Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)

ABSTRACT Background Obesity and dyslipidemia are interconnected complex conditions and their prevalence differs across different geographical regions. As a major risk factor for cardiovascular diseases, dyslipidemia is often misdiagnosed and inadequately treated, highlighting the need for region‐spe...

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Main Authors: Jahangir Shahraz, Farahnaz Joukar, Fateme Sheida, Sara Yeganeh, Saman Maroufizadeh, Massood Baghaee, Mohammadreza Naghipour, Fariborz Mansour‐Ghanaei
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Obesity Science & Practice
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Online Access:https://doi.org/10.1002/osp4.70055
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author Jahangir Shahraz
Farahnaz Joukar
Fateme Sheida
Sara Yeganeh
Saman Maroufizadeh
Massood Baghaee
Mohammadreza Naghipour
Fariborz Mansour‐Ghanaei
author_facet Jahangir Shahraz
Farahnaz Joukar
Fateme Sheida
Sara Yeganeh
Saman Maroufizadeh
Massood Baghaee
Mohammadreza Naghipour
Fariborz Mansour‐Ghanaei
author_sort Jahangir Shahraz
collection DOAJ
description ABSTRACT Background Obesity and dyslipidemia are interconnected complex conditions and their prevalence differs across different geographical regions. As a major risk factor for cardiovascular diseases, dyslipidemia is often misdiagnosed and inadequately treated, highlighting the need for region‐specific public health policies. Therefore, the objective of this study was to examine the associations between BMI and dyslipidemia in the Prospective Epidemiological Research Studies in Iran (PERSIAN) Guilan Cohort study (PGCS) population. Methods This cross‐sectional study analyzed the demographic and biochemical data from 10,519 participants of the PGCS population. Participants were divided into two groups with and without dyslipidemia and were compared based on BMI. Data analysis was performed in SPSS v16 with a significance level of < 0.05. Results The average age of the participants was 51.52 ± 8.90 years. The prevalence of dyslipidemia in all participants was equal to 75.83%. Among those with dyslipidemia, 41.18% and 35.39% had overweight and obesity, respectively. There was a positive association between BMI and the prevalence of dyslipidemia (unadjusted OR = 1.09, 95% confidence interval (CI): 1.08–1.10) (p < 0.01), indicating that for a one‐unit increase in participants' BMI, the probability of having dyslipidemia increased by 9%, which remained statistically significant even after adjusting. Analysis of dyslipidemia components and BMI revealed a significant association between elevated TG and cholesterol, as well as low HDL levels and higher BMI (unadjusted OR = 1.04, 1.01, and 1.09, respectively) (p < 0.01). However, this was not statistically significant for high LDL levels (unadjusted OR = 1.01) (p = 0.05). Conclusion Given the high prevalence of dyslipidemia in our studied region and its strong association with obesity, prioritizing obesity management in public health decision‐making is vital. Greater focus should be given on accessing and modifying the components of dyslipidemia, particularly LDL particles, as a potentially significant research target to prevent the mismanagement of dyslipidemia in individuals with obesity.
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spelling doaj-art-64030e8ffa124566bc2f10ff2c89ef482025-08-20T02:46:08ZengWileyObesity Science & Practice2055-22382025-02-01111n/an/a10.1002/osp4.70055Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)Jahangir Shahraz0Farahnaz Joukar1Fateme Sheida2Sara Yeganeh3Saman Maroufizadeh4Massood Baghaee5Mohammadreza Naghipour6Fariborz Mansour‐Ghanaei7Gastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranDepartment of Biostatistics and Epidemiology School of Health Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranGastrointestinal and Liver Diseases Research Center Guilan University of Medical Sciences Rasht IranABSTRACT Background Obesity and dyslipidemia are interconnected complex conditions and their prevalence differs across different geographical regions. As a major risk factor for cardiovascular diseases, dyslipidemia is often misdiagnosed and inadequately treated, highlighting the need for region‐specific public health policies. Therefore, the objective of this study was to examine the associations between BMI and dyslipidemia in the Prospective Epidemiological Research Studies in Iran (PERSIAN) Guilan Cohort study (PGCS) population. Methods This cross‐sectional study analyzed the demographic and biochemical data from 10,519 participants of the PGCS population. Participants were divided into two groups with and without dyslipidemia and were compared based on BMI. Data analysis was performed in SPSS v16 with a significance level of < 0.05. Results The average age of the participants was 51.52 ± 8.90 years. The prevalence of dyslipidemia in all participants was equal to 75.83%. Among those with dyslipidemia, 41.18% and 35.39% had overweight and obesity, respectively. There was a positive association between BMI and the prevalence of dyslipidemia (unadjusted OR = 1.09, 95% confidence interval (CI): 1.08–1.10) (p < 0.01), indicating that for a one‐unit increase in participants' BMI, the probability of having dyslipidemia increased by 9%, which remained statistically significant even after adjusting. Analysis of dyslipidemia components and BMI revealed a significant association between elevated TG and cholesterol, as well as low HDL levels and higher BMI (unadjusted OR = 1.04, 1.01, and 1.09, respectively) (p < 0.01). However, this was not statistically significant for high LDL levels (unadjusted OR = 1.01) (p = 0.05). Conclusion Given the high prevalence of dyslipidemia in our studied region and its strong association with obesity, prioritizing obesity management in public health decision‐making is vital. Greater focus should be given on accessing and modifying the components of dyslipidemia, particularly LDL particles, as a potentially significant research target to prevent the mismanagement of dyslipidemia in individuals with obesity.https://doi.org/10.1002/osp4.70055body mass index (BMI)dyslipidemiaGuilan cohort
spellingShingle Jahangir Shahraz
Farahnaz Joukar
Fateme Sheida
Sara Yeganeh
Saman Maroufizadeh
Massood Baghaee
Mohammadreza Naghipour
Fariborz Mansour‐Ghanaei
Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
Obesity Science & Practice
body mass index (BMI)
dyslipidemia
Guilan cohort
title Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
title_full Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
title_fullStr Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
title_full_unstemmed Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
title_short Associations Between Body Mass Index (BMI) and Dyslipidemia: Results From the PERSIAN Guilan Cohort Study (PGCS)
title_sort associations between body mass index bmi and dyslipidemia results from the persian guilan cohort study pgcs
topic body mass index (BMI)
dyslipidemia
Guilan cohort
url https://doi.org/10.1002/osp4.70055
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