Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor

Background: The height from sea levels, environmental factors, human–environment interactions, and lifestyle significantly influence the lipid profile and glycemic control of a population. Objective: This study aims to explore the influence of altitude on lipid profiles and glycemic control among th...

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Main Author: Saif Aboud M. Alqahtani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_104_23
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author Saif Aboud M. Alqahtani
author_facet Saif Aboud M. Alqahtani
author_sort Saif Aboud M. Alqahtani
collection DOAJ
description Background: The height from sea levels, environmental factors, human–environment interactions, and lifestyle significantly influence the lipid profile and glycemic control of a population. Objective: This study aims to explore the influence of altitude on lipid profiles and glycemic control among the Saudi population at sea level and high altitude. Methods: In this retrospective cross-sectional study, a large dataset of patients of both gender and over 30 years old attending internal medicine clinics from two different regions at different heights from sea level, Jeddah (sea level) and Asir region (high altitudes) and referred to commercial laboratories for glycated haemoglobin (HbA1c) and lipids profile. Results: Compared to the Asir region, the Jeddah region had significantly higher mean values for fasting blood sugar (FBG), total cholesterol (TC), low-density lipoprotein (LDL-C), and triglycerides (TG) (P < 0.05). Every 1 mg/dL increase in FBG results in a 0.662 mg/dL increase in TG from the Jeddah region. However, it was a 0.318 mg/dL increase in TG from the Asir region. HbA1c demonstrated a significant (P < 0.05) strong positive correlation with TC, low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and lipid ratio. FBG levels were also associated with a high level of TC/HDL-C (β = 0.137 95% confidence interval [CI]: 0.11–0.21; P < 0.05), LDL-C/high-density lipoprotein cholesterol (HDL-C) (β = 0.50; 95% CI: 0.31–1.49; P < 0.05), and TG/HDL-C (β = 0.14; 95% CI = 0.12–0.15; P < 0.05) in Jeddah region. However, significantly high blood pressure was observed in the population from high altitudes. Conclusion: Our results demonstrated a significant positive correlation between lipid profile and glycemic control with high prevalence at sea level.
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spelling doaj-art-664bb3740b5f40df831e05c62b2cd4672025-08-20T02:13:58ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-07-011271352136010.4103/jfmpc.jfmpc_104_23Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factorSaif Aboud M. AlqahtaniBackground: The height from sea levels, environmental factors, human–environment interactions, and lifestyle significantly influence the lipid profile and glycemic control of a population. Objective: This study aims to explore the influence of altitude on lipid profiles and glycemic control among the Saudi population at sea level and high altitude. Methods: In this retrospective cross-sectional study, a large dataset of patients of both gender and over 30 years old attending internal medicine clinics from two different regions at different heights from sea level, Jeddah (sea level) and Asir region (high altitudes) and referred to commercial laboratories for glycated haemoglobin (HbA1c) and lipids profile. Results: Compared to the Asir region, the Jeddah region had significantly higher mean values for fasting blood sugar (FBG), total cholesterol (TC), low-density lipoprotein (LDL-C), and triglycerides (TG) (P < 0.05). Every 1 mg/dL increase in FBG results in a 0.662 mg/dL increase in TG from the Jeddah region. However, it was a 0.318 mg/dL increase in TG from the Asir region. HbA1c demonstrated a significant (P < 0.05) strong positive correlation with TC, low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and lipid ratio. FBG levels were also associated with a high level of TC/HDL-C (β = 0.137 95% confidence interval [CI]: 0.11–0.21; P < 0.05), LDL-C/high-density lipoprotein cholesterol (HDL-C) (β = 0.50; 95% CI: 0.31–1.49; P < 0.05), and TG/HDL-C (β = 0.14; 95% CI = 0.12–0.15; P < 0.05) in Jeddah region. However, significantly high blood pressure was observed in the population from high altitudes. Conclusion: Our results demonstrated a significant positive correlation between lipid profile and glycemic control with high prevalence at sea level.https://journals.lww.com/10.4103/jfmpc.jfmpc_104_23diabetic dyslipidemiahba1chigh altitudeslipid profile
spellingShingle Saif Aboud M. Alqahtani
Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
Journal of Family Medicine and Primary Care
diabetic dyslipidemia
hba1c
high altitudes
lipid profile
title Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
title_full Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
title_fullStr Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
title_full_unstemmed Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
title_short Lipid profiles and their relation to glycemic control in Saudi Arabia: The role of altitudes and environmental factor
title_sort lipid profiles and their relation to glycemic control in saudi arabia the role of altitudes and environmental factor
topic diabetic dyslipidemia
hba1c
high altitudes
lipid profile
url https://journals.lww.com/10.4103/jfmpc.jfmpc_104_23
work_keys_str_mv AT saifaboudmalqahtani lipidprofilesandtheirrelationtoglycemiccontrolinsaudiarabiatheroleofaltitudesandenvironmentalfactor