Cardiovascular

China-PAR-based cardiovascular risk assessment in East Shenzhen using Biossays homocysteine and lipid assays: A prospective cross-sectional and retrospective study.

TL;DR

The Biossays homocysteine and lipid assays demonstrated satisfactory analytical performance, and among hospital-based hypertensive individuals in East Shenzhen, the estimated 10-year cardiovascular disease risk differed across ages but not between sexes, while hyperhomocysteinemia and lipid abnormalities were frequently observed.

Key Findings

The Biossays homocysteine, total cholesterol, triglyceride, LDL-C, and HDL-C assays showed satisfactory analytical performance.

  • Assays were evaluated according to Clinical and Laboratory Standards Institute documents.
  • Precision, trueness, sensitivity, and linearity were reported as satisfactory for all five assays.

Estimated 10-year cardiovascular disease risk by the China-PAR model differed across age groups but not between sexes in the hypertension cohort.

  • Cross-sectional cohort of 400 eligible participants with hypertension recruited at Pingshan People's Hospital between April 2024 and April 2025.
  • Risk was based on the Prediction for Atherosclerotic Cardiovascular Disease Risk in China (China-PAR) model.
  • The abstract reports a difference across ages but no difference across sexes.

Hyperhomocysteinemia was highly prevalent among individuals with hypertension, depending on the cutoff used.

  • Defined as homocysteine ≥10 μmol/L, the proportion was 85.50% (342 of 400).
  • Defined as ≥15 μmol/L, the proportion was 33.75% (135 of 400).
  • There was no difference in the risk distribution between the two criteria.

Lipid abnormalities were common in the hypertension cohort.

  • At least one abnormal lipid parameter was observed in 68.00% (272) of the 400 hypertension cohort participants.

Lipid abnormalities were also common in the hospital laboratory population in 2024.

  • Retrospective analysis of 55,575 unique individuals with complete lipid data from the hospital laboratory database in 2024, after excluding incomplete and duplicate records.
  • At least one abnormal lipid parameter was found in 62.35% (34,651) of individuals.

The study combined assay validation, a prospective cross-sectional hypertension cohort, and a retrospective laboratory database analysis in a single hospital-based setting.

  • Purpose: evaluate assay performance, estimate 10-year CVD risk in hypertension, and determine proportions of hyperhomocysteinemia-type hypertension and dyslipidemia.
  • Setting: Pingshan People's Hospital, East Shenzhen, China.

What This Means

This study tested a set of laboratory kits (from Biossays) that measure homocysteine and blood fats (total cholesterol, triglycerides, LDL and HDL cholesterol). The tests met standard quality criteria for precision, accuracy, sensitivity, and linearity, suggesting they can be reliably used in clinical practice. The researchers also looked at 400 people with hypertension at a hospital in East Shenzhen, China, and estimated their 10-year risk of cardiovascular disease using a Chinese risk model (China-PAR). Risk differed across age groups but not between men and women. High homocysteine was very common: about 85.5% had levels of at least 10 μmol/L, and about 33.8% had levels of at least 15 μmol/L. About 68% had at least one abnormal blood fat measure. In a separate review of 55,575 people with lipid tests at the same hospital in 2024, about 62% had at least one abnormal lipid value. This research suggests that high homocysteine and lipid abnormalities are common in hospital-based populations like this one, and that checking them may help with cardiovascular risk assessment and prevention. Because the data come from a single hospital, the findings may not apply to the general population.

Have a question about this study?

Citation

Chen L, Zhang B, Xie G, Chen C, Shi M, Fan R, et al.. (2026). China-PAR-based cardiovascular risk assessment in East Shenzhen using Biossays homocysteine and lipid assays: A prospective cross-sectional and retrospective study.. The Journal of international medical research. https://doi.org/10.1177/03000605261500362