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Clinical Chemistry 44: 1224-1232, 1998;
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(Clinical Chemistry. 1998;44:1224-1232.)
© 1998 American Association for Clinical Chemistry, Inc.


Lipids and Lipoproteins

Remnant lipoprotein cholesterol and triglyceride reference ranges from the Framingham Heart Study

Judith R. McNamara1,a, Paulesh K. Shah1, Katsuyuki Nakajima2, L. Adrienne Cupples3, Peter W. F. Wilson4, Jose M. Ordovas1, and Ernst J. Schaefer1

1 Lipid Research Laboratory, Division of Endocrinology, Diabetes, Metabolism, and Molecular Medicine, New England Medical Center, and Lipid Metabolism Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111.

2 Otsuka America Pharmaceutical, Inc., Rockville, MD 20850.

3 Department of Epidemiology and Biostatistics, Boston University School of Public Health, Boston, MA 02118.

4 National Heart, Lung, and Blood Institute's Framingham Heart Study, National Institutes of Health, Framingham, MA 01701.
a Address correspondence to this author at: Lipid Metabolism Laboratory Jean Mayer, USDA Human Nutrition Research Center on Aging at Tufts University, 711 Washington St., Boston, MA 02111. Fax 617-556-3103; e-mail McNamara_LI{at}HNRC.Tufts.edu.

Remnants of triglyceride-rich lipoproteins of both intestinal and liver origin are considered atherogenic, but they have been difficult to isolate and measure. An assay has been developed that allows the measurement of remnant-like particle cholesterol (RLP-C) and triglyceride (RLP-TG). RLP-C and RLP-TG concentrations were measured in >3000 fasting plasma samples obtained from participants in exam cycle 4 of the Framingham Offspring Study and stored at -80 °C. After exclusions, comparisons were made for 2821 samples (1385 women, 1436 men; mean age, 52 years). For women, the mean RLP-C and RLP-TG values were 0.176 ± 0.058 mmol/L (6.8 ± 2.3 mg/dL) and 0.204 ± 0.159 mmol/L (18.1 ± 14.1 mg/dL), respectively; for men, the mean values were 0.208 ± 0.096 mmol/L (8.0 ± 3.7 mg/dL) and 0.301 ± 0.261 mmol/L (26.7 ± 23.1 mg/dL), respectively. Women had significantly lower RLP-C and RLP-TG values (P <0.0001) than men; premenopausal women had significantly lower values than postmenopausal women (P <0.0001); and younger subjects (<50 years) had significantly lower values than older individuals (P <0.0001). The 75th percentile values for RLP-C and RLP-TG were 0.186 mmol/L (7.2 mg/dL) and 0.225 mmol/L (19.9 mg/dL), respectively, for women, and 0.225 mmol/L (8.7 mg/dL) and 0.346 mmol/L (30.6 mg/dL) for men. These data provide reference ranges for use in the evaluation of RLP-C and RLP-TG as potential indicators of risk for coronary heart disease.




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