Cited by 5,059Lipoproteins and Cardiovascular HealthCholesterol and Lipid MetabolismParaoxonase enzyme and polymorphisms

High density lipoprotein as a protective factor against coronary heart disease

Gordon, Tavia, Castelli, William P., Hjortland, Marthana C., Kannel, William B., Dawber, Thomas R.·1977·The American Journal of Medicine

Abstract

Lipid and lipoprotein values, including fasting triglycerides and high density lipoproteins (HDL), low density lipoproteins (LDL) and total cholesterol levels, were obtained on 2,815 men and women aged 49 to 82 years chiefly between 1969 and 1971 at Framingham. In the approximately four years following the characterization of lipids, coronary heart disease developed in 79 of the 1,025 men and 63 of the 1,445 women free of coronary heart diseases. At these older ages the major potent lipid risk factor was HDL cholesterol, which had an inverse association with the incidence of coronary heart disease (p less than 0.001) in either men or women. This lipid was associated with each major manifestation of coronary heart disease. These associations were equally significant even when other lipids and other standard risk factors for coronary heart disease were taken into consideration. A weaker association with the incidence of coronary heart disease (p less than 0.05) was observed for LDL cholesterol. Triglycerides were associated with the incidence of coronary heart disease only in women and then only when the level of other lipids was not taken into account. At these ages total cholesterol was not associated with the risk of coronary heart disease.

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Crossref · 10.1016/0002-9343(77)90874-9

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Authors
Gordon, T., Castelli, W. P., Hjortland, M. C., Kannel, W. B., & Dawber, T. R.
Corresponding author
Gordon, Tavia
Venue
The American Journal of Medicine
Publisher
Elsevier BV
Published
1977-05
Volume
62
Issue
5
Pages
707-714
ISSN
0002-9343 (ISSN-L)
OpenAlex
W2094768566
Cited by
5,059
References
36
Citations by year
2026: 34 · 2025: 65 · 2024: 73 · 2023: 59 · 2022: 64 · 2021: 74 · 2020: 89 · 2019: 94 · 2018: 99 · 2017: 101 · 2016: 122 · 2015: 163 · 2014: 135 · 2013: 140 · 2012: 140
FWCI
248.20
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
Keywords
HDL cholesterol, coronary artery disease, cardiovascular risk factors, LDL cholesterol, triglycerides, total cholesterol, Framingham Heart Study, older adults, sex differences, serum lipids
MeSH terms
Age Factors, Aged, Coronary Disease, Female, Humans, Lipids, Lipoproteins, HDL, Lipoproteins, LDL, Male, Middle Aged, Risk, Sex Factors

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