{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:12:07Z","timestamp":1792181527283,"version":"4.4.0"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Purpose\u2014<\/jats:title>\n                    <jats:p>Previous results on the association between lipids and stroke were controversial. We investigated the association of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C ), high-density lipoprotein cholesterol (HDL-C), and triglyceride with stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\u2014<\/jats:title>\n                    <jats:p>Six cohort studies in China with 267\u2009500 participants were included. Cox proportional hazards regression models and restricted cubic spline analyses were used to estimate hazard ratios and 95% CIs and explore linear and nonlinear relationships of lipids and stroke, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results\u2014<\/jats:title>\n                    <jats:p>\n                      The median follow-up duration ranged from 6 to 19 years. During 2\u2009295\u2009881 person-years, 8072 people developed stroke. Multivariable adjusted hazard ratios (95% CIs) per 1 mmol\/L increase in TC, LDL-C, triglyceride were 1.08 (1.05\u20131.11), 1.08 (1.04\u20131.11), 1.07 (1.05-1.09) for ischemic stroke, respectively. Compared with participants with TC 160-199.9 mg\/dL, hazard ratios (95% CIs) were 1.43 (1.11\u20131.85) for hemorrhagic stroke in those with TC &lt;120 mg\/dL. Compared with participants with HDL-C 50 to 59.9 mg\/dL, hazard ratios (95% CIs) were 1.23 (1.12\u20131.35), 1.13 (1.04\u20131.22) for ischemic stroke, and 1.28 (1.10\u20131.49), 1.17 (1.03\u20131.33) for hemorrhagic stroke in those with HDL-C &lt;40 and 40 to 49.9 mg\/dL, respectively. Restricted cubic spline analyses showed linear relationships of TC and LDL-C, and nonlinear relationships of HDL-C and triglyceride with ischemic stroke (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). Hemorrhagic stroke showed linear relationships with TC and HDL-C (\n                      <jats:italic>P<\/jats:italic>\n                      =0.029 and &lt;0.001 respectively), but no relationship with LDL-C and triglyceride (all\n                      <jats:italic>P<\/jats:italic>\n                      &gt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\u2014<\/jats:title>\n                    <jats:p>TC, LDL-C, and triglyceride showed positive associations with ischemic stroke. The risk of hemorrhagic stroke was higher when TC was lower than 120 mg\/dL. LDL-C and triglyceride showed no association with hemorrhagic stroke. The risks of ischemic and hemorrhagic stroke might be higher when HDL-C was lower than 50 mg\/dL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.119.026402","type":"journal-article","created":{"date-parts":[[2019,10,29]],"date-time":"2019-10-29T05:00:19Z","timestamp":1572325219000},"page":"3376-3384","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":140,"title":["Association of Lipids With Ischemic and Hemorrhagic Stroke"],"prefix":"10.1161","volume":"50","author":[{"given":"Xiaoying","family":"Gu","sequence":"first","affiliation":[{"name":"From the Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X.G., Yunzhi Li, X.Y., F.L., Ying Li, J.L., J. Cao, J. Chen, J.H., X. Lu, D.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunzhi","family":"Li","sequence":"additional","affiliation":[{"name":"From the Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X.G., Yunzhi Li, X.Y., F.L., Ying Li, J.L., J. Cao, J. Chen, J.H., X. Lu, D.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuohua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kailuan Hospital, Hebei United University, Tangshan, China (S.C., S.W.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueli","family":"Yang","sequence":"additional","affiliation":[{"name":"From the Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X.G., Yunzhi Li, X.Y., F.L., Ying Li, J.L., J. Cao, J. Chen, J.H., X. Lu, D.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangchao","family":"Liu","sequence":"additional","affiliation":[{"name":"From the Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X.G., Yunzhi Li, X.Y., F.L., Ying Li, J.L., J. Cao, J. Chen, J.H., X. Lu, D.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Li","sequence":"additional","affiliation":[{"name":"From the Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China (X.G., Yunzhi Li, X.Y., F.L., Ying Li, J.L., J. Cao, J. Chen, J.H., X. 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