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Data · dataset · 2024

Associations of low-density lipoprotein cholesterol with all-cause and cause-specific mortality in older adults in China

Listed in Teesside University Research Data Repository

Context: Limited information was available on detailed associations of low-density lipoprotein cholesterol (LDL-C) with all-cause and cause-specific mortality in older adults.

Description

Methods

This prospective cohort study included a representative sample of 211,290 adults aged 65 or older, who participated in Shenzhen Healthy Aging Research 2018-2019. The vital status of the participants by 31 December, 2021 was determined. We estimated the hazard ratios (HR) with 95% confidence intervals for all-cause or cause-specific mortality using multivariable Cox proportional hazards models and Cox models with restricted cubic spline(RCS) .Results: The median follow-up time was 3.08 years.

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A total of 5,333 participants were confirmed to have died. Among them, 2,303 cardiovascular disease (CVD) deaths and 1,881 cancer deaths occurred. Compared to those with LDL-C of 100–129 mg/dL, the all-cause mortality risk was significantly higher for individuals with LDL-C level that was very low (< 70 mg/dL) or low (70–99 mg/dL).

Compared with individuals with the reference LDL-C level, the multivariable-adjusted HR for CVD-specific mortality was 1.327 for those with very low LDL-C level (< 70 mg/dL), 1.437 for those with high LDL-C level (160 mg/dL ≦ LDL-C < 190mg/dL), 1.528 for those with very high LDL-C level (≥ 190 mg/dL). Low LDL-C level (70–99 mg/dL) and very low LDL-C level (< 70 mg/dL) were also associated with increased cancer mortality and other-cause mortality, respectively.

The results from RCS curve showed similar results. Conclusion: Considering the risk of all-causes mortality and cause-specific mortality, we recommended 100-159 mg/dL as the optimal range of LDL-C among older adults in China.

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Where it is published

Catalogue records · 1

Topics

Inferred from text
Cancer 75% · Cardiovascular disease 75% · Disease 75% · Longitudinal study 65%
Provenance · 1 source records, 11 field assertions
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Teesside University Research Data Repositoryoai:data.mendeley.com/9dn4mfm699.115 h agoJSON v1
FieldAssertionExtractorEvidence
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concepts[disease].local:disease:diseaseenrichment · researchdata tees ac ukkeyword-concept-rules@1.0.0title+description (75%)
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concepts[method].local:method:longitudinal-studyenrichment · researchdata tees ac ukkeyword-concept-rules@1.0.0title+description (65%)
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