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The variation in blood lipid levels described by various measures of overall and abdominal obesity in Danish men and women age 35-65 years


, : The variation in blood lipid levels described by various measures of overall and abdominal obesity in Danish men and women age 35-65 years. European Journal of Clinical Nutrition 46(8): 597-605

The proportion of variation in blood lipids (high-density lipoprotein cholesterol (HDLC), low-density lipoprotein cholesterol (LDLC), total cholesterol, very-low-density lipoprotein cholesterol (VLDLC) and triacylglycerols) explained by different measures of overall obesity (body fat (kg), percentage body fat, or body mass index (kg/msuperscript 2)) and abdominal obesity (waist/hip (WH) ratio, waist/thigh ratio or waist circumference (cm)) was assessed in a Danish population sample of 1523 men and 1464 women, 35-65 years old. Effects on the different lipid values to be expected from a possible reduction in obesity were studied. The proportion of variation in lipid levels explained by various measures of overall obesity differed only slightly, as did proportion of variation in lipid values explained by various measures of abdominal obesity. In men more of the variation in blood lipids could be explained by overall obesity than by abdominal obesity, whereas in women the reverse was true. More of the variation in lipids was explained by overall obesity in men than in women, but more of the variation was explained by abdominal obesity in women than in men. In women obesity measures predicted between 0 and 11% of variation in lipid level, and in men obesity measures predicted between 0 and 14% of variation. Between 16 and 30% in women and between 5 and 21% in men of variation in lipid values could be explained by obesity, age and several lifestyle variables. Of this, obesity was responsible for up to 53% in women and 71% in men of total explainable variation, and thus accounted for a substantial part of variation in the study. Age was much more important for variation in lipids in women than in men. In women most variation in LDLC and total cholesterol was explained by age. Both overall obesity and abdominal obesity (WH ratio) contributed to the explanation of the variation in HDLC, VLDLC and triacylglycerols, whereas there was no, or very little, effect of abdominal obesity on variation in LDL or total cholesterol.

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