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U.S. NIH’s Obesity Guidelines Part 4: Cholesterol
Thursday, December 09, 2004 4:51 am Email this article
The prevalence of high total cholesterol (greater than 240 mg/dL) increases with BMI above 25, although at each BMI level, the prevalence is greater in women than in men according to the U.S. NIH's Obesity Guidelines (p. 14). Total cholesterol higher with abdominal obesity
Total cholesterol levels are usually higher in persons with predominant abdominal obesity, defined as a waist-to-hip circumference ratio of 0.8 or higher for women and 1.0 or higher for men. (p. 14) I would think it would also be defined as a waist larger than 40 inches in men, and 35 inches in women.
HDL cholesterol: One unit increase in BMI lowers HDL 1.1 mg/dL in men, 0.7 mg/dL in women
Levels of HDL-cholesterol are lower in both men and women with a higher BMI. Weight loss increases level of HDL.
A one unit change of BMI is associated with a change in HDL of 1.1 mg/dL for young adult men and 0.69 mg/dL for young adult women. (p. 14)
LDL cholesterol: BMI of 30 increases LDL 10-20 mg/dL
LDL-cholesterol levels are 10 to 20 mg/dL higher in people with a BMI of 30 versus 20.
10 mg/dL rise in LDL increases risk of heart disease by 10%/dl
A 10 mg/dL rise in LDL increases the risk of coronary heart disease by an estimated 10 percent over five to ten years. (p. 14)
Triglycerides: BMI of 30 increases levels 61-65 mg/dL in men, 62-118 mg/dL in women
Increasing levels of BMI, ranging from 21 or less to 30 or more, are associated with increasing triglyceride levels.
The increase in triglycerides is 61-65 mg/dL in women and 62-118 mg/dL in men. (p. 14)
Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults : the evidence report / National Heart, Lung, and Blood Institute [Bethesda, Md.] : National Institutes of Health, National Heart, Lung, and Blood Institute, . NIH publication No. 98-4083.
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