--- title: "Racial/ethnic differences in dyslipidemia patterns. | Sutter Health" description: "No studies have comprehensively examined the prevalence of dyslipidemia among diverse racial/ethnic minority groups--Asian Americans, Mexican-Americans, blacks." url: "https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Racial/ethnic differences in dyslipidemia patterns. # Racial/ethnic differences in dyslipidemia patterns. Frank AT, Zhao B, Jose PO, Azar KM, Fortmann SP, & Palaniappan LP. _Circulation. 129(5):570-9. doi: 10.1161/CIRCULATIONAHA.113.005757. Epub 2013 Nov 5._ 2014-02-04 ## Abstract #### BACKGROUND: No studies have comprehensively examined the prevalence of dyslipidemia, a major risk factor for cardiovascular disease, among diverse racial/ethnic minority groups. The primary aim of this study was to identify racial/ethnic differences in dyslipidemia among minorities including Asian Americans (Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese), Mexican Americans, and blacks compared with non-Hispanic whites. #### METHODS AND RESULTS: Using a 3-year cross section (2008-2011), we identified 169 430 active primary care patients (35 years or older) from an outpatient healthcare organization in northern California. Age-standardized prevalence rates were calculated for 3 dyslipidemia subtypes: high triglycerides (fasting laboratory value ≥150 mg/dL), low levels of high-density lipoprotein cholesterol (fasting laboratory value <40 mg/dL \[men\] and <50 mg/dL \[women\]), and high levels of low-density lipoprotein cholesterol (fasting laboratory value ≥130 mg/dL or taking low-density lipoprotein-lowering agents). Odds ratios were calculated by multivariable logistic regression, with adjustment for patient characteristics (age, measured body mass index, smoking). Compared with non-Hispanic whites, every minority subgroup had an increased prevalence of high triglycerides except blacks. Most minority groups had an increased prevalence of low high-density lipoprotein cholesterol, except for Japanese and blacks. The prevalence of high low-density lipoprotein cholesterol was increased among Asian Indians, Filipinos, Japanese, and Vietnamese compared with non-Hispanic whites. #### CONCLUSIONS: Minority groups, except for blacks, were more likely to have high triglyceride/low high-density lipoprotein cholesterol dyslipidemia. Further research is needed to determine how racial/ethnic differences in dyslipidemia affect racial/ethnic differences in cardiovascular disease rates. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/24192801) ![Kristen M J Azar, RN, MSN, MPH](https://dyn.mktgcdn.com/p/rFmyR1kiX8JzE5-XNwup0gVC1GRaVTlH7oSDlG0Tr5A/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Kristen M J Azar, RN, MSN, MPH Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/kristen-m-j-azar-rn-msn-mph-1049680985) ## Research topics - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) - [Health Disparities](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Disparities%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Heterogeneity of treatment and outcomes among Asians with coronary artery disease in the United States.](https://www.sutterhealth.org/research/publications/treatment-and-outcomes-among-asians-with-cad-in-us-1055312760) Manjunath L, Chung S, Li J, Shah H, Palaniappan L, Yong CM. J Am Heart Assoc. e014362. doi: 10.1161/JAHA.119.014362. \[Epub ahead of print\] 2020 May 11 - Publication ### [Geographic variations in cardiovascular disease mortality among Asian American subgroups, 2003-2011.](https://www.sutterhealth.org/research/publications/geographic-variation-cvd-mortality-asian-ams-1055312318) Pu J, Hastings KG, Boothroyd D, Jose PO, Chung S, Shah JB, Cullen MR, Palaniappan LP, Rehkopf DH. J Am Heart Assoc. 6(7). pii: e005597. doi: 10.1161/JAHA.117.005597. 2017 Jul 12 - Publication ### [Dyslipidemia in special ethnic populations.](https://www.sutterhealth.org/research/publications/dyslipidemia-special-ethnic-populations-1055312482) Pu J, Romanelli R, Zhao B, Azar KM, Hastings KG, Nimbal V, Fortmann SP, Palaniappan LP. Endocrinol Metab Clin North Am. 45(1):205-16. doi: 10.1016/j.ecl.2015.09.013 2016 Mar 01 - Publication ### [Disparities in blood pressure control within a community-based provider network: an exploratory analysis.](https://www.sutterhealth.org/research/publications/disparities-in-blood-pressure-control-1055312715) Romanelli RJ1, Schiro TA, Jukes T, Wong KS, Ishisaka DY. Ann Pharmacother. 