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Clinical Chemistry 49: 1491-1497, 2003; 10.1373/49.9.1491
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Right arrow Lipids, Lipoproteins, and Cardiovascular Risk Factors
(Clinical Chemistry. 2003;49:1491-1497.)
© 2003 American Association for Clinical Chemistry, Inc.


Lipids, Lipoproteins, and Cardiovascular Risk Factors

Regulation of Serum Paraoxonase Activity by Genetic, Nutritional, and Lifestyle Factors in the General Population

Natàlia Ferré1, Jordi Camps1,a, Joan Fernández-Ballart2, Victoria Arija2, Michelle M. Murphy2, Santiago Ceruelo2, Elisabet Biarnés2, Elisabet Vilella1, Mónica Tous1 and Jorge Joven1

1 Centre de Recerca Biomèdica, Hospital Universitari de Sant Joan, and
2 Unitat de Medicina Preventiva i Salut Pública, Facultat de Medicina, Universitat Rovira i Virgili, Institut de Recerca en Ciències de la Salut, 43201-Reus, Catalonia, Spain.

aAddress correspondence to this author at: Centre de Recerca Biomèdica, Hospital Universitari de Sant Joan, C/Sant Joan s/n, 43201-Reus, Catalonia, Spain. Fax 34-977-312569; e-mail jcamps{at}grupsagessa.com.

Background: Paraoxonase may protect lipoproteins and cell membranes from peroxidation, and alterations in the activity of this enzyme have been associated with some chronic diseases. Serum paraoxonase appears to be mainly under genetic control, but some studies suggest that environmental factors may also modulate its activity. The aim of the present study was to investigate whether diet and lifestyle affect serum paraoxonase activity.

Methods: We studied a population-based sample of 388 individuals (194 women and 194 men; age range, 18–75 years) and assessed their daily dietary intake using a 3-day estimated food record. The variables studied included serum paraoxonase activity, paraoxonase polymorphisms at positions 55 and 192, age, gender, smoking status, physical exercise, body mass index, energy consumption, nutrient intake (total lipids, saturated fatty acids, ß-carotenes, vitamins C and E), and serum lipid concentrations.

Results: Multiple linear regression analysis showed that only genetic polymorphisms, serum cholesterol, HDL-cholesterol concentrations, and cigarette smoking were significant predictors of serum paraoxonase activity. HDL-cholesterol concentrations were also related to body mass index, daily energy consumption, and saturated fatty acid intake.

Conclusions: The between-individual variability of serum paraoxonase activity is regulated mainly by genetic determinants. Although HDL-cholesterol and tobacco smoking may contribute to the modulation of this enzyme, the other nutritional and lifestyle factors do not seem to play a significant role.




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