A Proposal for the Optimal Management Target for Serum Non-High-Density Lipoprotein Cholesterol Level in Low-Risk Japanese Workers.

Abstract:

AIM:The Japan Atherosclerosis Society Guidelines for the Diagnosis and Prevention of Atherosclerotic Cardiovascular Diseases 2012 (JAS Guidelines 2012) indicate that the management target for serum non-high-density lipoprotein cholesterol (non-HDLC) level is 30 mg/dL higher than that for low-density lipoprotein cholesterol (LDLC) level. However, it remains unclear whether this value is applicable to subjects at a low risk of cardiovascular disease. This study aimed to propose the optimal management target for serum non-HDLC level in low-risk Japanese subjects. METHODS:Among 20,909 subjects who underwent annual medical checkup at a Japanese company in 2008, we analyzed the data of 17,023 subjects (14,352 men, mean age 37.8±8.6 years) in risk category I according to the JAS Guidelines 2012. The correlation between LDLC and non-HDLC levels was examined. RESULTS:A strong correlation was found between LDLC and non-HDLC levels (r=0.95, p<0.001). The following regression equation for calculation of non-HDLC was obtained from linear regression analysis: non-HDLC (mg/dL)=1.09×LDLC (mg/dL)+7.79. According to this equation, the optimal management target for non-HDLC level corresponding to that for LDLC level (160 mg/dL) was 180 mg/dL. A multiple logistic regression analysis revealed that age, obesity, habitual alcohol intake, and current smoking were significantly associated with non-HDLC ≥180 mg/dL. CONCLUSIONS:The management target for non-HDLC level is recommended to be set at 20 mg/dL higher than that for the LDLC level (i.e., 180 mg/dL) in low-risk Japanese subjects.

journal_name

J Atheroscler Thromb

authors

Saiki Y,Otsuka T,Kato K,Kawada T

doi

10.5551/jat.33068

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

422-30

issue

4

eissn

1340-3478

issn

1880-3873

journal_volume

23

pub_type

杂志文章
  • Interaction among CYP2C8, EPHX2, and CYP4A11 Gene Variants Significantly Increases the Risk for Ischemic Stroke in Chinese Populations.

    abstract:AIM:Ischemic stroke (IS) is a multifactorial disease caused by environmental risk factors and genetic susceptibility. However, few studies have assessed whether gene-gene interactions among cytochrome P450 (CYP) pathway genes influence the risk of IS. The aim of the present study was to investigate the association of 1...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.29025

    authors: Yi X,Liao D,Fu X,Zhang B,Wang C

    更新日期:2015-01-01 00:00:00

  • Rationale and Descriptive Analysis of Specific Health Guidance: the Nationwide Lifestyle Intervention Program Targeting Metabolic Syndrome in Japan.

    abstract:AIM:All health insurers in Japan are mandated to provide Specific Health Checkups and Specific Health Guidance (SHG) focusing on metabolic syndrome (MetS) in middle-aged adults, beginning in 2008; intensive HG for individuals who have abdominal obesity and two or more additional MetS risk factors, and motivational HG f...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.42010

    authors: Tsushita K,S Hosler A,Miura K,Ito Y,Fukuda T,Kitamura A,Tatara K

    更新日期:2018-04-01 00:00:00

  • Examination of Large Artery Atherosclerosis could Reveal Small Artery Retinopathy in Untreated Middle-Aged Individuals.

    abstract:AIMS:Small arteries can be visualized in the ocular fundus, and findings of retinopathy based on Scheie classification are often applied to evaluate the impact of hypertension and atherosclerosis. However, the relationship between damage in the large and small arteries has not been investigated sufficiently, especially...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.59857

    authors: Sugiura T,Dohi Y,Takagi Y,Yokochi T,Yoshikane N,Suzuki K,Tomiishi T,Nagami T,Iwase M,Takase H,Seo Y,Ohte N

    更新日期:2020-11-25 00:00:00

  • A case of severe hyperlipidemia caused by long-term tube feedings.

    abstract::A 77-year-old woman with type II diabetes mellitus was admitted to our hospital in August/ 1995 with severe hyperlipidemia. She had taken feedings through a nasogastric tube with 1000 ml (1000 kcal) of Ensureliquid daily since 1993 because of the muscle weakness after rhabdomyolysis. Her serum total cholesterol was 51...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.10.321

    authors: Tanaka S,Miki T,Hsieh ST,Kim JI,Yasumoto T,Taniguchi T,Ishikawa Y,Yokoyama M

