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HDL colesterol bajo como factor de riesgo cardiovascular en población rural, urbana y rural urbana migrante: Peru migrant

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dc.contributor.advisor Miranda Montero, Juan Jaime
dc.contributor.author Lazo Porras, Maria de los Angeles
dc.date.accessioned 2017-12-15T17:48:19Z
dc.date.available 2017-12-15T17:48:19Z
dc.date.issued 2016
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/929
dc.description.abstract Introduction: Whilst the relationship between lipids and cardiovascular mortality has been well studied and appears to be controversial, very little has been explored in the context of rural-to-urban migration in low-resource settings. Objective: Determine the profile and related factors for HDL-c patterns (isolated and nonisolated low HDL-c) in three population-based groups according to their migration status, and determine the effect of HDL-c patterns on the rates of cardiovascular outcomes (i.e. non-fatal stroke and non-fatal myocardial infarction) and mortality. Methods: Cross-sectional and 5-year longitudinal data from the PERU MIGRANT study, designed to assess the effect of migration on cardiovascular risk profiles and mortality in Peru. Two different analyses were performed: first, we estimated prevalence and associated factors with isolated and non-isolated low HDL-c at baseline. Second, using longitudinal information, relative risk ratios (RRR) of composite outcomes of mortality, non-fatal stroke and non-fatal myocardial infarction were calculated according to HDL-c levels at baseline. Results: Data from 988 participants, rural (n=201), rural-to-urban migrants (n=589), and urban (n=199) groups, was analysed. Low HDL-c was present in 56.5% (95%CI: 53.4%– 59.6%) without differences by study groups. Isolated low HDL-c was found in 36.5% (95%CI: 33.5–39.5%), with differences between study groups. In multivariable analysis, urban group (vs. rural), female gender, overweight and obesity were independently associated with isolated low HDL-c. Only female gender, overweight and obesity were associated with non-isolated low HDL-c. Longitudinal analyses showed that non-isolated low HDL-c increased the risk of negative cardiovascular outcomes (RRR=3.46; 95%CI: 1.23–9.74). Conclusions: Isolated low HDL-c was the most common dyslipidaemia in the study population and was more frequent in rural subjects. Non-isolated low HDL-c increased three- to fourfold the 5-year risk of cardiovascular outcomes. es_ES
dc.description.uri Tesis es_ES
dc.format application/pdf es_ES
dc.language.iso eng es_ES
dc.publisher Universidad Peruana Cayetano Heredia es_ES
dc.rights info:eu-repo/semantics/openAccess es_ES
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es es_ES
dc.source Universidad Peruana Cayetano Heredia es_ES
dc.source Repositorio Institucional - UPCH es_ES
dc.subject HDL-Colesterol es_ES
dc.subject Migración Humana es_ES
dc.subject Infarto del Miocardio es_ES
dc.subject Accidente Cerebrovascular es_ES
dc.subject Factores de Riesgo es_ES
dc.subject Estudios Longitudinales es_ES
dc.title HDL colesterol bajo como factor de riesgo cardiovascular en población rural, urbana y rural urbana migrante: Peru migrant es_ES
dc.type info:eu-repo/semantics/masterThesis es_ES
thesis.degree.name Maestro en Ciencias en Investigación Epidemiológica es_ES
thesis.degree.grantor Universidad Peruana Cayetano Heredia. Escuela de Posgrado Víctor Alzamora Castro es_ES
thesis.degree.level Maestría es_ES
thesis.degree.discipline Ciencias en Investigación Epidemiológica es_ES


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