jaipuriar
Asha Mahilmaran
Sachin Patil
Mahesh V Abhyankar
Santosh Revankar
author_facet S S Iyengar
S N Narasingan
Pramod Gandhi
Navneet Jaipuriar
Asha Mahilmaran
Sachin Patil
Mahesh V Abhyankar
Santosh Revankar
author_sort S S Iyengar
collection DOAJ
description Objective: To evaluate the pattern of dyslipidaemia, risk factors, and comorbidities in young Indian adults with dyslipidaemia. Methods: A retrospective, multi-centric real-world study included individuals with dyslipidaemia, aged 18 - 45 years, attending to 623 hospitals/clinics across India. Data were collected retrospectively from medical records to note demographics, risk factors (smoking, alcohol consumption, sedentary lifestyle, family history of dyslipidaemia, diabetes mellitus, and hypertension), and clinical details (height, weight, waist circumference, body mass index (BMI), blood pressure, blood sugar, glycated hemoglobin (HbA1c), triglycerides (TG), total cholesterol (TC), low-density lipoproteins (LDL-C), and high-density lipoprotein (HDL-C)).A descriptive analysis and comparative analysis (Mann-Whitney U test and Chi-square test) were done. Results: Of the total 8135 patients, the majority were men (65.0%). Overall, 87.1% of population had one or multiple comorbidities which included the presence of dyslipidaemia alone (12.9%), dyslipidaemia with diabetes and hypertension (39.1%), dyslipidaemia with diabetes (33.6%), and dyslipidaemia with hypertension (14.4%). Sedentary lifestyle was prevalent observation in >50% of the population. Youngest age (18 - 25) group had higher prevalence of hypertriglyceridemia (63.2%), high LDL-C levels (56.8%), and low HDL-C levels (64.6%), while patients from the age group >25 to ≤35 years had the highest incidence of hypercholesterolemia (66.6%). Atherogenic dyslipidaemia was observed in 41.9%, 25.5%, and 23.2% of patients from age groups of ≥18 to ≤25, >25 to ≤35, and >35 to ≤45 years, respectively. Patients with HbA1c ≥6.5% had significantly higher levels of TG, TC, LDL-C, and lower HDL-C compared to those with HbA1c <6.5%. Conclusion: Hypertriglyceridemia, high LDL-C, low HDL-C, and atherogenic dyslipidaemia were prevalent in the young Indian cohort and sedentary lifestyle, and HbA1c ≥ 6.5% were the predominant risk factors of dyslipidaemia.
first_indexed 2024-04-12T08:52:07Z
format Article
id doaj.art-d191f26d3f3445a68003ecf81faca567
institution Directory Open Access Journal
issn 2249-4863
language English
last_indexed 2024-04-12T08:52:07Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Family Medicine and Primary Care
spelling doaj.art-d191f26d3f3445a68003ecf81faca5672022-12-22T03:39:33ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01984156416410.4103/jfmpc.jfmpc_546_20Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) studyS S IyengarS N NarasinganPramod GandhiNavneet JaipuriarAsha MahilmaranSachin PatilMahesh V AbhyankarSantosh RevankarObjective: To evaluate the pattern of dyslipidaemia, risk factors, and comorbidities in young Indian adults with dyslipidaemia. Methods: A retrospective, multi-centric real-world study included individuals with dyslipidaemia, aged 18 - 45 years, attending to 623 hospitals/clinics across India. Data were collected retrospectively from medical records to note demographics, risk factors (smoking, alcohol consumption, sedentary lifestyle, family history of dyslipidaemia, diabetes mellitus, and hypertension), and clinical details (height, weight, waist circumference, body mass index (BMI), blood pressure, blood sugar, glycated hemoglobin (HbA1c), triglycerides (TG), total cholesterol (TC), low-density lipoproteins (LDL-C), and high-density lipoprotein (HDL-C)).A descriptive analysis and comparative analysis (Mann-Whitney U test and Chi-square test) were done. Results: Of the total 8135 patients, the majority were men (65.0%). Overall, 87.1% of population had one or multiple comorbidities which included the presence of dyslipidaemia alone (12.9%), dyslipidaemia with diabetes and hypertension (39.1%), dyslipidaemia with diabetes (33.6%), and dyslipidaemia with hypertension (14.4%). Sedentary lifestyle was prevalent observation in >50% of the population. Youngest age (18 - 25) group had higher prevalence of hypertriglyceridemia (63.2%), high LDL-C levels (56.8%), and low HDL-C levels (64.6%), while patients from the age group >25 to ≤35 years had the highest incidence of hypercholesterolemia (66.6%). Atherogenic dyslipidaemia was observed in 41.9%, 25.5%, and 23.2% of patients from age groups of ≥18 to ≤25, >25 to ≤35, and >35 to ≤45 years, respectively. Patients with HbA1c ≥6.5% had significantly higher levels of TG, TC, LDL-C, and lower HDL-C compared to those with HbA1c <6.5%. Conclusion: Hypertriglyceridemia, high LDL-C, low HDL-C, and atherogenic dyslipidaemia were prevalent in the young Indian cohort and sedentary lifestyle, and HbA1c ≥ 6.5% were the predominant risk factors of dyslipidaemia.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4156;epage=4164;aulast=Iyengaratherogenichypertensionhypertriglyceridemiasedentary lifestyleyoung dyslipidaemia
spellingShingle S S Iyengar
S N Narasingan
Pramod Gandhi
Navneet Jaipuriar
Asha Mahilmaran
Sachin Patil
Mahesh V Abhyankar
Santosh Revankar
Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
Journal of Family Medicine and Primary Care
atherogenic
hypertension
hypertriglyceridemia
sedentary lifestyle
young dyslipidaemia
title Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
title_full Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
title_fullStr Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
title_full_unstemmed Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
title_short Risk factors, comorbiditiEs and Atherogenic dysLipidaemia in Indian YOUNG patients with dyslipidaemia attending hospital/clinic: REAL YOUNG (dyslipidaemia) study
title_sort risk factors comorbidities and atherogenic dyslipidaemia in indian young patients with dyslipidaemia attending hospital clinic real young dyslipidaemia study
topic atherogenic
hypertension
hypertriglyceridemia
sedentary lifestyle
young dyslipidaemia
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4156;epage=4164;aulast=Iyengar
work_keys_str_mv AT ssiyengar riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT snnarasingan riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT pramodgandhi riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT navneetjaipuriar riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT ashamahilmaran riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT sachinpatil riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT maheshvabhyankar riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy
AT santoshrevankar riskfactorscomorbiditiesandatherogenicdyslipidaemiainindianyoungpatientswithdyslipidaemiaattendinghospitalclinicrealyoungdyslipidaemiastudy