건강한 여성 근로자에서 Apolipoprotein E와 혈중 지질 농도와의 관련성
The Association Between Apolipoprotein E Genotype and Lipid Profiles in Healthy Woman Workers
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참고문헌
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초록
Objectives: Plasma lipid profiles and Apolipoprotein E (ApoE) are established risk factors for cardiovascular disease (CVD). The knowledge of lipid profile may estimate the potential victims of cardiovascular disease before its initiation and progression and offers the opportunity for primary prevention. The most common ApoE polymorphism has been found to influence plasma lipid concentrations and its correlation with CVD has been extensively investigated in the last decade. Methods: The ApoE polymorphism and its influence on plasma lipid were investigated in healthy woman workers. The information on confounding factors was obtained through a self-administered questionnaire and ApoE polymorphism was investigated using PCR. Results: The relative frequencies of alleles E2, E3 and E4 for the study population (n = 305) were 0.127, 0.750 and 0.121,respectively. ApoE polymorphism was associated with variations in plasma HDL-cholesterol lipid profile. In order to estimate the independent effects of alleles E2 and E4, as compared with E3, on lipid profile, multiple regression was performed after adjustment for confounding variables such as age, BMI, blood pressure, education status, insulin, fasting glucose, HOMA-IR,menopause. ApoE2 had a negative association with HDL cholesterol and ApoE4 had a positive association with LDL cholesterol. Conclusions: This study identified that the ApoE and CVD risk factors contribute to the lipid profiles, similar to other studies. The analysis including dietary intake and other gene in further studies may help to identify clear effects on lipid profiles as risk factor for CVD.
Abstract
Objectives: Plasma lipid profiles and Apolipoprotein E (ApoE) are established risk factors for cardiovascular disease (CVD). The knowledge of lipid profile may estimate the potential victims of cardiovascular disease before its initiation and progression and offers the opportunity for primary prevention. The most common ApoE polymorphism has been found to influence plasma lipid concentrations and its correlation with CVD has been extensively investigated in the last decade. Methods: The ApoE polymorphism and its influence on plasma lipid were investigated in healthy woman workers. The information on confounding factors was obtained through a self-administered questionnaire and ApoE polymorphism was investigated using PCR. Results: The relative frequencies of alleles E2, E3 and E4 for the study population (n = 305) were 0.127, 0.750 and 0.121,respectively. ApoE polymorphism was associated with variations in plasma HDL-cholesterol lipid profile. In order to estimate the independent effects of alleles E2 and E4, as compared with E3, on lipid profile, multiple regression was performed after adjustment for confounding variables such as age, BMI, blood pressure, education status, insulin, fasting glucose, HOMA-IR,menopause. ApoE2 had a negative association with HDL cholesterol and ApoE4 had a positive association with LDL cholesterol. Conclusions: This study identified that the ApoE and CVD risk factors contribute to the lipid profiles, similar to other studies. The analysis including dietary intake and other gene in further studies may help to identify clear effects on lipid profiles as risk factor for CVD.
참고문헌 (33)
- Park SH, "Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III)", Int J Cardiol, 139(3), pp.234~240 (2010)
- Grace SL, "Cardiovascular disease", BMC Womens Health, 4(Suppl 1), pp.S15~ (2004)
- Korean National Statistical Office, "Life Tables for Korea" (2007), Korean National Statistical Office
- 함옥경, "사회경제적 요인에 따른 지역사회 저소득층 중년여성의 심혈관질환 위험요인 차이", 한국보건간호학회지, 22(1), pp.27~38 (2008), 한국보건간호학회
- Kolovou GD, "Apolipoprotein Epolymorphism, age and coronary heart disease", Ageing Res Rev, 6(2), pp.94~108 (2007)
