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Racial (black‐white) comparisons of the relationship of levels of endogenous sex hormones to serum lipoproteins during male adolescencethe Bogalusa Heart Study

 

作者: S. Srinivasan,   D. Freedman,   G. Sundaram,   L. Webber,   Gerald Berenson,  

 

期刊: Circulation  (OVID Available online 1986)
卷期: Volume 74, issue 6  

页码: 1226-1234

 

ISSN:0009-7322

 

年代: 1986

 

出版商: OVID

 

数据来源: OVID

 

摘要:

The cross-sectional relationship of endogenous androgens (testosterone, androstenedione, and dehydroepiandrosterone sulfate [DHEA-S]), estrogen (estradiol) and progestin (progesterone) to serum levels of lipoprotein cholesterol (very low-density [VLDL], low-density [LDL], and high-density lipoprotein [HDL]) and apolipoproteins (apo A-I and apo B) were studied in white (n 251) and black (n = 258) adolescent boys, ages 1 1 to 17 years, as part of the Bogalusa Heart Study. Black boys had significantly higher levels of estradiol, HDL cholesterol, and apo A-I, and lower levels of androstenedione and VLDL cholesterol than white boys, independent of age and adiposity. Age was correlated strongly with testosterone and androstenedione, and moderately with DHEA-S and estradiol levels in both races. However, only in white boys was age consistently related to VLDL cholesterol (positively), HDL cholesterol (negatively), and apo A-I (negatively). Overall, testosterone was associated inversely with HDL cholesterol and apo A-I in white boys. while progesterone was related positively to apo A-I in both races after adjusting for age and adiposity. However, these relationships were found to differ with age. Partial correlations between levels of sex hormones and lipoproteins adjusted for age and adiposity showed no associations in the 11 to 12 year age group in boys of either race. A significant positive relation of testosterone to VLD, 2holesterol, and inverse relations of testosterone to HDL cholesterol and apo A-I and DHEA-S to HDL cholesterol were apparent only in white boys in the 13 to 14 year age group. Among the older subjects (15 to 17 years old), the relationships of testosterone to HDL cholesterol and androstenedione to apo A-I were positive only in black boys. In addition, a significant positive association between progesterone and apo A-I was noted for both races among boys in the older age group. That the sex hormone-lipoprotein associations vary among different age groups suggests the influence of sexual maturation-related hormonal makeup on lipoproteins. Inherent metabolic differences between the races may account for some of the divergent sex hormone-lipoprotein associations.

 

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