Dyslipidemia and blood lipid levels in patients tratied in primary care centers in east SAN JOSE

  • Erick G. Gutiérrez Peña Universidad de Costa Rica, Costa Rica
  • Juan José Romero Zúñiga Universidad Nacional, Costa Rica
Keywords: Blood lipids, lipid profile, cholesterol, triglycerides, dyslipidemia, prevalence, Costa Rica


Dyslipidemia, i.e. high levels of blood lipids (cholesterol and triglycerides), is strongly related to cardiovascular disease (CVD). In order to reduce the risk of CVD at any moment in a person ́s life, it is crucial to know his/her –and the population’s– lipid profile. The aim of this study was to assess the (statistical) indicators of blood lipids and the prevalence of dyslipidemia in patients treated in the Integral Health Attention Program from Universidad de Costa Rica. A descriptive study was conducted including 10,044 patients aged 20 to 65 years, who were tested for a blood lipid profile in 2006. A total of 2,969 (29.6%) male and 7,075 (70.4%) female patients took part in the study, with an average age of 43.5 years. General averages for blood lipids were: 203.3 mg/dl for total cholesterol, 50.1 mg/dl for HDL, 120.1 mg/dl for LDL, and 165.6 mg/dl for triglycerides. Prevalence of 17.2% was determined for hypercholesterolemia (≥240 mg/dl), as well as 21.3% for low HDL levels (<40 mg/dl), 11.9% for high LDL levels (≥160 mg/dl), and 26.3% for high triglyceride levels (≥200 mg/dl). Women showed higher overall levels of dyslipidemia than men. Based on health areas, no significant differences were found in general lipid levels by age or sex. Results indicate that the general prevalence of dyslipidemia is close to half the rate reported in worldwide literature and lower than results reported in Costa Rican studies.
However, general averages exceeded optimal levels for each blood lipid; consequently, it is important to develop health interventions oriented to reduce the impact of dyslipidemia in the studied population.

Author Biographies

Erick G. Gutiérrez Peña, Universidad de Costa Rica
Programa de Atención Integral de Salud
Juan José Romero Zúñiga, Universidad Nacional
Postgrado Regional en Ciencias Veterinarias Tropicales


Aguilar-Salinas, C. A., Gómez-Pérez, F. J., Rull, J., Villalpando, S., Barquera, S., Rojas, R. (2010). Prevalence of dyslipidemias in the Mexican National Health and Nutrition Survey 2006. Salud Pública de México, 52, Suppl 1:S44-53. https://doi.org/10.1590/S0036-36342010000700008

Castelli, W. P. (1986). The trygliceride issue: A view from Framingham. American Heart Journal. 112(2), 432-437. https://doi.org/10.1016/0002-8703(86)90296-6

Dobson, R. (2004). Prevalence of high cholesterol varies 25-fold. British Medical Journal, 329, 590. https://doi.org/10.1136/bmj.329.7466.590-b

Grundy, S., Becker, D., Clark, L., Cooper, R. S., Denke, M. A., Howard, W. J.,… Van Horn, L. (2002). National cholesterol education program expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Circulation, 106, 3143-3421.

Jafar, T. H., Qadri, Z. y Chaturvedi, N. (2007). Coronary artery disease epidemic in Pakistan – more electrocardiographic evidence of ischemia in women than in men. Heart, 94, 408-413. https://doi.org/10.1136/hrt.2007.120774

Lloyd-Jones, D. M., Leip, E. P., Larson, M. G., D'Agostino, R. B., Beiser, A., Wilson, P. W.,… Levy, D. (2006). Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50 Years of Age. Circulation, 113, 791-798. https://doi.org/10.1161/CIRCULATIONAHA.105.548206

Matthews, C. E., Freedson, P. S., Hebert, J. R., Stanek, E. J., Merriam, P. A., Rosal, M.,…Ockene, I. S. (2001). Seasonal variation in household, occupational, and leisure time physical activity: longitudinal analyses from the seasonal variation of blood cholesterol study. American Journal of Epidemiology, 153(2), 172–183. https://doi.org/10.1093/aje/153.2.172

Nippon Data 80 Research Group. (2006). Risk assessment chart for death from cardiovascular disease based on a 19-year follow-up study of a Japanese representative population. Circulation Journal, 70(10), 1249–1255. https://doi.org/10.1253/circj.70.1249

Ockene, I. S., Chiriboga, D. E., Stanek, E. J., Harmatz, M. G., Nicolosi, R., Saperia, G.,… Herbert, J. R. (2004). Seasonal variation in serum cholesterol levels. Archives of Internal Medicine, 164(8), 863-870. https://doi.org/10.1001/archinte.164.8.863

Organización Panamericana de la Salud (2005). Situación de salud en las Américas. Indicadores básicos. Revisión 2005. Washington D. C.

Petrella, R. J., Merikle, E. y Jones, J. (2007). Prevalence and treatment of dyslipidemia in Canadian primary care: a retrospective cohort analysis. Clinical Therapeutics, 29(4), 742-750. https://doi.org/10.1016/j.clinthera.2007.04.009

Petrella, R. J., Merikle, E. (2008). A retrospective analysis of the prevalence and treatment of hypertension and dyslipidemia in Southwestern Ontario, Canada. Clinical Therapeutics, 30(6), 1145-1154. https://doi.org/10.1016/j.clinthera.2008.06.004

Pilote, L., Dasgupta, K., Guru, V., Humphries, K. H., McGrath, J., Norris, C.,… Tagalakis, V. (2007). A comprehensive view of sex-specific issues related to cardiovascular disease. Canadian Medical Association Journal, 176(6), S1-S44. https://doi.org/10.1503/cmaj.051455

Roselló-Araya, M. y Guzmán-Padilla, S. (2008). Riesgo cardiovascular en la población con sobrepeso u obesidad en el cantón Central de Cartago, CARMEN 2001. Acta Médica Costarricense, 50(2), 97-101.

Steinhagen-Thiessen, E., Bramlage, P., Lösch, C., Hauner, H., Schunkert, H., Vogt, A.,… Moebus, S. (2008). Dyslipidemia in primary care--prevalence, recognition, treatment and control: data from the German Metabolic and Cardiovascular Risk Project (GEMCAS). Cardiovascular Diabetology, 7, 31-42. https://doi.org/10.1186/1475-2840-7-31

Tacsan, L. y Asencio, M. (2003). Encuesta basal de factores de riesgo para enfermedades no transmisibles, Cartago 2001. Ministerio de Salud Pública de Costa Rica.

The Expert Panel (1993). Second Report of the National Cholesterol Education Program Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults. Journal of American Medical Association, 269, 3015-3023. https://doi.org/10.1001/jama.1993.03500230097036

Watkins, P. (2003) ABC of diabetes: cardiovascular disease, hypertension, and lipids. British Medical Journal, 326, 874-876. https://doi.org/10.1136/bmj.326.7394.874

Windler, E., Schöffauer, M., & Zyriax, B. C. (2007). The significance of low HDL-cholesterol levels in an ageing society at increased risk for cardiovascular disease. Diabetes Vascular Disease Research, 4(2), 136–142. https://doi.org/10.3132/dvdr.2007.032

How to Cite
Gutiérrez Peña, E., & Romero Zúñiga, J. (2010). Dyslipidemia and blood lipid levels in patients tratied in primary care centers in east SAN JOSE. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 7(2), 1-13. https://doi.org/10.15359/mhs.7-2.1
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