    更新日期:2003-01-01 00:00:00

  • Targeted Genetic Analysis in a Chinese Cohort of 208 Patients Related to Familial Hypercholesterolemia.

    abstract:AIM:Familial hypercholesterolemia (FH) is the most commonly encountered genetic condition that predisposes individuals to severe autosomal dominant lipid metabolism dysfunction. Although more than 75% of the European population has been scrutinized for FH-causing mutations, the genetic diagnosis proportion among Chines...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.54593

    authors: Wang H,Yang H,Liu Z,Cui K,Zhang Y,Zhang Y,Zhao K,Yin K,Li W,Zhou Z

    更新日期:2020-12-01 00:00:00

  • PCSK9 and Atherosclerosis - Lipids and Beyond.

    abstract::Even though it is only a little over a decade from the discovery of proprotein convertase subtilisin/kexin type 9 (PCSK9) as a plasma protein that associates with both high and low cholesterol syndromes, a rich body of knowledge has developed, and drugs inhibiting this target have been approved in many markets. While ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,评审

    doi:10.5551/jat.RV17003

    authors: Shapiro MD,Fazio S

    更新日期:2017-05-01 00:00:00

  • Completeness of carotid intima media thickness measurements depends on body composition: the RADIANCE 1 and 2 trials.

    abstract:AIM:Ultrasound protocols to measure carotid intima media thickness (CIMT) differ considerably with regard to the inclusion of the number of carotid segments and angles used. Detailed information on the completeness of CIMT information is often lacking in published reports, and at most, overall percentages are presented...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.3269

    authors: Dogan S,Duivenvoorden R,Grobbee DE,Kastelein JJ,Shear CL,Evans GW,Visseren FL,Bots ML,Radiance 1 and 2 Study Groups.

    更新日期:2010-05-01 00:00:00

  • Significance of serum high-density lipoprotein cholesterol levels for diagnosis of coronary stenosis as determined by MDCT in patients with suspected coronary artery disease.

    abstract:AIM:Since we previously reported that lower levels of HDL-C may be most useful for predicting coronary artery disease (CAD) as assessed by multi-detector row computed tomography (MDCT), we sought to confirm, among the levels of LDL-C, HDL-C, non-HDL-C (total cholesterol minus HDL-C) and the ratio of LDL-C to HDL-C (LDL...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.3889

    authors: Shiga Y,Miura S,Mitsutake R,Kawamura A,Uehara Y,Saku K

    更新日期:2010-08-31 00:00:00

  • DNA Methylation Analysis Identifies Differentially Methylated Sites Associated with Early-Onset Intracranial Atherosclerotic Stenosis.

    abstract:AIM:Studies have suggested that genetic and environmental factors do not account for all risks and mechanisms of intracranial atherosclerotic stenosis (ICAS). DNA methylation may play a role in the progression of ICAS. METHODS:DNA methylation profiles of peripheral blood leucocytes from 7 patients with early-onset ICA...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.47704

    authors: He XW,Zhao Y,Shi YH,Zhao R,Liu YS,Hu Y,Zhuang MT,Wu YL,Li GF,Yin JW,Cui GH,Liu JR

    更新日期:2020-01-01 00:00:00

  • Association between the CHADS2 score and an ankle-brachial index of <0.9 in patients without atrial fibrillation.

    abstract:AIM:The ankle-brachial index(ABI) is an easy-to-use, non-invasive and reliable diagnostic tool for assessing peripheral arterial occlusive disease(PAOD). The CHADS2(congestive heart failure, hypertension, age ≧75 years, diabetes, prior stroke) score is a simple and popular clinical parameter that is used to assess the ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.21212

    authors: Hsu PC,Lin TH,Lee WH,Chu CY,Chiu CA,Lee HH,Su HM,Voon WC,Lai WT,Sheu SH

    更新日期:2014-01-01 00:00:00

  • Bezafibrate Ameliorates Arterial Stiffness Assessed by Cardio-Ankle Vascular Index in Hypertriglyceridemic Patients with Type 2 Diabetes Mellitus.

