Qun-Yan Xiang1, Feng Tian2, Qiu-Zhen Lin3, Xiao Du1, Shi-Lan Zhang4, Ya-Jun Gui1, Li-Ling Guo1, Jin Xu1, Li-Yuan Zhu1, Tie Wen5, Ling Liu6. 1. Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, PR China; Research Institute of Blood Lipid and Atherosclerosis, The Second Xiangya Hospital, Central South University, PR China. 2. Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, PR China; Research Institute of Blood Lipid and Atherosclerosis, The Second Xiangya Hospital, Central South University, PR China; Department of Geriatric Cardiology, The First Affiliated Hospital of Zhengzhou University, PR China. 3. Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, PR China. 4. Department of Digestion Medicine, The Second Xiangya Hospital, Central South University, PR China. 5. Department of Emergency, The Second Xiangya Hospital, Central South University, PR China. 6. Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, PR China; Research Institute of Blood Lipid and Atherosclerosis, The Second Xiangya Hospital, Central South University, PR China. Electronic address: feliuling@csu.edu.cn.
Abstract
BACKGROUND: Evidence about whether remnant cholesterol (RC), especially non-fasting RC, is a causal risk factor for coronary heart disease (CHD) in Chinese subjects is rare. Recently, estimated RC level (RCe) was applied in many studies with large population. We aimed to compare fasting and non-fasting RCe calculated by LDL-C level determined by different methods in Chinese subjects, and investigate their contributions to CHD. METHODS: Levels of TC, TG and HDL-C were measured directly in 273 CHD patients (CHD group) and 136 controls (CON group) before and at 4 h after a daily breakfast. LDL-C level was measured directly or calculated by Friedewald equation at TG < 4.5 mmol/L. RC level estimated by calculated or measured LDL-C was termed as RCe1 or RCe2. Contributions of different RC levels to CHD were evaluated by multivariable logistic regression analysis. RESULTS: Both RCe1 and RCe2 increased significantly at 4 h after breakfast (both p < 0.05). RCe1 was significantly higher than RCe2 in fasting or non-fasting state (p < 0.05). RCe1 was closely related to RCe2, especially in the highest quartile of RCe1 (p < 0.05). Non-fasting RCe1 or RCe2 and fasting RCe2 independently predicted CHD after adjustment for traditional risk factors (all p < 0.05). CONCLUSIONS: Although RCe1 was significantly higher than RCe2, non-fasting RCe, no matter RCe1 or RCe2, after a daily breakfast was an independent predictor for CHD risk in Chinese subjects, indicating that the non-fasting state is critical in the development of atherosclerosis.
BACKGROUND: Evidence about whether remnant cholesterol (RC), especially non-fasting RC, is a causal risk factor for coronary heart disease (CHD) in Chinese subjects is rare. Recently, estimated RC level (RCe) was applied in many studies with large population. We aimed to compare fasting and non-fasting RCe calculated by LDL-C level determined by different methods in Chinese subjects, and investigate their contributions to CHD. METHODS: Levels of TC, TG and HDL-C were measured directly in 273 CHDpatients (CHD group) and 136 controls (CON group) before and at 4 h after a daily breakfast. LDL-C level was measured directly or calculated by Friedewald equation at TG < 4.5 mmol/L. RC level estimated by calculated or measured LDL-C was termed as RCe1 or RCe2. Contributions of different RC levels to CHD were evaluated by multivariable logistic regression analysis. RESULTS: Both RCe1 and RCe2 increased significantly at 4 h after breakfast (both p < 0.05). RCe1 was significantly higher than RCe2 in fasting or non-fasting state (p < 0.05). RCe1 was closely related to RCe2, especially in the highest quartile of RCe1 (p < 0.05). Non-fasting RCe1 or RCe2 and fasting RCe2 independently predicted CHD after adjustment for traditional risk factors (all p < 0.05). CONCLUSIONS: Although RCe1 was significantly higher than RCe2, non-fasting RCe, no matter RCe1 or RCe2, after a daily breakfast was an independent predictor for CHD risk in Chinese subjects, indicating that the non-fasting state is critical in the development of atherosclerosis.