45(12):1473-82. doi: 10.1345/aph.1Q523. Epub 2011 Dec 6. 2011 Dec 01 - Publication ### [Moderating effects of patient characteristics on the impact of financial incentives.](https://www.sutterhealth.org/research/publications/effects-of-pt-characteristics-on-financial-incentives-1055312755) Rosenthal MB, Troxel AB, Volpp KG, Stewart WF, Sequist TD, Jones JB, Hirsch AG, Hoffer K, Zhu J, Wang W, Hodlofski A, Finnerty D, Huang JJ, Asch DA. Med Care Res Rev. 76(1):56-72. doi: 10.1177/1077558717707313. Epub 2017 May 8. 2019 Feb 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Racial/ethnic differences in dyslipidemia patterns."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616#medicalscholarlyarticle","name":"Racial/ethnic differences in dyslipidemia patterns.","headline":"Racial/ethnic differences in dyslipidemia patterns.","abstract":"BACKGROUND: No studies have comprehensively examined the prevalence of dyslipidemia, a major risk factor for cardiovascular disease, among diverse racial/ethnic minority groups. The primary aim of this study was to identify racial/ethnic differences in dyslipidemia among minorities including Asian Americans (Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese), Mexican Americans, and blacks compared with non-Hispanic whites. METHODS AND RESULTS: Using a 3-year cross section (2008-2011), we identified 169 430 active primary care patients (35 years or older) from an outpatient healthcare organization in northern California. Age-standardized prevalence rates were calculated for 3 dyslipidemia subtypes: high triglycerides (fasting laboratory value ≥150 mg/dL), low levels of high-density lipoprotein cholesterol (fasting laboratory value \u003c40 mg/dL [men] and \u003c50 mg/dL [women]), and high levels of low-density lipoprotein cholesterol (fasting laboratory value ≥130 mg/dL or taking low-density lipoprotein-lowering agents). Odds ratios were calculated by multivariable logistic regression, with adjustment for patient characteristics (age, measured body mass index, smoking). Compared with non-Hispanic whites, every minority subgroup had an increased prevalence of high triglycerides except blacks. Most minority groups had an increased prevalence of low high-density lipoprotein cholesterol, except for Japanese and blacks. The prevalence of high low-density lipoprotein cholesterol was increased among Asian Indians, Filipinos, Japanese, and Vietnamese compared with non-Hispanic whites. CONCLUSIONS: Minority groups, except for blacks, were more likely to have high triglyceride/low high-density lipoprotein cholesterol dyslipidemia. Further research is needed to determine how racial/ethnic differences in dyslipidemia affect racial/ethnic differences in cardiovascular disease rates.","description":"No studies have comprehensively examined the prevalence of dyslipidemia among diverse racial/ethnic minority groups--Asian Americans, Mexican-Americans, blacks.","keywords":["Cardiovascular Diseases","Health Disparities"],"datePublished":"2014-02-04","url":"https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"24192801"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1161/CIRCULATIONAHA.113.005757"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/24192801/","https://doi.org/10.1161/CIRCULATIONAHA.113.005757"],"isPartOf":{"@type":"Periodical","name":"Circulation"},"author":[{"@type":"Person","name":"Frank AT"},{"@type":"Person","name":"Zhao B"},{"@type":"Person","name":"Jose PO"},{"@type":"Person","@id":"https://www.sutterhealth.org/research/investigators/kristen-m-j-azar-rn-msn-mph-1049680985","name":"Azar KM","url":"https://www.sutterhealth.org/research/investigators/kristen-m-j-azar-rn-msn-mph-1049680985"},{"@type":"Person","name":"Fortmann SP"},{"@type":"Person","name":"Palaniappan LP"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Cardiovascular Diseases","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Cardiovascular+Diseases%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Disparities","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Disparities%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/racial-ethnic-differences-in-dyslipidemia-patterns-1055312616#breadcrumblist"}}} ```