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Samaha et al. Vessel Plus 2017;1:98-106                                           Vessel Plus
           DOI: 10.20517/2574-1209.2017.18
                                                                                                  www.vpjournal.net
            Topic: Atherosclerosis and Related Diseases                                         Open Access


           Associations of lifestyle and dietary habits

           with hyperlipidemia in Lebanon



           Ali A. Samaha 1,2,3,4 , Fouad Zouein , Maya Gebbawi , Mirna Fawaz , Raheel Houjayri , Rana Samaha ,
                                                                                  4
                                                                                                1,2
                                                      6
                                        5
                                                                   4
           Safaa Baydoun , Ali H. Eid 5,8
                        7
           1 Department of Biomedical Sciences, School of Arts and Sciences, Lebanese International University, Beirut 14-6363, Lebanon.
           2 Department of Medical Laboratory, Faculty of Public Health, Lebanese University, Zahle 11-1801, Lebanon.
           3 Rayak University Hospital, Bekaa 11-1200, Lebanon.
           4 Nursing Department, Faculty of Health Sciences, Beirut Arab University, Beirut 11-5020, Lebanon.
           5 Department of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut 11-0236, Lebanon.
           6 Department of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut 11-0236, Lebanon.
           7 Reasearch Center for Environment and Development, Beirut Arab University, Bekaa 11-1200, Lebanon.
           8 Department of Biological and Environmental Sciences, College of Arts and Sciences, Qatar University, Doha 2713, Qatar.
           Correspondence to: Dr. Ali H. Eid, Department of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut 11-
           0236, Lebanon. E-mail: ae81@aub.edu.lb
           How to cite this article: Samaha AA, Zouein F, Gebbawi M, Fawaz M, Houjayri R, Samaha R, Baydoun S, Eid AH. Associations of lifestyle and
           dietary habits with hyperlipidemia in Lebanon. Vessel Plus 2017;1:98-106.
                                         ABSTRACT
            Article history:              Aim: This study was designed to evaluate the effects of dietary and lifestyle habits on several
            Received: 8 Jun 2017          blood lipid parameters in the Lebanese population. Methods: This was a cross-sectional study
            Accepted: 20 Jul 2017         for 2,000 individuals, of whom 1,003 completed the survey about their dietary and lifestyle
            Published: 26 Sep 2017        habits. Anthropometric measurements and blood tests were performed and recorded. Results:
                                          Up to 53.2% of the population was hypercholesterolemic. Gender and age contributed to the
            Key words:                    prevalence of high  levels of low  density lipoprotein  cholesterol  (LDL-C) or  triglycerides.
            Lipidemia,                    Prevalence of hypercholesterolemia, hypertriglyceridemia and high LDL-C levels was higher
            cardiovascular disease,       in smokers, physically inactive or those who consume fatty meat or eggs. Prevalence of
            diet,                         hypercholesterolemia was not affected by consumption of whole milk, skimmed milk or fruits
            Lebanon                       and vegetables. However, the prevalence of hypertriglyceridemia and high LDL-levels was
                                          higher in individuals who consumed whole milk, and lower in those who consumed skimmed
                                          or fruits and vegetables. Conclusion: Hyperlipidemia affects more than half of the Lebanese
                                          population. The finding that the majority of the individuals were unaware of their lipid profile
                                          mandates warrant efforts for both patient and public education.

           INTRODUCTION                                       diseases including  coronary artery disease (CAD)
                                                              and  atherosclerosis. [2,3]   Although  increased  levels
           Cardiovascular  disease (CVD) remains the leading   of high density lipoprotein  cholesterol  (HDL-C) may
           cause of  mortality and morbidity in both developed   play a protective role against CVD, [4,5]   there is a
           and developing countries.   Although  modifiable,   positive correlation between increased serum levels of
                                     [1]
           hyperlipidemia  remains a major risk factor  for  many   cholesterol, triglycerides (TG), or low density lipoprotein

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