{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T22:43:57Z","timestamp":1776379437785,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["30970991"],"award-info":[{"award-number":["30970991"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The precise associations between stroke and carotid plaques and dyslipidemia are unclear. This population\u2010based study aimed to examine the relationship between carotid plaques and dyslipidemia in a high\u2010stroke\u2010risk population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ultrasonography of left and right carotid arteries was conducted in 22,222 participants in a second screening survey of individuals with high stroke risk. Subjects were divided into two groups according to the presence or absence of carotid plaques. Blood <jats:styled-content style=\"fixed-case\">TC<\/jats:styled-content> (total cholesterol), <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> (total triglycerides), and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C (low\u2010density lipoprotein cholesterol) levels were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multivariate logistic regression analysis, controlled for gender, age, education, geographic region, smoking, exercise, and overweight (Model 2), identified <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> as a predictor of carotid\u2010plaque risk (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u00a0=\u00a01.109, 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>]: 1.038\u20131.185, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002), and the association between carotid plaques and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.967, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.949\u20130.994, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.019) was less significant, whereas there was no association between carotid plaques and <jats:styled-content style=\"fixed-case\">TC<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.002, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.932\u20131.007, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.958). After additional adjustment for hypertension, diabetes, and atrial fibrillation (Model 3), <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> remained a risk factor for carotid plaques (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.086, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.016\u20131.161, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.015), but no associations were observed between carotid plaques and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.972, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.910\u20131.038, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.394) or <jats:styled-content style=\"fixed-case\">TC<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.003, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.933\u20131.079, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.928). Only the association between <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> and carotid plaques (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.084, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.014\u20131.159, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.017) was independent of all covariates (covariates in Model 3 plus history of stroke or transient ischemic attack, and stroke family history) in Model 4.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings indicate that <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> was an independent risk factor for carotid plaques in high\u2010risk population for stroke, whereas <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C and <jats:styled-content style=\"fixed-case\">TC<\/jats:styled-content> were not associated with the appearance of carotid plaques independently.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.473","type":"journal-article","created":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T22:23:20Z","timestamp":1461363800000},"source":"Crossref","is-referenced-by-count":23,"title":["Relationship between dyslipidemia and carotid plaques in a\u00a0high\u2010stroke\u2010risk population in Shandong Province, China"],"prefix":"10.1002","volume":"6","author":[{"given":"Te","family":"Mi","sequence":"first","affiliation":[{"name":"Neurology Department Shandong Provincial Hospital Affiliated to Shandong University Jinan Shandong 250021 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangwen","family":"Sun","sequence":"additional","affiliation":[{"name":"Cardio\u2010Cerebrovascular Control and Research Center Institute of Basic Medicine Shandong Academy of Medical Sciences Jinan Shandong 250062 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