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Sex differences in total cholesterol of Vietnamese adults

Ngoc Le Van Ngoc Truong; Bao Quoc Tran; Gall Seana; Hai Ngoc Phung; Magnussen Costan G.; Nelson Mark R.; Otahal Petr; Blizzard Christopher Leigh; Son Thai Ha; Srikanth Velandai; Tran Nga Thi Thu; Thuy Bich Au; Tan Van Bui; Callisaya Michele; Khue Ngoc Luong; Mai Hoang Tran

Sex differences in total cholesterol of Vietnamese adults

Ngoc Le Van Ngoc Truong
Bao Quoc Tran
Gall Seana
Hai Ngoc Phung
Magnussen Costan G.
Nelson Mark R.
Otahal Petr
Blizzard Christopher Leigh
Son Thai Ha
Srikanth Velandai
Tran Nga Thi Thu
Thuy Bich Au
Tan Van Bui
Callisaya Michele
Khue Ngoc Luong
Mai Hoang Tran
Katso/Avaa
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PUBLIC LIBRARY SCIENCE
doi:10.1371/journal.pone.0256589
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021093048651
Tiivistelmä

Background The mid-life emergence of higher levels of total cholesterol (TC) for women than for men has been observed in different Western and Asian populations. The aim of this study was to investigate whether there is evidence of this in Vietnam and, if so, whether it can be explained by ageing, by body size and fatness, or by socio-demographic characteristics and behavioural factors.

Methods Participants (n = 14706, 50.9% females) aged 25-64 years were selected by multi-stage stratified cluster sampling from eight provinces each representing one of the eight geographical regions of Vietnam. Measurements were made using the World Health Organization STEPS protocols. Linear regression was used to assess the independent contributions of potential explanatory factors to mean levels of TC. Data were analysed using complex survey methods.

Results Men and women had similar mean levels of body mass index (BMI), and men had modestly higher mean levels of waist circumference (WC), in each 5-year age category. The mean TC of women increased more or less continuously across the age range but with a step-up at age 50 years to reach higher concentrations on average than those of their male counterparts. The estimated step-up was not eliminated by adjustment for anthropometric indices including BMI or WC, or by adjustment for socio-demographic characteristics or behavioural factors. The estimated step-up was least for women with the greatest weight.

Conclusion There is a marked step-up in TC at age 50 years for Vietnamese women that cannot be explained by their age, or by their body fatness or its distribution, or by their socio-demographic characteristics or behavioural factors, and which results in greater mean levels of TC for middle-aged women than for their male counterparts in Vietnam.

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