ABSTRACT
Background: Coronary Artery Disease (CAD) is one of the commonest causes of death affecting both sexes worldwide. It is the leading cause of mortality in developed countries. The measurement of lipids, lipoproteins and apolipoproteins has long been recognized as necessary for the diagnosis and clinical management of disorders of lipoprotein metabolism. On the basis of this, the present study was performed to compare the serum lipid profile in males of different age groups. Methods: The present cross-sectional study was conducted after the institutional ethical clearance. The male subjects between the ages of 20-59 were included in the study. Blood was collected from the subjects after an overnight fast of 12 hours who were also advised to refrain from non-vegetarian food for 3 days. Estimation of serum total cholesterol was done by using the cholesterol kit which uses modified Allain’s method for estimating serum cholesterol. Serum triglyceride was estimated using the triglyceride kit which is based on GPO-POD method. Estimation of serum HDL cholesterol was done using cholesterol kit which uses modified Allain’s method. Serum LDL cholesterol level was calculated using the Friedewald’s formula, LDL cholesterol = Total cholesterol - (HDL-C + TG/5). Estimation of fasting blood sugar was done using GOD-POD method. The lipid levels with risk for CAD were performed based on Framingham heart study. Statistical analysis was done by unpaired t-test for group wise comparison and P value <0.05 was considered statistically significant. Results: The lipid levels on comparison in 2 successive age groups of males, that is 20-29 and 30-39 years; and 30-39 and 40-49years; 40-49 and 50-59 years, it was found that the mean values of total cholesterol, triglyceride, LDL-C and the ratio of TC/HDL-C and LDL-C/HDL-C are increased while HDL-C is decreased in the older age group. Conclusion: From the present study it is understood that as age advances total cholesterol, LDL-C & triglyceride increases; ratios between TC/HDL-C and LDL-C/HDL-C also increases. But HDL-C shows a decrease in males. The risk for CAD with respect to lipid values is higher in older age groups.
ABSTRACT
The purpose of this research was to examine the relationship between the plasma LDL particle size and blood lipid profile, dietary factors and anthropometric values (body mass index, waist circumference and waist/hip ratio). The subjects were 173 adults aged 23 to 81 years, selected from the Outpatient Clinic and Cardiovascular Department of the Seoul Municipal Hospital. Dietary data were obtained using a 3-day food record and analyzed using Korean and US nutrient databases. The subjects were divided into three groups by LDL particle size:type A (large buoyant LDL, > 25.5 nm, n = 96), type I (Intermediate LDL, 25.2 < or = - < or = 25.5 nm, n = 18), and type B (small dense LDL, < 25.2 nm, n = 59) groups. The type B group had higher age, waist circumference, and waist/hip ratio (WHR) than the type A and type I groups. Serum concentration of triglyceride, Apo B, LDL/HDL cholesterol ratio and atherogenic index were significantly higher in the type B group as compared to those in the other two groups. HDL cholesterol level and Apo A-I/Apo B ratio were significantly lower in the type B group than the other two groups. The plasma LDL particle size was highly correlated with triglyceride (r = -0.450), Apo B (r = -0.402) and HDL cholesterol (r = 0.418). However, there was no correlation between plasma LDL particle size and dietary intakes. This study showed that small dense LDL was an important biochemical risk factor that was associated with other risk factors.