Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study

Cristian Orlando Porras Bueno; Jesús Andrés Beltrán España; Carolina Murgueitio Guzmán; Cándida Diaz‐Brochero; Ángel Alberto García Peña

doi:10.1002/clc.70146

Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study

Cristian Orlando Porras Bueno
, Jesús Andrés Beltrán España
, Carolina Murgueitio Guzmán
, Cándida Diaz‐Brochero
, Ángel Alberto García Peña

Universidad Javeriana

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: Social determinants of health (SDH) significantly influence cardiovascular outcomes; however, their role inachieving lipid profile goals in older adults remains underexplored. This study aimed to evaluate the association between SDH andnonachievement of LDL cholesterol (LDL‐C) and non‐HDL cholesterol (non‐HDL‐C) targets in Colombian adults aged ≥ 60 years.Methods: A cross‐sectional analysis was conducted using data from 1270 participants in the SABE Colombia 2015 study.Logistic regression was applied to estimate odds ratios (ORs) for not achieving LDL‐C and non‐HDL‐C goals on the basis of theFramingham, ASCVD 2013, and SCORE2 models.Results: Non achieving LDL‐C goals were associated with female sex, lack of affiliation with the health system and physicalinactivity. Physical inactivity was associated with noncompliance on non‐HDL‐C goals, among others.Conclusions: SDH are strongly associated with poor lipid control. Addressing modifiable SDHs could enhance cardiovascularrisk management in older adults

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	Clinical Cardiology
Volume	48
Issue number	5
DOIs	https://doi.org/10.1002/clc.70146
State	Published - May 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

cholesterol
cross‐sectional studies
heart disease risk factors
LDL
primary health care
risk assessment
social determinants of health

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10.1002/clc.70146

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@article{e20a5d00026b4914a9ce826c1345e215,

title = "Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study",

abstract = "Background: Social determinants of health (SDH) significantly influence cardiovascular outcomes; however, their role inachieving lipid profile goals in older adults remains underexplored. This study aimed to evaluate the association between SDH andnonachievement of LDL cholesterol (LDL‐C) and non‐HDL cholesterol (non‐HDL‐C) targets in Colombian adults aged ≥ 60 years.Methods: A cross‐sectional analysis was conducted using data from 1270 participants in the SABE Colombia 2015 study.Logistic regression was applied to estimate odds ratios (ORs) for not achieving LDL‐C and non‐HDL‐C goals on the basis of theFramingham, ASCVD 2013, and SCORE2 models.Results: Non achieving LDL‐C goals were associated with female sex, lack of affiliation with the health system and physicalinactivity. Physical inactivity was associated with noncompliance on non‐HDL‐C goals, among others.Conclusions: SDH are strongly associated with poor lipid control. Addressing modifiable SDHs could enhance cardiovascularrisk management in older adults",

keywords = "cholesterol, cross‐sectional studies, heart disease risk factors, LDL, primary health care, risk assessment, social determinants of health",

author = "Bueno, \{Cristian Orlando Porras\} and Espa{\~n}a, \{Jes{\'u}s Andr{\'e}s Beltr{\'a}n\} and Guzm{\'a}n, \{Carolina Murgueitio\} and C{\'a}ndida Diaz‐Brochero and Pe{\~n}a, \{{\'A}ngel Alberto Garc{\'i}a\}",

year = "2025",

month = may,

doi = "10.1002/clc.70146",

language = "English",

volume = "48",

pages = "1--8",

journal = "Clinical Cardiology",

number = "5",

}

Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study. / Bueno, Cristian Orlando Porras; España, Jesús Andrés Beltrán; Guzmán, Carolina Murgueitio et al.
In: Clinical Cardiology, Vol. 48, No. 5, 05.2025, p. 1-8.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study

AU - Bueno, Cristian Orlando Porras

AU - España, Jesús Andrés Beltrán

AU - Guzmán, Carolina Murgueitio

AU - Diaz‐Brochero, Cándida

AU - Peña, Ángel Alberto García

PY - 2025/5

Y1 - 2025/5

N2 - Background: Social determinants of health (SDH) significantly influence cardiovascular outcomes; however, their role inachieving lipid profile goals in older adults remains underexplored. This study aimed to evaluate the association between SDH andnonachievement of LDL cholesterol (LDL‐C) and non‐HDL cholesterol (non‐HDL‐C) targets in Colombian adults aged ≥ 60 years.Methods: A cross‐sectional analysis was conducted using data from 1270 participants in the SABE Colombia 2015 study.Logistic regression was applied to estimate odds ratios (ORs) for not achieving LDL‐C and non‐HDL‐C goals on the basis of theFramingham, ASCVD 2013, and SCORE2 models.Results: Non achieving LDL‐C goals were associated with female sex, lack of affiliation with the health system and physicalinactivity. Physical inactivity was associated with noncompliance on non‐HDL‐C goals, among others.Conclusions: SDH are strongly associated with poor lipid control. Addressing modifiable SDHs could enhance cardiovascularrisk management in older adults

AB - Background: Social determinants of health (SDH) significantly influence cardiovascular outcomes; however, their role inachieving lipid profile goals in older adults remains underexplored. This study aimed to evaluate the association between SDH andnonachievement of LDL cholesterol (LDL‐C) and non‐HDL cholesterol (non‐HDL‐C) targets in Colombian adults aged ≥ 60 years.Methods: A cross‐sectional analysis was conducted using data from 1270 participants in the SABE Colombia 2015 study.Logistic regression was applied to estimate odds ratios (ORs) for not achieving LDL‐C and non‐HDL‐C goals on the basis of theFramingham, ASCVD 2013, and SCORE2 models.Results: Non achieving LDL‐C goals were associated with female sex, lack of affiliation with the health system and physicalinactivity. Physical inactivity was associated with noncompliance on non‐HDL‐C goals, among others.Conclusions: SDH are strongly associated with poor lipid control. Addressing modifiable SDHs could enhance cardiovascularrisk management in older adults

KW - cholesterol

KW - cross‐sectional studies

KW - heart disease risk factors

KW - LDL

KW - primary health care

KW - risk assessment

KW - social determinants of health

UR - https://doi.org/10.1002/clc.70146

U2 - 10.1002/clc.70146

DO - 10.1002/clc.70146

M3 - Article

VL - 48

SP - 1

EP - 8

JO - Clinical Cardiology

JF - Clinical Cardiology

IS - 5

ER -

Lipid Control and Social Determinants: Their Association With LDL and Non‐HDL Cholesterol Goals in Older Adults—A Population‐Based Study

Abstract

UN SDGs

Keywords

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