    abstract:AIM:Cardio-ankle vascular index (CAVI) reflects arterial stiffness and has been established as a useful surrogate marker of atherosclerosis. Contrary to the abundant data indicating slower progression of atherosclerosis with statins, studies on fibrates remain scarce. The aim of this study was thus to clarify the effec...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,随机对照试验

    doi:10.5551/jat.45799

    authors: Yamaguchi T,Shirai K,Nagayama D,Nakamura S,Oka R,Tanaka S,Watanabe Y,Imamura H,Sato Y,Kawana H,Ohira M,Saiki A,Shimizu N,Tatsuno I

    更新日期:2019-07-01 00:00:00

  • Effects of adding ezetimibe to fluvastatin on kidney function in patients with hypercholesterolemia: a randomized control trial.

    abstract:AIMS:Statins not only reduce low-density lipoprotein (LDL) cholesterol, but also prevent the progression of kidney dysfunction. Ezetimibe, a cholesterol-absorption inhibitor, also lowers LDL cholesterol levels when added to statins; however, the effect of add-on ezetimibe on kidney function has had conflicting results....

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,随机对照试验

    doi:10.5551/jat.14860

    authors: Kinouchi K,Ichihara A,Bokuda K,Morimoto S,Itoh H

    更新日期:2013-01-01 00:00:00

  • U-shaped relationship between insulin level and coronary artery calcification (CAC).

    abstract:AIM:Recent studies have suggested that hyperinsulinemia is associated with high cardiovascular risk. The purpose of this study was to assess the relationship between the serum insulin level and coronary artery calcification (CAC). METHODS:We performed a cross-sectional study of 582 consecutive and nondiabetic particip...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.5116

    authors: Tanaka M,Fukui M,Tomiyasu K,Akabame S,Nakano K,Hasegawa G,Oda Y,Nakamura N

    更新日期:2010-10-27 00:00:00

  • Accelerated calcification represses the expression of elastic fiber components and lysyl oxidase in cultured bovine aortic smooth muscle cells.

    abstract::Vascular calcification is a common feature of advanced atherosclerosis resulting in reduced elasticity of elastic arteries. However, the relationship between elastic fibers and vascular calcification at the molecular and cellular levels remains unknown. We investigated the expression of major elastic fiber components ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.9.292

    authors: Sugitani H,Wachi H,Mecham RP,Seyama Y

    更新日期:2002-01-01 00:00:00

  • The use of plaque score measurements to assess changes in atherosclerotic plaque burden induced by lipid-lowering therapy over time: the METEOR study.

    abstract:AIM:To evaluate whether plaque scoring measurements are able to track changes in atherosclerotic plaque burden over time and to study whether this is affected by lipid-lowering therapy. METHODS:Data used were from METEOR (Measuring Effects on Intima-Media Thickness: an Evaluation Of Rosuvastatin), a randomized control...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,随机对照试验

    doi:10.5551/jat.8169

    authors: Peters SA,Dogan S,Meijer R,Palmer MK,Grobbee DE,Crouse JR 3rd,O'Leary DH,Evans GW,Raichlen JS,Bots ML

    更新日期:2011-01-01 00:00:00

  • The impact of C-reactive protein on risk of stroke, stroke subtypes, and ischemic heart disease in middle-aged Japanese: the Japan public health center-based study.

    abstract:AIM:To examine the impact of C-reactive protein on the risks of stroke and its subtypes, particularly among Asian populations in which median C-reactive protein levels are typically lower than in Western populations. METHODS:A prospective, nested case-control study was conducted to examine the associations between hig...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:

    authors: Iso H,Noda H,Ikeda A,Yamagishi K,Inoue M,Iwasaki M,Tsugane S

    更新日期:2012-01-01 00:00:00

  • Plasma NOx concentrations in glucose intolerance and type 2 diabetes. A case-control study in a Vietnamese population.

    abstract:AIM:The Vietnamese develop type 2 diabetes (T2D) and metabolic syndrome (MS) at a lower BMI than other ethnicities. Thus, biomarkers that identify subjects at an increased risk of T2D independently of obesity are being sought. Recent studies show that circulating NO metabolites (NOx) are increased in T2D. We investigat...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.7393

    authors: Binh PN,Abe Y,Tien PG,Son le NT,Hanh TT,Diep do TN,Qui le TK,Kawano M,Maruyama C

