Correlates of serum lipids in a lean black population

被引:31
作者
Bunker, CH
Ukoli, FA
Okoro, FI
Olomu, AB
Kriska, AM
Huston, SL
Markovic, N
Kuller, LH
机构
[1] UNIV BENIN, TEACHING HOSP, DEPT COMMUNITY HLTH, BENIN CITY, NIGERIA
[2] USMANU DANFODIYO UNIV, COLL HLTH SCI, DEPT COMMUNITY HLTH, SOKOTO, NIGERIA
[3] UNIV BENIN, TEACHING HOSP, DEPT MED, BENIN CITY, NIGERIA
关键词
lipids; blacks; West African; body mass index; socio-economic status; physical activity;
D O I
10.1016/0021-9150(96)05810-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Exposure to an urban, sedentary work environment and higher socioeconomic status (SES) may stimulate adoption of Westernized lifestyles by populations in developing countries reversing the historically low risk for coronary heart disease. In a study of serum lipids in 1407 Nigerian civil servants, aged 25-54 years, we found a more atherogenic lipid profile among higher SES males and females compared with lower SES (LDL-cholesterol, 113 vs. 97 mg/dl, males, 125 vs. 114 mg/dl, females). Mean body mass index (BMI, kg/m(2)) in higher and lower SES was 22.6 and 21.3, respectively, males, and 24.7 and 24.4, respectively, females. A strong relationship was observed between BMI and lipids although this relationship was absent among the leanest half of the population (BMI < 21.8). In multiple regression, SES and BMI were both strong and independent predictors of cholesterol. Both high and low SES consumed a typical Nigerian low fat, high carbohydrate diet, but somewhat higher meat, milk and egg intake suggested that some Westernization of the diet had occurred among the higher SES. Physical activity was lower among the higher SES. We conclude that SES related changes in lifestyle contribute to substantially higher total and LDL-cholesterol even in a generally lean population consuming a low fat diet.
引用
收藏
页码:215 / 225
页数:11
相关论文
共 35 条
[1]   ASSESSMENT OF CARDIOVASCULAR RISK-FACTORS IN NIGERIAN STUDENTS [J].
ADAMSCAMPBELL, LL ;
NWANKWO, MU ;
OMENE, JA ;
UKOLI, FA ;
YOUNG, MP ;
HAILE, GT ;
KULLER, LH .
ARTERIOSCLEROSIS, 1988, 8 (06) :793-796
[2]  
ADEBONOJO SA, 1989, J NATL MED ASSOC, V81, P547
[3]  
AKINKUGBE OO, 1991, CARDIOVASCULAR DISEA, P377
[4]  
ALLAIN CC, 1974, CLIN CHEM, V20, P470
[5]  
BUCOLO G, 1973, CLIN CHEM, V19, P476
[6]   WEIGHT THRESHOLD AND BLOOD-PRESSURE IN A LEAN BLACK-POPULATION [J].
BUNKER, CH ;
UKOLI, FA ;
MATTHEWS, KA ;
KRISKA, AM ;
HUSTON, SL ;
KULLER, LH .
HYPERTENSION, 1995, 26 (04) :616-623
[7]   FACTORS ASSOCIATED WITH HYPERTENSION IN NIGERIAN CIVIL-SERVANTS [J].
BUNKER, CH ;
UKOLI, FA ;
NWANKWO, MU ;
OMENE, JA ;
CURRIER, GW ;
HOLIFIELDKENNEDY, L ;
FREEMAN, DT ;
VERGIS, EN ;
YEH, LLL ;
KULLER, LH .
PREVENTIVE MEDICINE, 1992, 21 (06) :710-722
[8]   PLASMA APOPROTEIN AND LIPOPROTEIN LIPID-LEVELS IN VEGETARIANS [J].
BURSLEM, J ;
SCHONFELD, G ;
HOWALD, MA ;
WEIDMAN, SW ;
MILLER, JP .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1978, 27 (06) :711-719
[9]  
CARROLL MD, 1993, VITAL HLTH STATIS 11, V11
[10]   PLASMA-LIPIDS, LIPOPROTEINS, AND DIET OF TARAHUMARA INDIANS OF MEXICO [J].
CONNOR, WE ;
CERQUEIRA, MT ;
CONNOR, RW ;
WALLACE, RB ;
MALINOW, MR ;
CASDORPH, HR .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1978, 31 (07) :1131-1142