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 -