Prevalence of hypercholesterolaemia and coronary heart disease risk factors among Southeast Asian refugees in a primary care clinic

D. J. Dodson, Thomas Hooton, D. Buchwald

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The National Cholesterol Education Program's guidelines for the detection, evaluation, and treatment of high serum cholesterol in adults were employed in screening 155 Southeast Asian refugees in a primary care clinic in Seattle, Washington. In order to determine the need for a therapeutic intervention, information also was collected on the presence of other coronary heart disease (CHD) risk factors. Male gender (39%), cigarette smoking (27%) and hypertension (26%) were the most common CHD risk factors; diabetes mellitus, obesity, a family or prior history of CHD or cerebral/peripheral vascular disease were each noted in less than 10%. The mean serum total cholesterol was 194 mg/dl. Thirty-seven (24%) patients required further lipoprotein analysis based on cholesterol level, history of CHD and risk factors for CHD. Twenty-one (66%) of 32 patients who underwent lipoprotein analysis (14% of all patients) were candidates for a therapeutic intervention for hypercholesterolaemia. Additionally, 14 (44%) patients undergoing lipoprotein analysis had depressed high-density lipoprotein levels (< 35 mg/dl). We conclude that CHD risk factors including hypercholesterolaemia are common in Southeast Asian refugee clinic patients and that in many, a therapeutic intervention may well be Justified. Southeast Asian refugees should be routinely screened for hypercholesterolaemia and other CHD risk factors in accordance with the National Cholesterol Education Program's guidelines.

Original languageEnglish
Pages (from-to)83-89
Number of pages7
JournalJournal of Clinical Pharmacy and Therapeutics
Volume20
Issue number2
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Refugees
Hypercholesterolemia
Coronary Disease
Primary Health Care
Cholesterol
Lipoproteins
Guidelines
Education
Peripheral Vascular Diseases
HDL Lipoproteins
Therapeutics
Serum
Diabetes Mellitus
Obesity
Smoking
Hypertension

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology, Toxicology and Pharmaceutics(all)

Cite this

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abstract = "The National Cholesterol Education Program's guidelines for the detection, evaluation, and treatment of high serum cholesterol in adults were employed in screening 155 Southeast Asian refugees in a primary care clinic in Seattle, Washington. In order to determine the need for a therapeutic intervention, information also was collected on the presence of other coronary heart disease (CHD) risk factors. Male gender (39{\%}), cigarette smoking (27{\%}) and hypertension (26{\%}) were the most common CHD risk factors; diabetes mellitus, obesity, a family or prior history of CHD or cerebral/peripheral vascular disease were each noted in less than 10{\%}. The mean serum total cholesterol was 194 mg/dl. Thirty-seven (24{\%}) patients required further lipoprotein analysis based on cholesterol level, history of CHD and risk factors for CHD. Twenty-one (66{\%}) of 32 patients who underwent lipoprotein analysis (14{\%} of all patients) were candidates for a therapeutic intervention for hypercholesterolaemia. Additionally, 14 (44{\%}) patients undergoing lipoprotein analysis had depressed high-density lipoprotein levels (< 35 mg/dl). We conclude that CHD risk factors including hypercholesterolaemia are common in Southeast Asian refugee clinic patients and that in many, a therapeutic intervention may well be Justified. Southeast Asian refugees should be routinely screened for hypercholesterolaemia and other CHD risk factors in accordance with the National Cholesterol Education Program's guidelines.",
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