Prevalence, Awareness, Treatment, and Control of High LDL Cholesterol in New York City, 2004

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Upadhyay, Ushma D. ; Waddell, Elizabeth Needham ; Young, Stephanie ; Kerker, Bonnie D. ; Berger, Magdalena ; Matte, Thomas ; Angell, Sonia Y.
• Description:
  Introduction ; Low-density lipoprotein (LDL) cholesterol is a major contributor to coronary heart disease and the primary target of cholesterol-lowering therapy. Substantial disparities in cholesterol control exist nationally, but it is unclear how these patterns vary locally. ; Methods ; We estimated the prevalence, awareness, treatment, and control of high LDL cholesterol using data from a unique local survey of New York City's diverse population. The New York City Health and Nutrition Examination Survey 2004 was administered to a probability sample of New York City adults. The National Health and Nutrition Examination Survey 2003-2004 was used for comparison. High LDL cholesterol and coronary heart disease risk were defined using National Cholesterol Education Program Adult Treatment Panel III (ATP III) guidelines. ; Results ; Mean LDL cholesterol levels in New York City and nationally were similar. In New York City, 28% of adults had high LDL cholesterol, 71% of whom were aware of their condition. Most aware adults reported modifying their diet or activity level (88%), 64% took medication, and 44% had their condition under control. More aware adults in the low ATP III risk group than those in higher risk groups had controlled LDL cholesterol (71% vs 33%-42%); more whites than blacks and Hispanics had controlled LDL cholesterol (53% vs 31% and 32%, respectively). ; Conclusions ; High prevalence of high LDL cholesterol and inadequate treatment and control contribute to preventable illness and death, especially among those at highest risk. Population approaches — such as making the food environment more heart-healthy — and aggressive clinical management of cholesterol levels are needed.
• Subjects:
  • Adult
  • Anticholesteremic Agents
  • Awareness
  • Cholesterol, LDL
  • Diet, Fat-Restricted
  • Exercise Therapy
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Hypercholesterolemia
  More +
• Source:
  Prev Chronic Dis. 7(3).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  New York City, NY
• Location:
  North America
• Volume:
  7
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/20466/cdc_20466_DS1.pdf
• File Type:
  [PDF - 626.90 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:580bac3ddba8467e85ee6b49dcc701adda2f91a3746cdc42c46af681884f62d468c15c8e5bdcdbe64bbb1d794e2e8e7e3faec3a4029f45c5616bd3b414111275