001     280976
005     20250921002019.0
024 7 _ |a 10.1016/j.jacadv.2025.102015
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082 _ _ |a 610
100 1 _ |a Gelfert, Gloria G
|b 0
245 _ _ |a Association of Lipoprotein(a) With Cardiovascular and Cerebrovascular Disease in a Nationally Representative Cohort of Germany.
260 _ _ |a [Amsterdam]
|c 2025
|b Elsevier B.V.
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520 _ _ |a Population-based data on the distribution of lipoprotein(a) (Lp[a]) within the German population are lacking.The aim of the study was to determine the age- and sex-specific Lp(a) distribution in Germany and analyze its association with different types of cardiovascular disease (CVD).We analyzed cross-sectional data from the German National Health Interview and Examination Survey 1998, a population-based study representing the German adult population's health status from 1997 to 1999. We examined serum Lp(a) according to demographics and investigated associations between Lp(a) and history of self-reported CVD. We tested Lp(a) in spline analysis on continuous scales and as dichotomous Lp(a) thresholds.In the German National Health Interview and Examination Survey 1998 (n = 6,657), median Lp(a) was 15.3 mg/dL (Q1-Q3: 5.6, 43.1). Lp(a) levels ≥50 mg/dL were present in 21.6%. Men had substantially higher median Lp(a) than women (22.1 mg/dL vs 10.3 mg/dL). Median Lp(a) levels were significantly higher in individuals with than without a history of atherosclerotic cardiovascular disease (ASCVD) but did not significantly differ between people with and without venous thrombosis. In logistic regression analysis with splines, higher Lp(a) levels were associated with a higher probability of a history of CVD. In logistic regression analyses, Lp(a) ≥50 mg/dL was associated with a history of ASCVD (OR: 1.36 [95% CI: 1.04-1.78]; P = 0.023).About 1 in 5 German individuals from a prestatin era population had Lp(a) levels ≥50 mg/dL. Higher levels were independently associated with ASCVD, but not with venous thrombosis. These findings provide a basis for future prospective studies to define the role of Lp(a) in CVD risk in the German population.
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650 _ 7 |a cardiovascular disease
|2 Other
650 _ 7 |a cardiovascular risk
|2 Other
650 _ 7 |a epidemiology
|2 Other
650 _ 7 |a lipoprotein(a)
|2 Other
650 _ 7 |a prevention
|2 Other
650 _ 7 |a venous thrombosis
|2 Other
700 1 _ |a Grittner, Ulrike
|b 1
700 1 _ |a Kuhnert, Ronny
|b 2
700 1 _ |a Scheidt-Nave, Christa
|b 3
700 1 _ |a Endres, Matthias
|0 P:(DE-2719)2811033
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700 1 _ |a Nave, Alexander H
|b 5
773 _ _ |a 10.1016/j.jacadv.2025.102015
|g Vol. 4, no. 8, p. 102015 -
|0 PERI:(DE-600)3169577-2
|n 8
|p 102015
|t JACC: advances
|v 4
|y 2025
|x 2772-963X
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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