Lipids, lipoproteins, lifestyle, adiposity and fat-free mass during middle age: the Fels Longitudinal Study.

作者: C M Schubert , N L Rogers , K E Remsberg , S S Sun , W C Chumlea

DOI: 10.1038/SJ.IJO.0803129

关键词: LipoproteinLongitudinal studyEndocrinologyMedicineEstrogenInsulinMenopauseInternal medicineMiddle ageBody mass indexLean body mass

摘要: Although lipid profiles tend to worsen with age, it is not fully known if such age-related changes are influenced primarily by body composition and lifestyle or other aspects of aging. We investigated the extent which fat fat-free components mass index (BMI) factors influence patterns change in lipids independent age. Serial data were analyzed using sex-specific longitudinal models. These models use serial from individuals assume a general pattern over time, while allowing baseline age rate vary among individuals. obtained 940 examinations 269 healthy white participants (126 men, 143 women), aged 40–60 years, Fels Longitudinal Study. Measurements included (FMI) (FFMI) BMI, high-density lipoprotein (HDL-C), low-density (LDL-C), triglycerides (TG), total cholesterol (TC), fasting glucose insulin, physical activity, alcohol smoking, women's menopausal status estrogen use. In both sexes, increased FMI was significantly associated LDL-C, TG TC, decreased HDL-C. Increased FFMI related HDL-C TG. Independent effects remained significant only for LDL-C TC men women. insulin Moderate consumption higher men. Physical activity lowered male levels, female levels. Menopause increases LDL-C. Premenopausal women had lower HDL-C, TG, than postmenopausal taking estrogen. (1) Age an important predictor women, but as influential on (2) Increasing major contributor elevated levels (3) influences HDL sexes. (4) Maintaining BMI via reduced component may be more beneficial lowering CVD risks factors.

参考文章(47)
Chee Jeong Kim, Tae Ho Kim, Wang Seong Ryu, Un Ho Ryoo, Influence of menopause on high density lipoprotein-cholesterol and lipids Journal of Korean Medical Science. ,vol. 15, pp. 380- 386 ,(2000) , 10.3346/JKMS.2000.15.4.380
T. J. Lohman, A. F. Roache, R. Martorell, Anthropometric standardization reference manual Medicine and Science in Sports and Exercise. ,vol. 24, pp. 952- ,(1992) , 10.1249/00005768-199208000-00020
DAVID R. JACOBS, BARBARA E. AINSWORTH, TERRYL J. HARTMAN, ARTHUR S. LEON, A simultaneous evaluation of 10 commonly used physical activity questionnaires Medicine and Science in Sports and Exercise. ,vol. 25, pp. 81- 91 ,(1993) , 10.1249/00005768-199301000-00012
K D Brownell, P S Bachorik, R S Ayerle, Changes in plasma lipid and lipoprotein levels in men and women after a program of moderate exercise. Circulation. ,vol. 65, pp. 477- 484 ,(1982) , 10.1161/01.CIR.65.3.477
A. Berg, G. Ringwald, J. Keul, Lipoprotein-Cholesterol in Well-Trained Athletes International Journal of Sports Medicine. ,vol. 01, pp. 137- 138 ,(1980) , 10.1055/S-2008-1034649
John C. Stevenson, David Crook, Ian F. Godsland, Influence of age and menopause on serum lipids and lipoproteins in healthy women Atherosclerosis. ,vol. 98, pp. 83- 90 ,(1993) , 10.1016/0021-9150(93)90225-J
N Sattar, CE Tan, TS Han, L Forster, MEJ Lean, J Shepherd, CJ Packard, Associations of indices of adiposity with atherogenic lipoprotein subfractions International Journal of Obesity. ,vol. 22, pp. 432- 439 ,(1998) , 10.1038/SJ.IJO.0800604
Pao-Ling Torng, Ta-Chen Su, Fung C Sung, Kuo-Liong Chien, Su-Cheng Huang, Song-Nan Chow, Yuan-Teh Lee, Effects of menopause on intraindividual changes in serum lipids, blood pressure, and body weight—the Chin-Shan community cardiovascular cohort study Atherosclerosis. ,vol. 161, pp. 409- 415 ,(2002) , 10.1016/S0021-9150(01)00644-X
Sheila G West, Kirsten F Hilpert, Vijaya Juturu, Peter L Bordi, Johanna W Lampe, Shaker A Mousa, Penny M Kris-Etherton, None, Effects of including soy protein in a blood cholesterol-lowering diet on markers of cardiac risk in men and in postmenopausal women with and without hormone replacement therapy Journal of Womens Health. ,vol. 14, pp. 253- 262 ,(2005) , 10.1089/JWH.2005.14.253