Associations of LDL Cholesterol, Non-HDL Cholesterol, and Apolipoprotein B With Cardiovascular Disease Occurrence in Adults: Korean Genome and Epidemiology Study
نویسنده : Shin Young Yun , John Hoon Rim , Hyein Kang , Sang-Guk Lee , and Jong-Baeck Lim .
تاریخ انتشار : 1402/02/15
Methods: We used information on age; sex; medical history; family history of ASCVD; current lipid-lowering therapy; current smoking status; and creatinine, total cholesterol, HDLC, LDL-C, triglyceride, and ApoB concentrations from 5,872 KoGES participants without
ASCVD. New ASCVD development was monitored during the 8-year follow-up period. Adjusted hazard ratios (aHRs) for ASCVD of LDL-C, non-HDL-C, and ApoB concentrations
were calculated based on the multivariate Cox regression analyses. The participants were
also grouped as low and high according to the median values for each lipid marker, and
calculated aHRs of each group combined by two lipid makers.
Results: ApoB showed the highest aHR per 1-SD for ASCVD (1.26; 95% confidence interval [CI], 1.11–1.43), followed by non-HDL-C (1.25; 95% CI, 1.11–1.41) and LDL-C
(1.20; 95% CI, 1.06–1.37). The group with low LDL-C and high ApoB concentrations had
a significantly higher aHR for ASCVD (1.61; 95% CI, 1.05–2.48) compared to the reference group values (low LDL-C and low ApoB concentrations). The aHR for the group with
high LDL-C and low ApoB concentrations was not significant (1.30; 95% CI, 0.79–2.16).
Conclusions: ApoB, non-HDL-C, and LDL-C are independent risk factors for ASCVD. Increases in the aHR per 1-SD for ASCVD were more strongly affected by ApoB, followed by
non-HDL-C and LDL-C. Participants with low LDL-C and high ApoB concentrations showed
increased ASCVD risk. For individuals with ASCVD risk factors, even those presenting normal LDL-C concentrations, measuring ApoB concentrations can provide useful information for better evaluation of ASCVD risk.