    更新日期:2011-01-01 00:00:00

  • Association between renal vasculature changes and generalized atherosclerosis: an autopsy survey.

    abstract:AIM:To examine the association between renal vasculature changes and generalized atherosclerosis using autopsy cases. METHODS:We histologically examined 107 autopsy patients(mean age, 68.4 years; 64% men; 81% non-CVD) to investigate the association between renal vasculature changes and generalized atherosclerosis. We ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.19869

    authors: Iwakiri T,Sato Y,Matsuura Y,Hatakeyama K,Marutsuka K,Yamashita A,Fujimoto S,Kitamura K,Asada Y

    更新日期:2014-01-01 00:00:00

  • Mean common or mean maximum carotid intima-media thickness as primary outcome in lipid-modifying intervention studies.

    abstract:AIM:Carotid intima-media thickness (CIMT) measurements are used as a disease outcome in randomized controlled trials that assess the effects of lipid-modifying treatment. It is unclear whether common CIMT or mean maximum CIMT should be used as the primary outcome. We directly compared both measurements using aspects th...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.8623

    authors: Dogan S,Kastelein JJ,Grobbee DE,Bots ML

    更新日期:2011-01-01 00:00:00

  • Sphingosine-1-phosphate signaling in endothelial activation.

    abstract::The signaling and functions of the Endothelial Differentiation Gene (EDG) family of G protein-coupled receptors have been extensively elucidated. All the members of EDG family were shown to be receptors for lysosphingolipids or lysophospholipids. EDG-1, the prototype of EDG family receptors, is a high affinity recepto...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,评审

    doi:10.5551/jat.10.125

    authors: Ozaki H,Hla T,Lee MJ

    更新日期:2003-01-01 00:00:00

  • A Novel Selective PPARα Modulator (SPPARMα), K-877 (Pemafibrate), Attenuates Postprandial Hypertriglyceridemia in Mice.

    abstract:AIMS:Fasting and postprandial hypertriglyceridemia (PHTG) are caused by the accumulation of triglyceride (TG)-rich lipoproteins and their remnants, which have atherogenic effects. Fibrates can improve fasting and PHTG; however, reduction of remnants is clinically needed to improve health outcomes. In the current study,...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.39693

    authors: Sairyo M,Kobayashi T,Masuda D,Kanno K,Zhu Y,Okada T,Koseki M,Ohama T,Nishida M,Sakata Y,Yamashita S

    更新日期:2018-02-01 00:00:00

  • The association between low-density lipoprotein cholesterol goal attainment, physician and patient attitudes and perceptions, and healthcare policy.

    abstract:AIM:Withholding effective treatment is clinically prevalent. The CEntralized Pan-Asian survey on tHE Under-treatment of hypercholeSterolemia (CEPHEUS-PA) indicated suboptimal low-density lipoprotein cholesterol (LDL-C) goal attainment in Taiwan, which may be attributable to clinical inertia. We herein analyzed the Taiw...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.24158

    authors: Wang KL,Wu CH,Wang KF,Chang CC,Chen LC,Lu TM,Lin SJ,Chiang CE

    更新日期:2014-01-01 00:00:00

  • Atrial fibrillation linked to vascular access thrombosis in chronic hemodialysis patients.

    abstract:AIM:Atrial fibrillation (AF) is characterized by the development of thromboembolic events and is more prevalent among end-stage renal disease patients than in the general population. Vascular access thrombosis (VAT) is a major morbidity in chronic hemodialysis (HD) patients; however, the association between AF and VAT ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.6296

    authors: Chou CY,Chen JY,Liu JH,Liu YL,Lin HH,Yang YF,Wang SM,Kuo HL,Huang CC

    更新日期:2011-01-01 00:00:00

  • The serum YKL-40 level is associated with vascular injury and predicts proteinuria in nephrotic syndrome patients.

    abstract:AIM:Nephrotic syndrome (NS) is associated with an increased rate of cardiovascular events. The YKL-40 level is associated with atherosclerosis, endothelial dysfunction and proteinuria in renal and non-renal populations. The aim of this study was to investigate the relationships between the YKL-40 level and both vascula...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.26385

    authors: Kocyigit I,Gungor O,Dogan E,Karadavut S,Karakukcu C,Eroglu E,Orscelik O,Unal A,Dogan A,Sipahioglu MH,Tokgoz B,Oymak O

