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The Prevalence of Dyslipidemia in Patients with Spinal Cord Lesion in Thailand

机译:泰国脊髓损伤患者血脂异常的患病率

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Objective. To assess the prevalence of dyslipidemia in 90 patients with spinal cord lesion (SCL) of duration greater than 2 years. The study was carried out from November 2007 to September 2008.Methods. Clinical history, physical examination, and lipid profiles were recorded and analyzed. Dyslipidemia was assessed using guidelines from the National Cholesterol Education Project Adult Treatment Panel III (ATP III).Results. The prevalence of dyslipidemia in at least one lipid parameter was 76.7%. The most frequent finding was low HDL-C (58.9%). Hypertriglyceridemia, hypercholesterolemia and high LDL-C were found in 28.9%, 26.7% and 21.1% of patients, respectively. The factorssex=maleand age≥45years were associated with high LDL-C (P<0.05andP<0.01). Patients who exercised less than 30 minutes per day had associated hypercholesterolemia (P<0.01), hypertriglyceridemia (P<0.01), and higher LDL-C (P<0.05). Patients with BMI≥23 kg/m2had associated hypercholesterolemia and high LDL-C. Age was a significant determinant of high LDL-C. BMI was the most powerful and significant determinant of hypercholesterolemia and high LDL-C.Conclusion. SCL patients should have a regular lipid checkup, especially those patients having the following risk factors: males, age≥45years, BMI≥23 kg/m2and exercise duration<30minutes per day.
机译:目的。评估持续时间超过2年的90例脊髓病变(SCL)患者的血脂异常患病率。该研究于2007年11月至2008年9月进行。记录并分析临床病史,体格检查和血脂状况。使用国家胆固醇教育项目成人治疗小组III(ATP III)的指南评估血脂异常。在至少一个脂质参数中血脂异常的患病率为76.7%。最常见的发现是低HDL-C(58.9%)。高甘油三酸酯血症,高胆固醇血症和高LDL-C分别见于28.9%,26.7%和21.1%的患者。性别=男性,年龄≥45岁与高LDL-C相关(P <0.05和P <0.01)。每天运动少于30分钟的患者伴有高胆固醇血症(P <0.01),高甘油三酸酯血症(P <0.01)和较高的LDL-C(P <0.05)。 BMI≥23kg / m2的患者伴有高胆固醇血症和高LDL-C。年龄是高LDL-C的重要决定因素。 BMI是高胆固醇血症和高LDL-C的最有力和最重要的决定因素。结论。 SCL患者应定期进行脂质检查,尤其是那些具有以下危险因素的患者:男性,年龄≥45岁,BMI≥23kg / m2,运动时间每天<30分钟。

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