Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013

Background: Epidemiological evidence of dyslipidemia in Pacific Island countries is limited despite the knowledge that non-communicable diseases have a high burden in the region. We aimed to examine the prevalence and correlates of dyslipidemia among residents of Palau. Methods: The Palau STEPwise a...

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Main Authors: Meishan Cui, Chifa Chiang, Renzhe Cui, Kaori Honjo, Hiroshi Yatsuya, Berry Moon Watson, Edolem Ikerdeu, Takashi Mita, Sherilynn Madraisau, Atsuko Aoyama, Hiroyasu Iso
Format: Article
Language:English
Published: Japan Epidemiological Association 2019-03-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/29/3/29_JE20170127/_pdf
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author Meishan Cui
Chifa Chiang
Renzhe Cui
Kaori Honjo
Hiroshi Yatsuya
Berry Moon Watson
Edolem Ikerdeu
Takashi Mita
Sherilynn Madraisau
Atsuko Aoyama
Hiroyasu Iso
author_facet Meishan Cui
Chifa Chiang
Renzhe Cui
Kaori Honjo
Hiroshi Yatsuya
Berry Moon Watson
Edolem Ikerdeu
Takashi Mita
Sherilynn Madraisau
Atsuko Aoyama
Hiroyasu Iso
author_sort Meishan Cui
collection DOAJ
description Background: Epidemiological evidence of dyslipidemia in Pacific Island countries is limited despite the knowledge that non-communicable diseases have a high burden in the region. We aimed to examine the prevalence and correlates of dyslipidemia among residents of Palau. Methods: The Palau STEPwise approach to Surveillance (STEPS), which was conducted from 2011 through 2013, comprised three parts: behavioral risk factors; physical measurements; and biochemical tests, covering areas such as blood lipids. We used STEPS-generated data to perform a cross-sectional study of 2,184 randomly selected Palau residents, comprising Palauans and non-Palauans aged 25–64 years. Results: The age-adjusted mean BMI was 29.3 kg/m2 in men and 29.9 kg/m2 in women; age-adjusted mean triglycerides value was 182 mg/dL in men and 166 mg/dL in women; and age-adjusted mean cholesterol was 178 mg/dL in men and 183 mg/dL in women. The prevalence of overweight/obesity (BMI ≥25 kg/m2) was 75% in men and 76% in women, and those of hypertriglyceridemia (triglycerides ≥150 mg/dL) and hypercholesterolemia (total cholesterol ≥200 mg/dL) were 48% in men and 41% in women and 18% in men and 23% in women, respectively. Mean values of total cholesterol were 177 mg/dL in Palauan men and 182 mg/dL in non-Palauan men. Mean values of triglycerides were 171 mg/dL in Palauan women and 150 mg/dL in non-Palauan women. Women living in rural areas showed a higher mean value of total cholesterol than those in urban areas. Conclusion: We found a high mean BMI and high prevalence of overweight/obesity and hypertriglyceridemia, but low mean total cholesterol and a low prevalence of hypercholesterolemia in Palau. Lipid profiles varied by age, ethnicity, and living area.
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spelling doaj.art-d341be7964074bf183f30901798294e52022-12-21T23:52:13ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922019-03-012939710310.2188/jea.JE20170127Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013Meishan Cui0Chifa Chiang1Renzhe Cui2Kaori Honjo3Hiroshi Yatsuya4Berry Moon Watson5Edolem Ikerdeu6Takashi Mita7Sherilynn Madraisau8Atsuko Aoyama9Hiroyasu Iso10Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Public Health and Health Systems, Nagoya University School of Medicine, Aichi, JapanPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, JapanPsychology and Behavioral Sciences, Faculty of Medicine, Osaka Medical College, Osaka, JapanDepartment of Public Health and Health Systems, Nagoya University School of Medicine, Aichi, JapanMinistry of Health, Republic of PalauMinistry of Health, Republic of PalauInstitute for Academic Initiatives, Osaka University, Osaka, JapanMinistry of Health, Republic of PalauDepartment of Public Health and Health Systems, Nagoya University School of Medicine, Aichi, JapanPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, JapanBackground: Epidemiological evidence of dyslipidemia in Pacific Island countries is limited despite the knowledge that non-communicable diseases have a high burden in the region. We aimed to examine the prevalence and correlates of dyslipidemia among residents of Palau. Methods: The Palau STEPwise approach to Surveillance (STEPS), which was conducted from 2011 through 2013, comprised three parts: behavioral risk factors; physical measurements; and biochemical tests, covering areas such as blood lipids. We used STEPS-generated data to perform a cross-sectional study of 2,184 randomly selected Palau residents, comprising Palauans and non-Palauans aged 25–64 years. Results: The age-adjusted mean BMI was 29.3 kg/m2 in men and 29.9 kg/m2 in women; age-adjusted mean triglycerides value was 182 mg/dL in men and 166 mg/dL in women; and age-adjusted mean cholesterol was 178 mg/dL in men and 183 mg/dL in women. The prevalence of overweight/obesity (BMI ≥25 kg/m2) was 75% in men and 76% in women, and those of hypertriglyceridemia (triglycerides ≥150 mg/dL) and hypercholesterolemia (total cholesterol ≥200 mg/dL) were 48% in men and 41% in women and 18% in men and 23% in women, respectively. Mean values of total cholesterol were 177 mg/dL in Palauan men and 182 mg/dL in non-Palauan men. Mean values of triglycerides were 171 mg/dL in Palauan women and 150 mg/dL in non-Palauan women. Women living in rural areas showed a higher mean value of total cholesterol than those in urban areas. Conclusion: We found a high mean BMI and high prevalence of overweight/obesity and hypertriglyceridemia, but low mean total cholesterol and a low prevalence of hypercholesterolemia in Palau. Lipid profiles varied by age, ethnicity, and living area.https://www.jstage.jst.go.jp/article/jea/29/3/29_JE20170127/_pdfdyslipidemiacholesteroltriglyceridesbody mass indexPalau
spellingShingle Meishan Cui
Chifa Chiang
Renzhe Cui
Kaori Honjo
Hiroshi Yatsuya
Berry Moon Watson
Edolem Ikerdeu
Takashi Mita
Sherilynn Madraisau
Atsuko Aoyama
Hiroyasu Iso
Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
Journal of Epidemiology
dyslipidemia
cholesterol
triglycerides
body mass index
Palau
title Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
title_full Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
title_fullStr Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
title_full_unstemmed Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
title_short Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
title_sort prevalence and correlates of dyslipidemia among men and women in palau findings of the palau steps survey 2011 2013
topic dyslipidemia
cholesterol
triglycerides
body mass index
Palau
url https://www.jstage.jst.go.jp/article/jea/29/3/29_JE20170127/_pdf
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