Literature DB >> 19892744

Interaction of HDL cholesterol concentrations on the relationship between physical function and inflammation in community-dwelling older persons.

Matteo Cesari1, Emanuele Marzetti, Alice Laudisio, Livia Antonica, Marco Pahor, Roberto Bernabei, Giuseppe Zuccalà.   

Abstract

BACKGROUND: the existence of a relationship among inflammation, high-density lipoprotein cholesterol (HDL-C) and physical function has been suggested.
OBJECTIVE: the aim of the study is to investigate the possible interaction of HDL-C on inflammation and physical function.
DESIGN: cross-sectional study.
SETTING: town of Tuscania (Italy).
SUBJECTS: all the 329 community-dwelling older persons aged > or =75 years (mean age 79.8 +/- 5.2 years, women 56.2%).
METHODS: HDL-C, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and interleukin-6 (IL-6) were measured. Activities of daily living (ADL), instrumental ADL (IADL) and 4-m walking speed were assessed. Linear regression models were performed.
RESULTS: given the multiple significant interactions, models were stratified according to HDL-C concentrations. In participants with normal HDL-C concentrations, only IL-6 showed a significant association with IADL (beta = -0.439, SE = 0.176, P = 0.01). In participants with low HDL-C concentrations, all three inflammatory biomarkers were significantly associated with 4-m walking speed and IADL. IL-6 was also significantly associated with ADL (beta = -0.755, SE = 0.259, P = 0.006), whereas borderline significances were reported for CRP and ESR.
CONCLUSIONS: the association between inflammation and physical function is particularly enhanced in elders with low HDL-C concentrations. Though HDL-C may merely act as a wellbeing index, HDL-C concentrations should be considered in studies evaluating inflammation and physical function.

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Year:  2009        PMID: 19892744      PMCID: PMC2800252          DOI: 10.1093/ageing/afp194

Source DB:  PubMed          Journal:  Age Ageing        ISSN: 0002-0729            Impact factor:   10.668


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