Serum Lp Al lipoprotein particles and other antiatherogenic lipid parameters in normolipidaemic obese subjects

The android pattern oi body fat distribution has been shown to increase the risk of metabolic and coronary heart disease. Protective lipid markers against cardiovascular disease were studied in 98 obese normolipidaemic, non diabetic, non-smoker subjects over 18 years of age according to regional distribution of adipose tissue as estimated by the waist:hip ratio (WHR) and overall obesity as estimated by the body mass index (BMI). WHR was inversely correlated with Lp Al (r = -0.46) and HDL-cholesterol (r = -0.37). BMI was not correlated with protective lipid parameters but only with triglycerides. After adjustment, Lp Al was lower in men and in upper body obese women (p < 0.05). Lp Al is a better indicator of body fat distribution than HDL-cholesterol or apo Al, and its variations appear to be indirectly related to gender, menopause, and age, thereby influencing body fat distribution (the main factor accounting for Lp Al variation). Lp Al was inversely correlated with WHR in gluteal-femoral obese women but not in abdominally obese women or men, possibly because of a threshold effect.