Home > Publications Database > Association of Lipoprotein(a) With Cardiovascular and Cerebrovascular Disease in a Nationally Representative Cohort of Germany. > print |
001 | 280976 | ||
005 | 20250921002019.0 | ||
024 | 7 | _ | |a 10.1016/j.jacadv.2025.102015 |2 doi |
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037 | _ | _ | |a DZNE-2025-01058 |
041 | _ | _ | |a English |
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. |
336 | 7 | _ | |a article |2 DRIVER |
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336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
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 |b 4 |u dzne |
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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