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American Journal of Clinical Nutrition, Vol. 74, No. 1, 64-71, July 2001
© 2001 American Society for Clinical Nutrition


Original Research Communication

Association of sex, adiposity, and diet with HDL subclasses in middle-aged Chinese1,2,3

Li-Ching Lyu1, Ching-Ying Yeh1, Alice H Lichtenstein1, Zhengling Li1, Jose M Ordovas1 and Ernst J Schaefer1

1 From the Graduate Program of Nutrition, National Taiwan Normal University, Taipei, Taiwan, Republic of China; the Department of Public Health, Taipei Medical College, Taipei, Taiwan, Republic of China; and the Lipid Research Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston.

Background: There is limited information regarding the associations of lifestyle factors and sex with HDL subclasses containing apolipoprotein (apo) A-I (Lp A-I) and both apo A-I and apo A-II (Lp A-I:A-II).

Objective: We sought to examine the relations between 2 major HDL subclasses and sex, menopausal status, nutrient intakes, and adiposity.

Design: We conducted interviews and measured blood variables in 409 government employees aged 40–59 y in Taiwan.

Results: Women (n = 203) had significantly higher concentrations of HDL cholesterol, Lp A-I, and Lp A-I:A-II than did men (n = 206). Postmenopausal women (n = 72) had higher concentrations of HDL cholesterol, Lp A-I, and Lp A-I:A-II than did premenopausal women (n = 131). Body mass index and waist-to-hip ratio were strong predictors of and exerted an independent additive effect on Lp A-I concentrations in both men and women. However, body adiposity was associated with Lp A-I:A-II concentrations only in men. Waist-to-hip ratio was an independent determinant of Lp A-I but not of Lp A-I:A-II in men and postmenopausal women after adjustment for age, body mass index, smoking, and diet. Although there were relatively weak associations between dietary factors and both HDL subclasses (r = 0.01–0.26) in men and women according to bivariate analyses, multiple regression models showed that total fat, saturated fat, and cholesterol intakes were significantly correlated with HDL cholesterol and both Lp A-I and Lp A-I:A-II in men, but not in women.

Conclusion: Our data suggest that body adiposity and dietary fat consumption affect 2 major HDL subclasses differently depending on subject sex and menopausal status.

Key Words: Cardiovascular disease • HDL cholesterol • high-density-lipoprotein cholesterol • HDL subclasses • body mass index • BMI • waist-to-hip ratio • adiposity • body fat • diet • dietary fat • sex • menopausal status • Chinese population • Taiwan




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[Abstract] [Full Text] [PDF]




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