    更新日期:2015-01-01 00:00:00

  • The utility of visceral fat level by bioelectrical impedance analysis in the screening of metabolic syndrome - the results of the Kyushu and Okinawa Population Study (KOPS).

    abstract:AIM:A simple, non-invasive medical device, using bioelectrical impedance analysis (BIA) for the evaluation of visceral fat level (VFL) was developed recently. The aim of this study was to investigate the utility of VFL by BIA in the screening of metabolic syndrome (MetS). METHODS:VFL was measured by the BIA device in ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.11528

    authors: Unno M,Furusyo N,Mukae H,Koga T,Eiraku K,Hayashi J

    更新日期:2012-01-01 00:00:00

  • The effects of ezetimibe on surrogate markers of cholesterol absorption and synthesis in Japanese patients with dyslipidemia.

    abstract:AIM:To demonstrate the clinical benefit of inhibiting intestinal cholesterol absorption, we evaluated the effects of ezetimibe on surrogate markers of cholesterol absorption and synthesis, lipid and glucose metabolism, and markers of obesity and inflammation. METHODS:A total of 120 patients with dyslipidemia (46 men; ...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 临床试验,杂志文章

    doi:10.5551/jat.1578

    authors: Hiramitsu S,Ishiguro Y,Matsuyama H,Yamada K,Kato K,Noba M,Uemura A,Yoshida S,Matsubara Y,Kani A,Hasegawa K,Hishida H,Ozaki Y

    更新日期:2010-02-01 00:00:00

  • Inter-Arm Blood Pressure Difference in Diabetes Mellitus and Its Preferential Association with Peripheral Artery Disease.

    abstract:AIM:Inter-arm blood pressure difference (IAD) is known to be associated with a composite of cardiovascular disease (CVD) and with CVD risk factors. However, only limited information is available regarding the contribution of diabetes mellitus to IAD and the association of IAD with individual CVDs, such as coronary arte...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章

    doi:10.5551/jat.52886

    authors: Miyashima M,Shoji T,Kakutani Y,Yamazaki Y,Ochi A,Morioka T,Shinohara-Mitsuki K,Fukumoto S,Shioi A,Inaba M,Emoto M

    更新日期:2020-08-01 00:00:00

  • Lipid Lowering Therapy to Modify Plaque Microstructures.

    abstract::Due to the pandemics of obesity and diabetes mellitus, especially in the Western countries, atherosclerotic cardiovascular disease (ASCVD) has become a major health burden and is expected to increase in the future. Modifying lipid targets, especially low-density lipoprotein cholesterol (LDL-C) level, has become the fi...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,评审

    doi:10.5551/jat.RV16009

    authors: Kataoka Y,Andrews J,Puri R,Psaltis P,Nicholls SJ

    更新日期:2017-04-03 00:00:00

  • Epoxyeicosatrienoic Acids are Mediated by EPHX2 Variants and may be a Predictor of Early Neurological Deterioration in Acute Minor Ischemic Stroke.

    abstract:AIM:To investigatethe association of plasma epoxyeicosatrienoic acids (EETs) with early neurologic deterioration (END), and whether EETs are mediated by EPHX2 variants in patients with minor ischemic stroke (MIS). METHOD:This was a prospective, multi-center observational study in patients with acute MIS in the Chinese...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,多中心研究

    doi:10.5551/jat.41145

    authors: Yi X,Lin J,Li J,Zhou Q,Han Z

    更新日期:2017-12-01 00:00:00

  • Five-Year Patency and its Predictors after Endovascular Therapy for Aortoiliac Occlusive Disease.

    abstract:AIM:Although current guidelines recommend surgical revascularization as the first-line therapy for chronic total occlusion of the abdominal aorta (Leriche syndrome), endovascular therapy (EVT) has been increasingly utilized because of the development of new technologies and techniques. EVT has demonstrated durable midt...

    journal_title:Journal of atherosclerosis and thrombosis

    pub_type: 杂志文章,多中心研究

    doi:10.5551/jat.45617

    authors: Nanto K,Iida O,Fujihara M,Yokoi Y,Tomoi Y,Soga Y,Fujita M,Masuda M,Okamoto S,Ishihara T,Kanda T,Tsujimura T,Matsuda Y,Okuno S,Mano T

    更新日期:2019-11-01 00:00:00