Abstract
OBJECTIVES: This study investigated changes in total and high-density-lipoprotein cholesterol (HDL) concentrations with age and time in elderly men. METHODS: A cohort of men born between 1900 and 1920 from the Dutch town of Zutphen was examined in 1977 and 1978 (n = 571), 1985 (n = 885), 1990 (n = 555), and 1993 (n = 345). Linear regression analysis and random-effects models were used to assess cross-sectional and longitudinal age- and time-related changes in cholesterol concentrations. RESULTS: In both cross-sectional and longitudinal analyses, total cholesterol decreased by 0.04 mmol/L a year with age. The longitudinal change was observed in the entire population as well as in men who participated in all four examinations (n = 135) and in a subgroup of men who were free of common chronic diseases, were not on cholesterol-lowering medication or a prescribed diet, and rated themselves as being "healthy" (n = 64). HDL cholesterol did not change significantly with age neither on a cross-sectional nor on a longitudinal basis. CONCLUSIONS: Among elderly men, total cholesterol diminishes with age both on a cross-sectional and on a longitudinal basis; HDL cholesterol does not vary with age in any way.
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- ABEL L. L., LEVY B. B., BRODIE B. B., KENDALL F. E. A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity. J Biol Chem. 1952 Mar;195(1):357–366. [PubMed] [Google Scholar]
- BURSTEIN M., SAMAILLE J. [On a rapid determination of the cholesterol bound to the serum alpha- and beta-lipoproteins]. Clin Chim Acta. 1960 Jul;5:609–609. doi: 10.1016/0009-8981(60)90075-9. [DOI] [PubMed] [Google Scholar]
- Benfante R., Hwang L. J., Masaki K., Curb J. D. To what extent do cardiovascular risk factor values measured in elderly men represent their midlife values measured 25 years earlier? A preliminary report and commentary from the Honolulu Heart Program. Am J Epidemiol. 1994 Aug 1;140(3):206–216. doi: 10.1093/oxfordjournals.aje.a117240. [DOI] [PubMed] [Google Scholar]
- Benfante R., Reed D. Is elevated serum cholesterol level a risk factor for coronary heart disease in the elderly? JAMA. 1990 Jan 19;263(3):393–396. [PubMed] [Google Scholar]
- Deutscher S., Bates M. W., Caines M. J., LaPorte R. E., Puntereri A., Taylor F. H. Determinants of lipid and lipoprotein level in elderly men. Atherosclerosis. 1986 Jun;60(3):221–229. doi: 10.1016/0021-9150(86)90169-3. [DOI] [PubMed] [Google Scholar]
- Ettinger W. H., Jr, Harris T. Causes of hypocholesterolemia. Coron Artery Dis. 1993 Oct;4(10):854–859. doi: 10.1097/00019501-199310000-00003. [DOI] [PubMed] [Google Scholar]
- Ettinger W. H., Wahl P. W., Kuller L. H., Bush T. L., Tracy R. P., Manolio T. A., Borhani N. O., Wong N. D., O'Leary D. H. Lipoprotein lipids in older people. Results from the Cardiovascular Health Study. The CHS Collaborative Research Group. Circulation. 1992 Sep;86(3):858–869. doi: 10.1161/01.cir.86.3.858. [DOI] [PubMed] [Google Scholar]
- Harris T. B., Feldman J. J. Implications of health status in analysis of risk in older persons. J Aging Health. 1991 May;3(2):262–284. doi: 10.1177/089826439100300209. [DOI] [PubMed] [Google Scholar]
- Hershcopf R. J., Elahi D., Andres R., Baldwin H. L., Raizes G. S., Schocken D. D., Tobin J. D. Longitudinal changes in serum cholesterol in man: an epidemiologic search for an etiology. J Chronic Dis. 1982 Feb;35(2):101–114. doi: 10.1016/0021-9681(82)90111-4. [DOI] [PubMed] [Google Scholar]
- Hulley S. B., Newman T. B. Cholesterol in the elderly. Is it important? JAMA. 1994 Nov 2;272(17):1372–1374. [PubMed] [Google Scholar]
- KEYS A., MICKELSEN O., MILLER E. O., HAYES E. R., TODD R. L. The concentration of cholesterol in the blood serum of normal man and its relation to age. J Clin Invest. 1950 Oct;29(10):1347–1353. doi: 10.1172/JCI102372. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kronmal R. A., Cain K. C., Ye Z., Omenn G. S. Total serum cholesterol levels and mortality risk as a function of age. A report based on the Framingham data. Arch Intern Med. 1993 May 10;153(9):1065–1073. [PubMed] [Google Scholar]
- Krumholz H. M., Seeman T. E., Merrill S. S., Mendes de Leon C. F., Vaccarino V., Silverman D. I., Tsukahara R., Ostfeld A. M., Berkman L. F. Lack of association between cholesterol and coronary heart disease mortality and morbidity and all-cause mortality in persons older than 70 years. JAMA. 1994 Nov 2;272(17):1335–1340. [PubMed] [Google Scholar]
