Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-1-16
pubmed:abstractText
Information on determinants of plasma lipids and lipoproteins and how these factors would differ among race/ethnic groups in elderly populations is scarce. We studied cross-sectionally the distribution and predictors of lipids and lipoproteins in 1,118 free-living elderly subjects (> or =65 years of age), in a multiethnic urban community (22% non-Hispanic Caucasian, 34% African-American, and 44% Hispanic). Mean levels of total cholesterol, total/high-density lipoprotein (HDL) cholesterol ratio, and triglycerides decreased with increasing age (p <0.001). Low-density lipoprotein cholesterol and total cholesterol were lower among men, whereas women had higher levels of HDL cholesterol (p <0.001). Hispanics had lower low-density lipoprotein cholesterol, total cholesterol, and HDL cholesterol levels, whereas African-Americans had a lower total/HDL cholesterol ratio and triglyceride levels along with higher HDL cholesterol levels (p <0.001). Diabetes was more prevalent among Hispanics and African-Americans (p = 0.002), and body mass index was higher in African-Americans (p = 0.009). Hispanics were less likely to drink alcohol (p <0.0001), but more likely to drink larger amounts of coffee (p <0.0001). A greater proportion of African-Americans were active smokers (p <0.001). In multivariate regression models, body mass index was a significant independent predictor of total cholesterol (beta = 0.74, p <0.001). Waist circumference predicted lower HDL cholesterol levels (0.57 mg/dl lower per inch, p <0.001) and a higher total/HDL cholesterol ratio (beta = 0.05, p <0.001). Alcohol intake (>2 g/day) predicted higher HDL cholesterol (beta = 6.20, p <0.001). Diabetic status predicted lower HDL cholesterol (beta = -2.47, p <0.05), higher total/HDL cholesterol ratio (beta = 0.35, p <0.001), and triglycerides (beta = 37.10, p <0.001). Physical activity, coffee intake, and a calorie-adjusted atherogenicity index did not show independent predictive value. These findings indicate that obesity, alcohol intake, and diabetes mellitus are potentially modifiable independent determinants of lipids and lipoprotein levels in an elderly multiethnic population.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
89
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
178-83
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:11792339-African Americans, pubmed-meshheading:11792339-Age Factors, pubmed-meshheading:11792339-Aged, pubmed-meshheading:11792339-Aged, 80 and over, pubmed-meshheading:11792339-Alcohol Drinking, pubmed-meshheading:11792339-Body Mass Index, pubmed-meshheading:11792339-Cross-Sectional Studies, pubmed-meshheading:11792339-Data Interpretation, Statistical, pubmed-meshheading:11792339-Diabetes Mellitus, pubmed-meshheading:11792339-European Continental Ancestry Group, pubmed-meshheading:11792339-Female, pubmed-meshheading:11792339-Hispanic Americans, pubmed-meshheading:11792339-Humans, pubmed-meshheading:11792339-Lipids, pubmed-meshheading:11792339-Lipoproteins, pubmed-meshheading:11792339-Male, pubmed-meshheading:11792339-New York City, pubmed-meshheading:11792339-Predictive Value of Tests, pubmed-meshheading:11792339-Risk Factors, pubmed-meshheading:11792339-Smoking, pubmed-meshheading:11792339-Urban Population
pubmed:year
2002
pubmed:articleTitle
Comparison of modifiable determinants of lipids and lipoprotein levels among African-Americans, Hispanics, and Non-Hispanic Caucasians > or =65 years of age living in New York City.
pubmed:affiliation
Department of Medicine, Columbia University, New York, New York 10032, USA. cjr10@columbia.edu
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S.