Prevention & lipids

Estimating the Prevalence of Hypercholesterolemia in Indigenous Populations: A Systematic Review and Meta-Analysis

JACC AdvPublished Systematic review and meta-analysis

Authors' conclusion

Hypercholesterolemia is prevalent in Indigenous communities and may contribute to the high burden of ASCVD these populations face.

Study context

Population
Indigenous populations in Canada, the US, Australia and New Zealand
Outcome
Prevalence of hypercholesterolemia, severe hypercholesterolemia and FH
Methodological detailsrandom-effects model, meta-regression
  • Random-effects model
  • Meta-regression

Pooled result

As reported in the abstract

Pooled prevalence of hypercholesterolemia in Indigenous populations

Pooled prevalence of hypercholesterolemia (all diagnostic criteria), ∼1 in 3 to 1 in 4 individuals; 95% CI 22.4%-36.4%

28.9%

Pooled prevalence using LDL-C cutoff ≥3.5 mmol/L (135 mg/dL); 95% CI 7.7%-19.9%

12.6%

Further pooled results

Pooled prevalence of hypercholesterolemia by region
Percent
North America
24.3%(95% CI 17.1%–33.3%)
Australia
40.0%(95% CI 31.3%–49.3%)

Meta-regression: effect of diabetes on prevalence

DM had a significant effect on prevalence
P = 0.022

Original publication

Estimating the Prevalence of Hypercholesterolemia in Indigenous Populations: A Systematic Review and Meta-Analysis. JACC Adv. Published 26 May 2023. doi:10.1016/j.jacadv.2023.100315

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