Dyslipidaemia in rural Australia : prevalence, awareness, and adherence to treatment guidelines in the Greater Green Triangle risk factor study

Janus, Edward, Tideman, Philip, Dunbar, James, Kilkkinen, Annamari, Bunker, Stephen, Philpot, Benjamin, Tirimacco, Rosy, McNamara, Kevin, Heistaro, Sami and Laatikainen, Tiina 2010, Dyslipidaemia in rural Australia : prevalence, awareness, and adherence to treatment guidelines in the Greater Green Triangle risk factor study, Medical journal of Australia, vol. 192, no. 3, pp. 127-132.

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Title Dyslipidaemia in rural Australia : prevalence, awareness, and adherence to treatment guidelines in the Greater Green Triangle risk factor study
Author(s) Janus, Edward
Tideman, Philip
Dunbar, James
Kilkkinen, Annamari
Bunker, Stephen
Philpot, Benjamin
Tirimacco, Rosy
McNamara, Kevin
Heistaro, Sami
Laatikainen, Tiina
Journal name Medical journal of Australia
Volume number 192
Issue number 3
Start page 127
End page 132
Publisher Australasian Medical Publishing Company
Place of publication Sydney, N.S.W.
Publication date 2010
ISSN 0025-729X
1326-5377
Summary Objectives: To determine population lipid profiles, awareness of hyperlipidaemia and adherence to Australian lipid management guidelines.
Design and setting: Population survey in rural south-eastern Australia, 2004–2006.
Participants: Stratified random sample from the electoral roll. Data from 1274 participants (40%) aged 25–74 years were analysed.
Main outcome measures: Population mean total, low-density lipoprotein and high-density lipoprotein cholesterol (TC, LDL-C and HDL-C) and triglyceride (TG) concentrations, prevalence of dyslipidaemia, and treatment according to 2001 and 2005 Australian guideline target levels.
Results: Population-adjusted mean TC, TG, LDL-C and HDL-C concentrations were 5.38 mmol/L (95% CI, 5.30–5.45), 1.50 mmol/L (95% CI, 1.43–1.56), 3.23 mmol/L (95% CI, 3.16–3.30) and 1.46 mmol/L (95% CI, 1.44–1.49), respectively. Prevalence of hypercholesterolaemia (TC > 5.5 mmol/L or on treatment) was 48%. Lipid-lowering medication use was reported by 12%. Seventy-seven of 183 participants with established cardiovascular disease (CVD) or diabetes were untreated, and of the 106 treated, 59% reached the target LDL-C. Of those without CVD or diabetes already treated, 38% reached target LDL-C, and 397 participants at high absolute risk did not receive primary prevention. Ninety-five per cent of treated individuals with CVD or diabetes and 86% of others treated had cholesterol measured in the previous year. Sixty-nine per cent of individuals at low risk aged over 45 years had their cholesterol measured within the previous 5 years.
Conclusions: A comprehensive national strategy for lowering mean population cholesterol is required, as is better implementation of absolute risk management guidelines — particularly in rural populations.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, MJA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30023646

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Created: Thu, 11 Feb 2010, 10:13:44 EST by Liz Jackway

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