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Trends in the Prevalence, Awareness, Treatment and Control of High Low Density Lipoprotein-Cholesterol Among United States Adults From 1999–2000 Through 2009–2010

Marked increases in the awareness, treatment, and control of high low-density lipoprotein (LDL) cholesterol occurred among United States (US) adults from 1988–1994 to 1999–2004. An update to the Third Adult Treatment Panel guidelines was published in 2004, and it is unknown if these improvements hav... Full description

Journal Title: The American journal of cardiology 2013, Vol.112 (5), p.664-670
Main Author: Muntner, Paul, PhD
Other Authors: Levitan, Emily B., ScD , Brown, Todd M., MD , Sharma, Pradeep, MS, MBA , Zhao, Hong, MS , Bittner, Vera, MD , Glasser, Stephen, MD , Kilgore, Meredith, PhD , Yun, Huifeng, MD, PhD , Woolley, J. Michael, PhD , Farkouh, Michael E., MD, MSc , Rosenson, Robert S., MD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9149
Link: https://www.ncbi.nlm.nih.gov/pubmed/23726177
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title: Trends in the Prevalence, Awareness, Treatment and Control of High Low Density Lipoprotein-Cholesterol Among United States Adults From 1999–2000 Through 2009–2010
format: Article
creator:
  • Muntner, Paul, PhD
  • Levitan, Emily B., ScD
  • Brown, Todd M., MD
  • Sharma, Pradeep, MS, MBA
  • Zhao, Hong, MS
  • Bittner, Vera, MD
  • Glasser, Stephen, MD
  • Kilgore, Meredith, PhD
  • Yun, Huifeng, MD, PhD
  • Woolley, J. Michael, PhD
  • Farkouh, Michael E., MD, MSc
  • Rosenson, Robert S., MD
subjects:
  • Abridged Index Medicus
  • Adults
  • Aged
  • Blood pressure
  • Cardiovascular
  • Cardiovascular disease
  • Cholesterol
  • Cholesterol, LDL - blood
  • Confidence intervals
  • Diabetes
  • Diet
  • Ethnicity
  • Female
  • Health Knowledge, Attitudes, Practice
  • Hispanic people
  • Humans
  • Hypercholesterolemia - epidemiology
  • Hypercholesterolemia - psychology
  • Hypercholesterolemia - therapy
  • Low density lipoprotein
  • Male
  • Middle Aged
  • Nutrition Surveys
  • Prevalence
  • Prevalence studies (Epidemiology)
  • Smoking
  • Trends
  • Triglycerides
  • United States
ispartof: The American journal of cardiology, 2013, Vol.112 (5), p.664-670
description: Marked increases in the awareness, treatment, and control of high low-density lipoprotein (LDL) cholesterol occurred among United States (US) adults from 1988–1994 to 1999–2004. An update to the Third Adult Treatment Panel guidelines was published in 2004, and it is unknown if these improvements have continued since the publication of these revised treatment recommendations. The aim of this study was to determine trends in the awareness, treatment, and control of high LDL cholesterol among US adults from 1999–2000 to 2009–2010 using nationally representative samples of US adults aged ≥20 years from 6 consecutive National Health and Nutrition Examination Surveys (NHANES) in 1999–2000 (n = 1,659), 2001–2002 (n = 1,897), 2003–2004 (n = 1,698), 2005–2006 (n = 1,692), 2007–2008 (n = 2,044), and 2009–2010 (n = 2,318). LDL cholesterol was measured after an overnight fast, and high LDL cholesterol and controlled LDL cholesterol were defined using the 2004 updated Third Adult Treatment Panel guidelines. Awareness and treatment of high cholesterol were defined using self-report. Among US adults, the prevalence of high LDL cholesterol did not change from 1999–2000 (37.2%) to 2009–2010 (37.8%). Awareness of high LDL cholesterol increased from 48.9% in 1999–2000 to 62.8% in 2003–2004 but did not increase further through 2009–2010 (61.5%). Among those aware of having high LDL cholesterol, treatment increased from 41.3% in 1999–2000 to 72.6% in 2007–2008 and was 70.0% in 2009–2010. Among US adults receiving treatment for high LDL cholesterol, the percentage with controlled LDL cholesterol increased from 45.0% in 1999–2000 to 65.3% in 2005–2006 and had decreased slightly by 2009–2010 (63.6%). In conclusion, high LDL cholesterol remains common among US adults. Additional efforts are needed to prevent high LDL cholesterol and increase the awareness, treatment, and control of high LDL cholesterol among US adults.