- Laurenzi M., Mancini M. Plasma lipids in elderly men and women. Eur Heart J. 1988 Mar;9 (Suppl 500):69–74. doi: 10.1093/eurheartj/9.suppl_d.69. [DOI] [PubMed] [Google Scholar]
- Manolio T. A., Ettinger W. H., Tracy R. P., Kuller L. H., Borhani N. O., Lynch J. C., Fried L. P. Epidemiology of low cholesterol levels in older adults. The Cardiovascular Health Study. Circulation. 1993 Mar;87(3):728–737. doi: 10.1161/01.cir.87.3.728. [DOI] [PubMed] [Google Scholar]
- Manolio T. A., Pearson T. A., Wenger N. K., Barrett-Connor E., Payne G. H., Harlan W. R. Cholesterol and heart disease in older persons and women. Review of an NHLBI workshop. Ann Epidemiol. 1992 Jan-Mar;2(1-2):161–176. doi: 10.1016/1047-2797(92)90051-q. [DOI] [PubMed] [Google Scholar]
- Newschaffer C. J., Bush T. L., Hale W. E. Aging and total cholesterol levels: cohort, period, and survivorship effects. Am J Epidemiol. 1992 Jul 1;136(1):23–34. doi: 10.1093/oxfordjournals.aje.a116417. [DOI] [PubMed] [Google Scholar]
- Nissinen A., Tervahauta M., Pekkanen J., Kivinen P., Stengård J., Kaarsalo E., Kivelä S. L., Väisänen S., Salonen J. T., Tuomilehto J. Prevalence and change of cardiovascular risk factors among men born 1900-19: the Finnish cohorts of the Seven Countries Study. Age Ageing. 1993 Sep;22(5):365–376. doi: 10.1093/ageing/22.5.365. [DOI] [PubMed] [Google Scholar]
- Pekkanen J., Nissinen A., Vartiainen E., Salonen J. T., Punsar S., Karvonen M. J. Changes in serum cholesterol level and mortality: a 30-year follow-up. The Finnish cohorts of the seven countries study. Am J Epidemiol. 1994 Jan 15;139(2):155–165. doi: 10.1093/oxfordjournals.aje.a116977. [DOI] [PubMed] [Google Scholar]
- Pijls L. T., Feskens E. J., Kromhout D. Self-rated health, mortality, and chronic diseases in elderly men. The Zutphen Study, 1985-1990. Am J Epidemiol. 1993 Nov 15;138(10):840–848. doi: 10.1093/oxfordjournals.aje.a116787. [DOI] [PubMed] [Google Scholar]
- Postiglione A., Cortese C., Fischetti A., Cicerano U., Gnasso A., Gallotta G., Grossi D., Mancini M. Plasma lipids and geriatric assessment in a very aged population of south Italy. Atherosclerosis. 1989 Nov;80(1):63–68. doi: 10.1016/0021-9150(89)90069-5. [DOI] [PubMed] [Google Scholar]
- Shipley M. J., Pocock S. J., Marmot M. G. Does plasma cholesterol concentration predict mortality from coronary heart disease in elderly people? 18 year follow up in Whitehall study. BMJ. 1991 Jul 13;303(6794):89–92. doi: 10.1136/bmj.303.6794.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stähler F., Gruber W., Stinshoff K., Röschlau P. Eine praxisgerechte enzymatische Cholesterin-Bestimmung. Med Lab (Stuttg) 1977 Feb;30(2):29–37. [PubMed] [Google Scholar]
- Wallace R. B., Colsher P. L. Blood lipid distributions in older persons. Prevalence and correlates of hyperlipidemia. Ann Epidemiol. 1992 Jan-Mar;2(1-2):15–21. doi: 10.1016/1047-2797(92)90032-l. [DOI] [PubMed] [Google Scholar]
- Warnick G. R., Benderson J., Albers J. J. Dextran sulfate-Mg2+ precipitation procedure for quantitation of high-density-lipoprotein cholesterol. Clin Chem. 1982 Jun;28(6):1379–1388. [PubMed] [Google Scholar]
- Weijenberg M. P., Feskens E. J., Bowles C. H., Kromhout D. Serum total cholesterol and systolic blood pressure as risk factors for mortality from ischemic heart disease among elderly men and women. J Clin Epidemiol. 1994 Feb;47(2):197–205. doi: 10.1016/0895-4356(94)90025-6. [DOI] [PubMed] [Google Scholar]
- Wilson P. W., Anderson K. M., Harris T., Kannel W. B., Castelli W. P. Determinants of change in total cholesterol and HDL-C with age: the Framingham Study. J Gerontol. 1994 Nov;49(6):M252–M257. doi: 10.1093/geronj/49.6.m252. [DOI] [PubMed] [Google Scholar]
- Zimetbaum P., Frishman W. H., Ooi W. L., Derman M. P., Aronson M., Gidez L. I., Eder H. A. Plasma lipids and lipoproteins and the incidence of cardiovascular disease in the very elderly. The Bronx Aging Study. Arterioscler Thromb. 1992 Apr;12(4):416–423. doi: 10.1161/01.atv.12.4.416. [DOI] [PubMed] [Google Scholar]
- de Vries C. L., Feskens E. J., de Lezenne Coulander C., Kromhout D. Repeated measurements of serum cholesterol and blood pressure in relation to long-term incidence of myocardial infarction. The Zutphen Study. Cardiology. 1993;82(2-3):89–99. doi: 10.1159/000175861. [DOI] [PubMed] [Google Scholar]
- van der Haar F., van Gent C. M., Schouten F. M., van der Voort H. A. Methods for the estimation of high density cholesterol, comparison between two laboratories. Clin Chim Acta. 1978 Sep 15;88(3):469–481. doi: 10.1016/0009-8981(78)90282-6. [DOI] [PubMed] [Google Scholar]