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BACKGROUND/OBJECTIVES A number of studies examined secular trends in blood lipid profiles using time series data of national surveys whereas few studies investigated individual-level factors contributing to such trends. The present study aimed to examine secular trends in dietary and modifiable factors and hyper-LDL-cholesterolemia (HC) prevalence and evaluate their associations using time series data of nationwide surveys. SUBJECTS/METHODS The study included 41,073 Korean adults aged ≥ 30 years from the 2005, 2007-2009, 2010-2012, 201