- Kim HC, "Relation of Apolipoprotein E polymorphism to clinically diagnosed Alzheimer’s disease in the Korean population", Psychiatry Clin Neurosci, 55(2), pp.115~120 (2001)
- Larson IA, "Association of Apolipoprotein (Apo)E genotype with plasma ApoE levels", Atherosclerosis, 148(2), pp.327~335 (2000)
- Gómez-Coronado D, "Apolipoprotein E polymorphism in men and women from a Spanish population: allele frequencies and influence on plasma lipids and Apolipoproteins", Atherosclerosis, 147(1), pp.167~176 (1999)
- Shin MJ, "Association of ApoE polymorphism with variations in lipid and small dense LDL in Koreans with alow fat intake", Nutr Res, 23(10), pp.1369~1378 (2003)
- Hixson JE, "Restriction isotyping of human Apolipoprotein E by gene amplification and cleavage with HhaI", J Lipid Res, 31(3), pp.545~548 (1990)
- Korea National Statistical Office, "Annual Report on the Cause of Death Statistics" (2007), Korea National Statistical Office
- "Available from:URL"[URL]
- Kim NS, "Increasing prevalence of obesity related disease for koreans sssociated with overweight and obesity", Korean J Prev Med, 34(4), pp.309~315 (2001)
- Lin SK, "Association of Apolipoprotein E genotypes with serum lipid profiles in a healthy population of Taiwan", Ann Clin Lab Sci, 34(4), pp.443~448 (2004)
- Frayn KN, "Diet, Nutrition and Emerging Risk Factors. The Report of a British Nutrition Foundation Task Force" (2005), Blackwell Publishing
- Bednarska-Makaruk M, "Apolipoprotein E genotype, lipid levels and coronary heart disease in a Polish population group", Eur J Epidemiol, 17(8), pp.789~792 (2001)
- Hasegawa T, "Factor analysis of lifestyle-related factors in 12,525 urban Japanese subjects", J Atheroscler Thromb, 12(1), pp.29~34 (2005)
- Pardo Silva MC, "Apolipoprotein E gene is related to mortality only in normal weight individuals: the Rotterdam Study", Eur J Epidemiol, 23(2), pp.135~142 (2008)
- Pyörälä K, "Prevention of coronary heart disease in clinical practice. Recommendations of the Task Force of the European Society of Cardiology, European Atherosclerosis Society and European Society of Hypertension", Eur Heart J, 15(10), pp.1300~1331 (1994)
- Seeman T, "Education, income and ethnic differences in cumulative biological risk profiles in a national sample of US adults: NHANES III (1988-1994)", Soc Sci Med, 66(1), pp.72~87 (2008)
- Kagamimori S, "Socioeconomic status and health in the Japanese population", Soc Sci Med, 68(12), pp.2152~2160 (2009)
- Boorsma W, "Body composition, insulin sensitivity, and cardiovascular disease profile in healthy Europeans", Obesity, 16(12), pp.2696~2701 (2008)
- Ginsberg HN, "Insulin resistance and cardiovascular disease", J Clin Invest, 106(4), pp.453~458 (2000)
- Després JP, "HDL-cholesterol as a marker of coronary heart disease risk: the Québec cardiovascular study", Atherosclerosis, 153(2), pp.263~272 (2000)
- Meigs JB, "Apolipoprotein E isoform polymorphisms are not associated with insulin resistance: the Framingham Offspring Study", Diabetes Care, 23(5), pp.669~674 (2000)
- Elosua R, "Obesity modulates the association among APOE genotype, insulin, and glucose in men", Obes Res, 11(12), pp.1502~1508 (2003)
- Hak AE, "The increase in cholesterol with menopause is associated with the Apolipoprotein E genotype", A population-based longitudinal study. Atherosclerosis, 175(1), pp.169~176 (2004)
- Wood D, "Prevention of coronary heart disease in clinical practice: recommendations of the Second Joint Task Force of European and other Societies on Coronary Prevention", Atherosclerosis, 140(2), pp.199~270 (1998)
- 김명순, "직업관련 특성이 여성의 음주소비에 미친 영향", 보건교육·건강증진학회지, 21(1), pp.1~23 (2004), 한국보건교육·건강증진학회
- 최명애, "중년여성의운동행위, 운동환경및사회적지지에관한연구", Journal of Korean Academy of Nursing, 38(1), pp.101~110 (2008), 한국간호과학회
- 김일호, "기혼 여성의 직업이 신체적, 정신적 건강에 미치는 영향", 예방의학회지, 42(5), pp.323~330 (2009), 대한예방의학회
- Kokubo Y, "Age-dependent association of Apolipoprotein E genotypes with stroke subtypes in a Japanese rural population", Stroke, 31(6), pp.1299~1306 (2000)
- Wang B, "Association of genetic variation in Apolipoprotein E and low density lipoprotein receptor with ischemic stroke in Northern Han Chinese", J Neurol Sci, 276(1), pp.118~122 (2009)
