KMID : 1141520210360040835
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Endocrinology and Metabolism 2021 Volume.36 No. 4 p.835 ~ p.844
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Lower High-Density Lipoprotein Cholesterol Concentration Is Independently Associated with Greater Future Accumulation of Intra-Abdominal Fat
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Song Sun-Ok
Hwang You-Cheol Ryu Han-Uk Kahn Steven E. Leonetti Donna L. Fujimoto Wilfred Y. Boyko Edward J.
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Abstract
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Background: Both intra-abdominal fat (IAF) and high-density lipoprotein cholesterol (HDL-C) are known to be associated with cardiometabolic health. We evaluated whether the accumulation of computed tomography (CT)-measured IAF over 5 years was related to baseline HDL-C concentration in a prospective cohort study.
Methods: All participants were Japanese-Americans between the ages of 34 and 74 years. Plasma HDL-C concentration and CT measurements of IAF, abdominal subcutaneous fat (SCF), and thigh SCF cross-sectional areas were assessed at baseline and at 5-year follow-up visits.
Results: A total of 397 subjects without diabetes were included. The mean¡¾standard deviation HDL-C concentration was 51.6¡¾13.0 mg/dL in men and 66.0¡¾17.0 mg/dL in women, and the IAF was 91.9¡¾48.4 cm2 in men and 63.1¡¾39.5 cm2 in women. The baseline plasma concentration of HDL-C was inversely associated with the change in IAF over 5 years using multivariable regression analysis with adjustment for age, sex, family history of diabetes, weight change over 5 years, and baseline measurements of body mass index, IAF, abdominal SCF, abdominal circumference, thigh SCF, and homeostatic model assessment for insulin resistance.
Conclusion: These results demonstrate that HDL-C concentration significantly predicts future accumulation of IAF over 5 years independent of age, sex, insulin sensitivity, and body composition in Japanese-American men and women without diabetes.
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KEYWORD
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Intra-abdominal fat, Cholesterol, HDL, Epidemiology, Asian Americans
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