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Associations between hepatitis C viremia and low serum triglyceride and cholesterol levels: a community-based study.
- Source :
-
Journal of hepatology [J Hepatol] 2008 Jul; Vol. 49 (1), pp. 9-16. Date of Electronic Publication: 2008 Apr 22. - Publication Year :
- 2008
-
Abstract
- Background/aims: To evaluate the association of virologic status with serum cholesterol and triglyceride levels in individuals with hepatitis C virus (HCV) infection.<br />Methods: We conducted a large scale community-based study enrolling 11,239 residents in an area endemic for hepatitis B virus (HBV) and HCV infection in southern Taiwan. Overall, 703 (6.3%), 1,536 (13.7%), 84 (0.7%) and 9,084 (80.8%) subjects were sero-positive for anti-HCV antibody (anti-HCV), hepatitis B surface antigen (HBsAg), and both anti-HCV and HBsAg, and negative for anti-HCV and HBsAg, respectively.<br />Results: By multivariate logistic analyses, the independent factors significantly associated with elevated serum cholesterol level were older age, female, negative for diabetes, anti-HCV or HBsAg and elevated triglyceride levels. The independent factors significantly associated with elevated serum triglyceride level were male, positive for diabetes, negative for anti-HCV or HBsAg, higher body mass index (BMI) and elevated cholesterol levels. Of 642 anti-HCV-positive subjects that have HCV RNA tested by standardized automated qualitative PCR assay, 478 (74.5%) were positive for HCV RNA. By multivariate logistic analyses, the independent factors associated with elevated serum cholesterol level were female, elevated serum triglyceride levels, negative for diabetes or HCV RNA. The independent factors associated with elevated serum triglyceride levels were elevated serum cholesterol levels, positive for diabetes, higher BMI and negative for HCV RNA. Diabetes, lower cholesterol and triglyceride levels were independent factors associated with positive HCV RNA.<br />Conclusions: Based on the result of this large scale community study, HCV viremia appears to be associated with lower serum cholesterol and triglyceride levels which implies that HCV itself might play a significant role on serum lipid profile of patients with chronic HCV infection.
- Subjects :
- Endemic Diseases
Female
Genotype
Hepatitis B blood
Hepatitis B epidemiology
Hepatitis C epidemiology
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
RNA, Viral blood
Residence Characteristics
Risk Factors
Taiwan epidemiology
Viremia epidemiology
Cholesterol blood
Hepacivirus genetics
Hepatitis C blood
Triglycerides blood
Viremia blood
Subjects
Details
- Language :
- English
- ISSN :
- 0168-8278
- Volume :
- 49
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of hepatology
- Publication Type :
- Academic Journal
- Accession number :
- 18486265
- Full Text :
- https://doi.org/10.1016/j.jhep.2008.03.016