language: eng
source:
identifier: ISSN: 0002-9149
fulltext: no_fulltext
issn:
  • 0002-9149
  • 1879-1913
url: Link


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titleTrends in the Prevalence, Awareness, Treatment and Control of High Low Density Lipoprotein-Cholesterol Among United States Adults From 1999–2000 Through 2009–2010
creatorMuntner, Paul, PhD ; Levitan, Emily B., ScD ; Brown, Todd M., MD ; Sharma, Pradeep, MS, MBA ; Zhao, Hong, MS ; Bittner, Vera, MD ; Glasser, Stephen, MD ; Kilgore, Meredith, PhD ; Yun, Huifeng, MD, PhD ; Woolley, J. Michael, PhD ; Farkouh, Michael E., MD, MSc ; Rosenson, Robert S., MD
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descriptionMarked increases in the awareness, treatment, and control of high low-density lipoprotein (LDL) cholesterol occurred among United States (US) adults from 1988–1994 to 1999–2004. An update to the Third Adult Treatment Panel guidelines was published in 2004, and it is unknown if these improvements have continued since the publication of these revised treatment recommendations. The aim of this study was to determine trends in the awareness, treatment, and control of high LDL cholesterol among US adults from 1999–2000 to 2009–2010 using nationally representative samples of US adults aged ≥20 years from 6 consecutive National Health and Nutrition Examination Surveys (NHANES) in 1999–2000 (n = 1,659), 2001–2002 (n = 1,897), 2003–2004 (n = 1,698), 2005–2006 (n = 1,692), 2007–2008 (n = 2,044), and 2009–2010 (n = 2,318). LDL cholesterol was measured after an overnight fast, and high LDL cholesterol and controlled LDL cholesterol were defined using the 2004 updated Third Adult Treatment Panel guidelines. Awareness and treatment of high cholesterol were defined using self-report. Among US adults, the prevalence of high LDL cholesterol did not change from 1999–2000 (37.2%) to 2009–2010 (37.8%). Awareness of high LDL cholesterol increased from 48.9% in 1999–2000 to 62.8% in 2003–2004 but did not increase further through 2009–2010 (61.5%). Among those aware of having high LDL cholesterol, treatment increased from 41.3% in 1999–2000 to 72.6% in 2007–2008 and was 70.0% in 2009–2010. Among US adults receiving treatment for high LDL cholesterol, the percentage with controlled LDL cholesterol increased from 45.0% in 1999–2000 to 65.3% in 2005–2006 and had decreased slightly by 2009–2010 (63.6%). In conclusion, high LDL cholesterol remains common among US adults. Additional efforts are needed to prevent high LDL cholesterol and increase the awareness, treatment, and control of high LDL cholesterol among US adults.
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subjectAbridged Index Medicus ; Adults ; Aged ; Blood pressure ; Cardiovascular ; Cardiovascular disease ; Cholesterol ; Cholesterol, LDL - blood ; Confidence intervals ; Diabetes ; Diet ; Ethnicity ; Female ; Health Knowledge, Attitudes, Practice ; Hispanic people ; Humans ; Hypercholesterolemia - epidemiology ; Hypercholesterolemia - psychology ; Hypercholesterolemia - therapy ; Low density lipoprotein ; Male ; Middle Aged ; Nutrition Surveys ; Prevalence ; Prevalence studies (Epidemiology) ; Smoking ; Trends ; Triglycerides ; United States
ispartofThe American journal of cardiology, 2013, Vol.112 (5), p.664-670
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7Kilgore, Meredith, PhD
8Yun, Huifeng, MD, PhD
9Woolley, J. Michael, PhD
10Farkouh, Michael E., MD, MSc
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0Trends in the Prevalence, Awareness, Treatment and Control of High Low Density Lipoprotein-Cholesterol Among United States Adults From 1999–2000 Through 2009–2010
1The American journal of cardiology
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descriptionMarked increases in the awareness, treatment, and control of high low-density lipoprotein (LDL) cholesterol occurred among United States (US) adults from 1988–1994 to 1999–2004. An update to the Third Adult Treatment Panel guidelines was published in 2004, and it is unknown if these improvements have continued since the publication of these revised treatment recommendations. The aim of this study was to determine trends in the awareness, treatment, and control of high LDL cholesterol among US adults from 1999–2000 to 2009–2010 using nationally representative samples of US adults aged ≥20 years from 6 consecutive National Health and Nutrition Examination Surveys (NHANES) in 1999–2000 (n = 