HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study
Open accessAbstract
The relation between coronary heart disease (CHD) prevalence and fasting lipid levels was assessed by a case-control study in five populations with a total of 6859 men and women of black, Japanese and white ancestry drawn from subjects aged 40 years and older from populations in Albany, Framingham, Evans County, Honolulu and San Francisco. In each major study group mean levels of high density lipoprotein (HDL) cholesterol were lower in persons with CHD than in those without the disease. The average difference was small -- typically 3-4 mg/dl -- but statistically significant. It was found in most age-race-sex specific groups. The inverse HDL cholesterol-CHD association was not appreciably diminished when adjusted for levels of low density lipoprotein (LDL) cholesterol and triglyceride. LDL, totoal cholesterol and triglycerides were directly related to CHD prevalence; surprisingly, these findings were less uniformly present in the various study groups than the inverse HDL cholesterol-CHD association.
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By the late 1970s, the general US population weight had been increasing for several decades.
“By the late 1970s, when William Castelli became the fourth director of the Framingham Heart Study, the general US population weight had been increasing for several decades.76”
From The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective (2014) · cites this paper as [76]
Low HDL-C has long been viewed as a robust and independent CVD risk factor.
“For many decades, a low level of HDL-C has been viewed as a robust and independent CVD risk factor1-4.”
From Is Isolated Low High-Density Lipoprotein Cholesterol a Cardiovascular Disease Risk Factor?: New Insights From the Framingham Offspring Study (2016) · cites this paper as [4]
The relationships between HDL-C, TG and LDL-C have complicated efforts toward establishing the extent to which low HDL-C independently increases CVD risk when other lipids are within normal ranges.
“However, the relationships between HDL-C, triglycerides (TG) and LDL-C have complicated efforts toward establishing the extent to which low HDL-C independently increases CVD risk when other lipids are within the normal ranges4.”
From Is Isolated Low High-Density Lipoprotein Cholesterol a Cardiovascular Disease Risk Factor?: New Insights From the Framingham Offspring Study (2016) · cites this paper as [4]
Triglyceride has routinely been identified as a risk factor in case-control and angiographic studies, even after adjustment for TC or LDL-C and HDL-C.
“Triglyceride has routinely been identified as a “risk factor” in case-control and angiographic studies, even after adjustment for total cholesterol (TC) or LDL-C [23][24][25][26][27][28][29][30][31][32][33][34] and HDL-C.24,[27][28][29]33,34”
From Triglycerides and Cardiovascular Disease: A Scientific Statement From the American Heart Association (2011) · cites this paper as [24]
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- Authors
- Castelli, W. P., Doyle, J. T., Gordon, T., Hames, C. G., Hjortland, M. C., Hulley, S. B., Kagan, A., & Zukel, W. J.
- Affiliations
- National Institutes of Health (US)
- National Heart, Lung, and Blood Institute (US)
- Venue
- Circulation
- Published
- 1977-05
- Volume
- 55
- Issue
- 5
- Pages
- 767-772
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W1989249306
- Cited by
- 1,492
- References
- 23
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 12 · 2023: 15 · 2022: 16 · 2021: 12 · 2020: 15 · 2019: 14 · 2018: 18 · 2017: 26 · 2016: 11 · 2015: 30 · 2014: 29 · 2013: 20 · 2012: 16
- FWCI
- 152.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Circulation
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Keywords
- HDL cholesterol, coronary artery disease, LDL cholesterol, triglycerides, total cholesterol, cardiovascular risk factors, racial and ethnic differences, age and sex differences
- MeSH terms
- Adult, Aged, Black or African American, Cholesterol, Coronary Disease, Female, Humans, Japan, Lipoproteins, HDL, Lipoproteins, LDL, Male, Middle Aged, Phenotype, Triglycerides, United States, Black People, White People, Asian People
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