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脂蛋白(a):沙特阿拉伯人群中的水平及参考区间

Lipoprotein(a): Levels and Reference Intervals Among People in Saudi Arabia.

作者信息

Jawi Motasim, Al Mahdi Hadiah Bassam, Daghistani Hussam, Almoghrabi Yousef, Algahtani Rami, Tawati Dalal, Algethami Mohammed R, Noorelahi Yasser, Awan Zuhier

机构信息

Department of Physiology, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia.

Al Borg Medical Laboratories, Al Borg Diagnostics, Research and Development Unit, Jeddah, Saudi Arabia.

出版信息

Diabetes Metab Syndr Obes. 2024 Aug 2;17:2935-2942. doi: 10.2147/DMSO.S465885. eCollection 2024.

Abstract

PURPOSE

Blood Lp(a) concentration is recognized as an independent risk factor for cardiovascular disease (CVD). Population-based lipoprotein(a) (Lp[a]) research in Saudi Arabia is rare. Thus, the primary goal of this pilot study was to identify age- and sex-specific reference ranges for Lp(a) levels, in addition to the associations between Lp(a) levels and other atherosclerotic markers in Saudi individuals.

PATIENTS AND METHODS

A five-year retrospective study of Lp(a) and lipid markers in Saudi patients was conducted using the Al-Borg diagnostics database (2015-2020). The population sample consisted of 361 Saudi individuals aged 18-93 years (162 males, 199 females). An immunoturbidimetric technique was used to determine Lp(a) concentration.

RESULTS

The mean and median Lp(a) levels in the study population were 35 nmol/L and 50 nmol/L, respectively. Sex and age did not influence Lp(a) values. Lp(a) values showed a minor correlation with other atherosclerotic markers when the Pearson correlation coefficient was used. In Saudi Arabia, the distribution of Lp(a) concentrations is skewed to the left, favoring lower values.

CONCLUSION

Lp(a) levels in individuals residing in Saudi Arabia were comparable to those observed in other ethnic groups. Additionally, standardizing Lp(a) measurements according to sex and age may enhance broader applicability and facilitate comparisons across different populations. However, larger studies are required to provide more comprehensive data for comparison.

摘要

目的

血液脂蛋白(a)[Lp(a)]浓度被认为是心血管疾病(CVD)的独立危险因素。沙特阿拉伯基于人群的脂蛋白(a)[Lp(a)]研究很少。因此,这项初步研究的主要目标是确定Lp(a)水平的年龄和性别特异性参考范围,以及沙特个体中Lp(a)水平与其他动脉粥样硬化标志物之间的关联。

患者与方法

利用Al-Borg诊断数据库(2015 - 2020年)对沙特患者的Lp(a)和血脂标志物进行了为期五年的回顾性研究。人群样本包括361名年龄在18 - 93岁的沙特人(162名男性,199名女性)。采用免疫比浊法测定Lp(a)浓度。

结果

研究人群中Lp(a)水平的均值和中位数分别为35 nmol/L和50 nmol/L。性别和年龄不影响Lp(a)值。当使用Pearson相关系数时,Lp(a)值与其他动脉粥样硬化标志物呈轻微相关性。在沙特阿拉伯,Lp(a)浓度分布向左偏态,倾向于较低值。

结论

居住在沙特阿拉伯的个体的Lp(a)水平与其他种族群体中观察到的水平相当。此外,根据性别和年龄对Lp(a)测量进行标准化可能会提高更广泛的适用性,并便于不同人群之间的比较。然而,需要更大规模的研究来提供更全面的数据进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8629/11303827/1b486e530080/DMSO-17-2935-g0001.jpg

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