新疆哈汉两民族血脂、脂蛋白(a)及载脂蛋白AI和B水平的比较与相关研究
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Serum Levels of Lipids, Lipoprotein (a) and Apolipoprotein AI/B in Hans and Kazakhs from Xinjiang
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    摘要:

    为了探讨和了解各种脂质、脂蛋白及载脂蛋白水平在我国民族间是否也存在差异,对新疆地区的汉族居民911人(男性46 6人,女性44 5人)及哈萨克族居民773人(男性36 0人,女性413人)随机个体血总胆固醇、甘油三酯、高/低密度脂蛋白胆固醇、脂蛋白(a)及载脂蛋白AI和B进行测定。结果发现,与汉族人群比较,哈萨克族人群男女均有较高的高密度脂蛋白胆固醇(P<0 .0 0 1)和载脂蛋白AI (P<0 .0 0 1)水平与较低的甘油三酯(P<0 .0 1,P<0 .0 0 1)、脂蛋白(a) (均P<0 .0 0 5 )、载脂蛋白B (P<0 .0 0 5 ,P<0 .0 0 1)水平及较低水平的载脂蛋白B/AI值(P<0 .0 1,P<0 .0 0 1) ;汉族人群有2 0 .7%的个体载脂蛋白AI低于1.2g/L ,而哈萨克族人群中只有9.8%的个体载脂蛋白AI低于1.2g/L ,汉族人群有18.6 %的个体载脂蛋白B高于1.2g/L ,而哈萨克族人群中只有14.3%的个体载脂蛋白B超过1.2g/L ;多因素相关与回归分析发现:脂蛋白(a)、载脂蛋白AI及载脂蛋白B/AI值在两民族间有密切的相关关系。血脂、脂蛋白(a)、载脂蛋白AI及载脂蛋白B水平存在显著的民族间的差异,推测遗传因素可能控制和影响着个体脂代谢过程,以致形成了各民族独特的脂代谢方式并最终影响其血脂及载脂蛋白水平。

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    Aim To reveal the distribution characterization of serum levels of lipids,lipoproteins,and apolipoproteins in different nationality. Methods The authors determined quantitative levels of those traits mentioned above and messured the body hight (H) and weight (W), and calculated both body surface area (s) and body mass index [BMI=W/S2(m2)] in 773 Kazaks (men 360 and women 413) and 911 Han nationality (men 466 and women 445) from Xinjiang of China. Results Kazaks men and women, respectively, had significantly higher serum levels of HDLC and apolipoprotein A1 (allP<0.001) and significantly lower serum levels of TG (menP<0.01, womenP<0.001), Lp(a)(allP<0.005), apolipoprotein B (menP<0.005,womenP<0.001) and apolipoprotein B/A1 (menP<0.01, womenP<0.001) than their Han nationality controls; the threshold points of apolipoprotein A1 (<1.2 g/L) and apolipoprotein B (>1.2 g/L) are higher in Hans than in Kazaks for apolipoprotein A1 (20.7% vs 9.8%) and apolipoprotein B (18.6% vs 14.3%); the serum levels of TG,HDLC, Lp(a),apolipoprotein A1 and apolipoprotein B/A1 are all closely correlated with nationality (respectively,P<0.001, P=0.001, andP<0.05). Conclusion The nationality differences exist in serum levels of lipids, lipoproteins, and apolipoproteins, and this differs maybe come from genetic effects, which affect the serum levels of lipids, lipoproteins,and apolipoprotein by the method of controlling the lipid metabolism pattern. Future study will to dissect to the role of genetic factors affecting on serum lipids.

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邹阳春,何秉贤,胡大一,杨新春,赵新国,李新立,黄定,孟竹,沙根德克,邹高俊.新疆哈汉两民族血脂、脂蛋白(a)及载脂蛋白AI和B水平的比较与相关研究[J].中国动脉硬化杂志,2001,9(4):340~343.

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  • 收稿日期:2000-10-16
  • 最后修改日期:2001-05-18
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