Prevalence and correlates of dyslipidemia among men and women in Palau: Findings of the Palau STEPS survey 2011–2013

Meishan Cui, Chifa Chiang, Renzhe Cui, Kaori Honjo, Hiroshi Yatsuya, Berry Moon Watson, Edolem Ikerdeu, Takashi Mita, Sherilynn Madraisau, Atsuko Aoyama, Hiroyasu Iso

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Abstract

Background: Epidemiological evidence of dyslipidemia in Pacific Island countries is limited despite the knowledge that non-communicable diseases have a high burden in the region. We aimed to examine the prevalence and correlates of dyslipidemia among residents of Palau. Methods: The Palau STEPwise approach to Surveillance (STEPS), which was conducted from 2011 through 2013, comprised three parts: behavioral risk factors; physical measurements; and biochemical tests, covering areas such as blood lipids. We used STEPS-generated data to perform a cross-sectional study of 2,184 randomly selected Palau residents, comprising Palauans and non-Palauans aged 25–64 years. Results: The age-adjusted mean BMI was 29.3 kg/m 2 in men and 29.9 kg/m 2 in women; age-adjusted mean triglycerides value was 182 mg/dL in men and 166 mg/dL in women; and age-adjusted mean cholesterol was 178 mg/dL in men and 183 mg/dL in women. The prevalence of overweight/obesity (BMI ≥25 kg/m 2 ) was 75% in men and 76% in women, and those of hypertriglyceridemia (triglycerides ≥150 mg/dL) and hypercholesterolemia (total cholesterol ≥200 mg/dL) were 48% in men and 41% in women and 18% in men and 23% in women, respectively. Mean values of total cholesterol were 177 mg/dL in Palauan men and 182 mg/dL in non-Palauan men. Mean values of triglycerides were 171 mg/dL in Palauan women and 150 mg/dL in non-Palauan women. Women living in rural areas showed a higher mean value of total cholesterol than those in urban areas. Conclusion: We found a high mean BMI and high prevalence of overweight/obesity and hypertriglyceridemia, but low mean total cholesterol and a low prevalence of hypercholesterolemia in Palau. Lipid profiles varied by age, ethnicity, and living area.

Original languageEnglish
Pages (from-to)97-103
Number of pages7
JournalJournal of epidemiology
Volume29
Issue number3
DOIs
Publication statusPublished - 05-03-2019

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All Science Journal Classification (ASJC) codes

  • Epidemiology

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Cui, M., Chiang, C., Cui, R., Honjo, K., Yatsuya, H., Watson, B. M., Ikerdeu, E., Mita, T., Madraisau, S., Aoyama, A., & Iso, H. (2019). Prevalence and correlates of dyslipidemia among men and women in Palau: Findings of the Palau STEPS survey 2011–2013. Journal of epidemiology, 29(3), 97-103. https://doi.org/10.2188/jea.JE20170127