1,659), 2001–2002 (n = 1,897), 2003–2004 (n = 1,698), 2005–2006 (n = 1,692), 2007–2008 (n = 2,044), and 2009–2010 (n = 2,318). LDL cholesterol was measured after an overnight fast, and high LDL cholesterol and controlled LDL cholesterol were defined using the 2004 updated Third Adult Treatment Panel guidelines. Awareness and treatment of high cholesterol were defined using self-report. Among US adults, the prevalence of high LDL cholesterol did not change from 1999–2000 (37.2%) to 2009–2010 (37.8%). Awareness of high LDL cholesterol increased from 48.9% in 1999–2000 to 62.8% in 2003–2004 but did not increase further through 2009–2010 (61.5%). Among those aware of having high LDL cholesterol, treatment increased from 41.3% in 1999–2000 to 72.6% in 2007–2008 and was 70.0% in 2009–2010. Among US adults receiving treatment for high LDL cholesterol, the percentage with controlled LDL cholesterol increased from 45.0% in 1999–2000 to 65.3% in 2005–2006 and had decreased slightly by 2009–2010 (63.6%). In conclusion, high LDL cholesterol remains common among US adults. Additional efforts are needed to prevent high LDL cholesterol and increase the awareness, treatment, and control of high LDL cholesterol among US adults.
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3Blood pressure
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18Hypercholesterolemia - therapy
19Low density lipoprotein
20Male
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22Nutrition Surveys
23Prevalence
24Prevalence studies (Epidemiology)
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titleTrends in the Prevalence, Awareness, Treatment and Control of High Low Density Lipoprotein-Cholesterol Among United States Adults From 1999–2000 Through 2009–2010
authorMuntner, Paul, PhD ; Levitan, Emily B., ScD ; Brown, Todd M., MD ; Sharma, Pradeep, MS, MBA ; Zhao, Hong, MS ; Bittner, Vera, MD ; Glasser, Stephen, MD ; Kilgore, Meredith, PhD ; Yun, Huifeng, MD, PhD ; Woolley, J. Michael, PhD ; Farkouh, Michael E., MD, MSc ; Rosenson, Robert S., MD
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4Cardiovascular
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8Confidence intervals
9Diabetes
10Diet
11Ethnicity
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13Health Knowledge, Attitudes, Practice
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abstractMarked increases in the awareness, treatment, and control of high low-density lipoprotein (LDL) cholesterol occurred among United States (US) adults from 1988–1994 to 1999–2004. An update to the Third Adult Treatment Panel guidelines was published in 2004, and it is unknown if these improvements have continued since the publication of these revised treatment recommendations. The aim of this study was to determine trends in the awareness, treatment, and control of high LDL cholesterol among US adults from 1999–2000 to 2009–2010 using nationally representative samples of US adults aged ≥20 years from 6 consecutive National Health and Nutrition Examination Surveys (NHANES) in 1999–2000 (n = 1,659), 2001–2002 (n = 1,897), 2003–2004 (n = 1,698), 2005–2006 (n = 1,692), 2007–2008 (n = 2,044), and 2009–2010 (n = 2,318). LDL cholesterol was measured after an overnight fast, and high LDL cholesterol and controlled LDL cholesterol were defined using the 2004 updated Third Adult Treatment Panel guidelines. Awareness and treatment of high cholesterol were defined using self-report. Among US adults, the prevalence of high LDL cholesterol did not change from 1999–2000 (37.2%) to 2009–2010 (37.8%). Awareness of high LDL cholesterol increased from 48.9% in 1999–2000 to 62.8% in 2003–2004 but did not increase further through 2009–2010 (61.5%). Among those aware of having high LDL cholesterol, treatment increased from 41.3% in 1999–2000 to 72.6% in 2007–2008 and was 70.0% in 2009–2010. Among US adults receiving treatment for high LDL cholesterol, the percentage with controlled LDL cholesterol increased from 45.0% in 1999–2000 to 65.3% in 2005–2006 and had decreased slightly by 2009–2010 (63.6%). In conclusion, high LDL cholesterol remains common among US adults. Additional efforts are needed to prevent high LDL cholesterol and increase the awareness, treatment, and control of high LDL cholesterol among US adults.
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pubElsevier Inc
pmid23726177
doi10.1016/j.amjcard.2013.04.041
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