Gender differences in lipoprotein metabolism and dietary response: Basis in hormonal differences and implications for cardiovascular disease

被引:116
作者
Knopp R.H. [1 ]
Paramsothy P. [1 ]
Retzlaff B.M. [1 ]
Fish B. [1 ]
Walden C. [1 ]
Dowdy A. [1 ]
Tsunehara C. [1 ]
Aikawa K. [1 ]
Cheung M.C. [1 ]
机构
[1] Northwest Lipid Research Clinic, University of Washington, Seattle, WA 98104
关键词
Cholesterol; Lipoprotein Metabolism; Arterioscler Thromb Vasc Biol; Hepatic Lipase Activity; Dietary Response;
D O I
10.1007/s11883-005-0065-6
中图分类号
学科分类号
摘要
The transport of fat in the blood stream is approximately twice as fast in women as men. Disease states such as obesity and diabetes are associated with greater lipoprotein abnormalities in women compared with men. A greater increment in cardiovascular disease risk in women is linked to these abnormalities. A greater change in triglyceride level and a lesser change in low-density lipoprotein are observed in women than men with high-carbohydrate or high-fat feeding. Most consistent are greater changes in high-density lipoprotein (HDL), HDL2, and apolipoprotein A-I levels in women compared with men with high-carbohydrate or high-fat feeding. Dietary fat restriction in women appears to have a less beneficial lipoprotein effect than in men. Dietary fat restriction for heart disease prevention may be less ideal in women than in men. Copyright © 2005 by Current Science Inc.
引用
收藏
页码:472 / 479
页数:7
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共 46 条
  • [1] Knopp R.H., Drug treatment of lipid disorders, N Engl J Med, 341, pp. 498-511, (1999)
  • [2] Knopp R., Zhu X.D., Lau J., Walden C., Sex hormones and lipid interactions: Implications for cardiovascular disease in women, Endocrinologist, 4, pp. 286-301, (1994)
  • [3] Mendelsohn M.E., Karas R.H., Molecular and cellular basis of cardiovascular gender differences, Science, 308, pp. 1583-1587, (2005)
  • [4] Seed M., Knopp R.H., Estrogens, lipoproteins, and cardiovascular risk factors: An update following the randomized placebo-controlled trials of hormone-replacement therapy, Curr Opin Lipidol, 15, pp. 459-467, (2004)
  • [5] Knopp R., Bonet B., Zhu X.D., Lipid metabolism in pregnancy, Principles of Perinatal-Neonatal Metabolism, pp. 221-258, (1998)
  • [6] Merimee T.J., Fineberg S.E., Homeostasis during fasting. II. Hormone substrate differences between men and women, J Clin Endocrinol Metab, 37, pp. 698-702, (1973)
  • [7] Kushlan M.C., Gollan J.L., Ma W.L., Ockner R.K., Sex differences in hepatic uptake of long chain fatty acids in single-pass perfused rat liver, J Lipid Res, 22, pp. 431-436, (1981)
  • [8] Mittendorfer B., Patterson B.W., Klein S., Effect of sex and obesity on basal VLDL-triacylglycerol kinetics, Am J Clin Nutr, 77, pp. 573-579, (2003)
  • [9] Tollin C., Ericsson M., Johnson O., Backman C., Clearance of triglycerides from the circulation and its relationship to serum lipoproteins: Influence of age and sex, Scand J Clin Lab Invest, 45, pp. 679-684, (1985)
  • [10] Maehira F., Miyagi I., Eguchi Y., Sex- and age-related variations in the in vitro heparin-releasable lipoprotein lipase from mononuclear leukocytes in blood, Biochim Biophys Acta, 1042, pp. 344-351, (1990)