While Cholesterol Levels Stay Stable, Blood Pressure Levels Tend to Rise in the Populat ion of the Marmara Region of Turkey [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1998; 26(1): 18-24

While Cholesterol Levels Stay Stable, Blood Pressure Levels Tend to Rise in the Populat ion of the Marmara Region of Turkey

Altan ONAT1, Dilek URAL1, İbrahim KELEŞ1, M. Akif BÜYÜKBEŞE1, Ertan URAL1, Birol KURBAN1, Erdal İNCE1, Vedat SANSOY1

This report comprises the analysis of follow-up data pertaining to plasma lipids and blood pressuı·c in the original cohort of the sample population of Turkey' s Marmara region obtained in the 1997 survey of the Turkish Risk Factor Study. Among a total of 518 participants (of which 256 men), plasma cholesterol and triglyceride values were measured by a Reflotron apparatus. Cholesterol concentrations were validated in a group of randam saınples and upward adjusted for the obtained systematic bias of - L.5%. Mean of two blood presslll·e measurcments performed in a standard fashion wcre usecl. Adjustment was made in the parameters for the aging of the cohort by 7 years with the purpose of assessing changes i ncuıTed independent of aging. Compared to baseline values in 1990, nett plas ına total cholesterol levels in 1997 eleclincd by 4.3 mg/eli in men and by 3 mg/eli in women. By contrast, mean fasring plasma triglyceriele levels inercaseel by 13.7 mg/dl in men, whereas this rise was not substantial in women (5.2 mg/di). When age was kept constant, systolic blood pressure rose 4-5 mmHg in cithcr gender. Diastolic pressure rose by 3 mmHg in women, while remaining unchanged among men. Thus, the global risk of the popul ation of the Marmara region appears to exhibit a tendeney to inercasing risk in systolic prcssure anel plasma triglycerides among men, and in systolic and diastolic pressures in women. Among hypertensive individuals, 38% were uneler antihypertensive medication, while only 6% of subjects having total cholesterol levels in excess of 220 mg/dl were using lipid-lowering drugs (all statins) indicating a large gap of treatment.

Keywords: Atherosclerosis, blood pressure, cholesterol, plasma triglycerides

How to cite this article
Altan ONAT, Dilek URAL, İbrahim KELEŞ, M. Akif BÜYÜKBEŞE, Ertan URAL, Birol KURBAN, Erdal İNCE, Vedat SANSOY. While Cholesterol Levels Stay Stable, Blood Pressure Levels Tend to Rise in the Populat ion of the Marmara Region of Turkey. Turk Kardiyol Dern Ars. 1998; 26(1): 18-24
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