PMID- 23076217 OWN - NLM STAT- MEDLINE DCOM- 20130912 LR - 20220331 IS - 1880-3873 (Electronic) IS - 1340-3478 (Linking) VI - 20 IP - 2 DP - 2013 TI - Small dense low-density lipoproteins cholesterol can predict incident cardiovascular disease in an urban Japanese cohort: the Suita study. PG - 195-203 AB - AIM: Several lines of evidence indicate that small dense low-density lipoproteins (sd-LDL) are more atherogenic than large buoyant LDL; however, few prospective studies have addressed the role of sd-LDL in cardiovascular disease (CVD). We therefore examined the association between sd-LDL cholesterol (sd-LDL-C) and CVD in a Japanese cohort. METHODS: An 11.7-year prospective study was performed using a general population aged 30-79 without a history of cardiovascular disease. Direct LDL-C and sd-LDL-C were measured in samples from 2034 participants (968 men and 1066 women). RESULTS: During the follow-up period, there were 116 incident cases of CVD. The multivariable-adjusted hazard ratios (HRs) of sd-LDL-C for CVD were calculated using a proportional hazards regression model after adjusting for age, hypertension, diabetes, use of lipid-lowering drugs, body mass index, and current smoking and alcohol drinking, and found that increasing quartiles of sd-LDL-C were associated with increased risk of CVD. We also determined that age and sex-adjusted HRs per 10 mg/dL of sd-LDL-C and HRs for CVD, stroke, cerebral infarction, and coronary artery disease were 1.21 (95% CI: 1.12-1.31), 1.17 (95% CI: 1.05-1.30), 1.15 (95% CI: 1.00-1.33), and 1.29 (95% CI: 1.14-1.45), respectively. CONCLUSIONS: It was demonstrated that sd-LDL-C was significantly associated with CVD in a Japanese population, providing evidence of sd-LDL-C as an important biomarker to predict CVD. FAU - Arai, Hidenori AU - Arai H AD - Department of Human Health Sciences, Kyoto University Graduate School of Medicine. FAU - Kokubo, Yoshihiro AU - Kokubo Y FAU - Watanabe, Makoto AU - Watanabe M FAU - Sawamura, Tatsuya AU - Sawamura T FAU - Ito, Yasuki AU - Ito Y FAU - Minagawa, Asako AU - Minagawa A FAU - Okamura, Tomonori AU - Okamura T FAU - Miyamato, Yoshihiro AU - Miyamato Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121017 PL - Japan TA - J Atheroscler Thromb JT - Journal of atherosclerosis and thrombosis JID - 9506298 RN - 0 (Biomarkers) RN - 0 (Cholesterol, LDL) RN - 0 (Lipoproteins) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Biomarkers/blood MH - Body Mass Index MH - Cardiovascular Diseases/*blood/*diagnosis/epidemiology MH - Cholesterol, LDL/*blood MH - Female MH - Humans MH - Japan/epidemiology MH - Lipoproteins/metabolism MH - Male MH - Middle Aged MH - Proportional Hazards Models MH - Prospective Studies MH - Reference Values MH - Risk Factors MH - Urban Population EDAT- 2012/10/19 06:00 MHDA- 2013/09/13 06:00 CRDT- 2012/10/19 06:00 PHST- 2012/10/19 06:00 [entrez] PHST- 2012/10/19 06:00 [pubmed] PHST- 2013/09/13 06:00 [medline] AID - DN/JST.JSTAGE/jat/14936 [pii] AID - 10.5551/jat.14936 [doi] PST - ppublish SO - J Atheroscler Thromb. 2013;20(2):195-203. doi: 10.5551/jat.14936. Epub 2012 Oct 17.