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健康人群血清中的微量矿物质与脂质代谢指标

Serum microminerals and the indices of lipid metabolism in an apparently healthy population.

作者信息

Abiaka Clifford, Olusi Samuel, Al-Awadhi Adel

机构信息

Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Kuwait University, Sulaibikhat, Kuwait.

出版信息

J Clin Lab Anal. 2003;17(2):61-5. doi: 10.1002/jcla.10069.

Abstract

Serum copper and zinc concentrations were measured in 560 apparently healthy Kuwaitis (238 males and 322 females) aged 15-80 years to assess micromineral effect on the indices of lipid metabolism. Following the recommended guidelines of the European Atherosclerosis Society (EAS) and the National Cholesterol Education Program Expert Panel (NCEPEP), the incidence of dyslipidemia was assessed from enzymatic assay data of triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) concentrations. Males had significantly lower TC (P=0.029) and HDL-C (P<0.0001) levels than females, while TG were significantly (P=0.023) lower in females. The prevalence of hypercholesterolemia, hypertriglyceridemia, elevated LDL-C, and low HDL-C levels were 35, 30, 22, and 13%, respectively. Copper did not correlate with zinc (r = -0.067, P = 0.135) but was positively associated with TC (r=0.196, P<0.0001), LDL-C (r=0.134, P = 0.003), TG (r = 0.092, P=0.039), and age (r=0.281, P<0.0001). It is concluded that unlike in animal studies, copper excess in humans is associated with hyperlipidemia and therefore will predispose to atherosclerosis.

摘要

对560名年龄在15至80岁之间、外表健康的科威特人(238名男性和322名女性)测量了血清铜和锌浓度,以评估微量矿物质对脂质代谢指标的影响。按照欧洲动脉粥样硬化学会(EAS)和美国国家胆固醇教育计划专家小组(NCEPEP)的推荐指南,根据甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)浓度的酶法检测数据评估血脂异常的发生率。男性的TC(P = 0.029)和HDL-C(P < 0.0001)水平显著低于女性,而女性的TG显著较低(P = 0.023)。高胆固醇血症、高甘油三酯血症、LDL-C升高和HDL-C水平低的患病率分别为35%、30%、22%和13%。铜与锌不相关(r = -0.067,P = 0.135),但与TC(r = 0.196,P < 0.0001)、LDL-C(r = 0.134,P = 0.003)、TG(r = 0.092,P = 0.039)和年龄(r = 0.281,P < 0.0001)呈正相关。得出的结论是,与动物研究不同,人类体内铜过量与高脂血症有关,因此易患动脉粥样硬化。

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