Factors behind the increase in cardiovascular mortality in Russia: apolipoprotein AI and B distribution in the Arkhangelsk study 2000.

Abstract:

BACKGROUND:Cardiovascular mortality is markedly higher in Russia than in Western Europe and the US. Little is known about indicators of atherosclerotic risk in the Russian population. To our knowledge, this is the first study of apolipoprotein (apo) AI and B in Russia based on the WHO-IFCC standard. METHODS:We measured apo AI and B by immunoturbidimetric assay in 3694 men and women from Arkhangelsk, Russia, in 1999-2000. RESULTS:The age-related distribution of apo B was similar to that in other countries, whereas the apo AI profile was different. For men > or = 20 years, apo AI was considerably higher than in studies from other countries. Women had also relatively high apo AI concentrations, although the difference was not as pronounced as in men. The apo AI concentration was positively associated with age and lifestyle variables such as alcohol consumption and physical activity, and negatively associated with body mass index and self-reported myocardial infarction. gamma-Glutamyltransferase was positively associated with apo AI in both sexes. CONCLUSIONS:The apparently favorable apolipoprotein profiles contrast with official death statistics indicating high cardiovascular mortality in Russia. High apo AI might indicate excessive alcohol consumption.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Averina M,Nilssen O,Brenn T,Brox J,Arkhipovsky VL,Kalinin AG

doi

10.1373/clinchem.2003.023853

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

346-54

issue

2

eissn

0009-9147

issn

1530-8561

pii

clinchem.2003.023853

journal_volume

50

pub_type

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