American Journal of Epidemiology Vol. 136, No. 9: 1060-1068
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health
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Lipoprotein(a) Concentrations in Mexican Americans and Non-Hispanic Whites: The San Antonio Heart Study
1Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio San Antonio, TX
Reprint requests to Dr. Steven M Haffner, Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 782847873.
There is considerable evidence that lipoprotein(a) (Lp(a)) is a strong independent risk factor for coronary heart disease. Based on their risk factor profile, Mexican Americans have an increased risk of coronary heart disease, yet Mexican Americans have coronary heart disease mortality similar to or lower than that of non-Hispanic whites. The authors therefore attempted to determine whether Mexican Americans had decreased Lp(a) concentrations relative to non-Hispanic whites in the San Antonio Heart Study, a population-based study of diabetes and cardiovascular disease. Lp(a) concentrations (mg/dl) were significantly lower in Mexican Americans (n = 316) than in non-Hispanic whites (n =242) (men: 10. 4 vs. 16. 3; women: 11. 5 vs. 16. 4). In addition, the proportion of persons with Lp(a) concentrations of
30 mg/dl (the threshold at which increased risk of coronary heart disease is believed to occur) was significantly higher in non-Hispanic whites than in Mexican Americans (18. 6% vs. 7. 6%; Mantel-Haenszel odds ratio (adjusted for sex) = 2. 79). Age, obesity, body fat distribution, cigarette smoking, alcohol consumption, and glucose and insulin concentrations were not significantly related to Lp(a) levels. Decreased Lp(a) concentrations may account in part for Mexican Americans relative protection from coronary heart disease mortality. Am J Epidemiol 1992; 136: 10608
coronary disease; diabetes mellitus; Hispanic Americans; lipoproteins
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