Document Detail


Relative contributions of genes, environment, and interactions to blood lipid concentrations in a general adult population.
MedLine Citation:
PMID:  15800263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors evaluated the contributions of nine genetic (G) variants (selected from 275 single nucleotide polymorphisms in 11 reverse cholesterol transport pathway genes), five environmental (E) factors (selected from 10), and G x G, E x E, and G x E interactions in explaining population variance of blood lipid concentrations. Total cholesterol, triglycerides, and high density lipoprotein (HDL) cholesterol were measured, and low density lipoprotein (LDL) cholesterol and HDL cholesterol/LDL cholesterol ratio were calculated in a population-based random sample of 1,543 men and women in Geneva, Switzerland, aged 35-74 years in 1999-2001. Explained variances (R2) for HDL cholesterol/LDL cholesterol ratio, HDL cholesterol, and LDL cholesterol, respectively, were 34%, 33%, and 19%, decomposed into main effects of G (6%, 4%, and 5%) and E (25%, 28%, and 11%), with just 3%, 2%, and 3% due to G x G, E x E, and G x E interactions, respectively. Risk factor clustering was only moderate: 70% of study subjects had < or =3 variants, 75% had < or =2 environmental exposures, and 69% had < or =5 of both types of factors. Multiple genes with weak associations, together with more dominating environmental factors, are involved in determining blood lipid concentrations. Interactions added little explained variance. Increasing trends in hypercholesterolemia are attributable to environmental changes affecting populations as a whole. Reducing obesity and smoking and moderating alcohol intake in entire populations should remain the primary strategies for lipid control.
Authors:
Michael C Costanza; Eftihia Cayanis; Barbara M Ross; Maria Sol Flaherty; Gabriela B Alvin; Kamna Das; Alfredo Morabia
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of epidemiology     Volume:  161     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-31     Completed Date:  2005-05-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  714-24     Citation Subset:  IM    
Affiliation:
Division of Clinical Epidemiology, Geneva University Hospitals, Geneva, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Alcohol Drinking
Body Mass Index
Cholesterol, HDL / blood,  genetics
Cholesterol, LDL / blood,  genetics
Dietary Fats / administration & dosage
Educational Status
Environment*
Female
Humans
Life Style
Lipids / blood*,  genetics*
Male
Middle Aged
Polymorphism, Single Nucleotide
Questionnaires
Risk Factors
Smoking / blood
Switzerland
Triglycerides / blood,  genetics
Chemical
Reg. No./Substance:
0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Dietary Fats; 0/Lipids; 0/Triglycerides

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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