Serum lipids and gallstone disease a study of self-defense officials in Japan

Based on screening ultrasonography of the gallbladder in 2756 men who received a retirement health examination at the Self-Defense Forces Fukuoka Hospital, Japan, during the period of 1986 to 1990, we compared serum lipid levels among 61 men with gallstones, 38 who had the gallbladder removed previo...

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Bibliographic Details
Published inAnnals of epidemiology Vol. 3; no. 6; pp. 614 - 618
Main Authors Shinchi, Koichi, Kong, Suminori, Honjo, Satoshi, Imanishi, Koji, Hirohata, Tomio
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.1993
Subjects
Cholecystectomy
Cholelithiasis
Cholelithiasis - blood
Cholelithiasis - surgery
Cholesterol, LDL - blood
cross-sectional study
gallstone disease
Humans
Japan
lipoprotein cholesterol
Lipoproteins - blood
Male
Middle Aged
Military Personnel
serum lipids
Japan
gallstone disease
cross-sectional study
serum lipids
lipoprotein cholesterol
Cholelithiasis
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Summary:Based on screening ultrasonography of the gallbladder in 2756 men who received a retirement health examination at the Self-Defense Forces Fukuoka Hospital, Japan, during the period of 1986 to 1990, we compared serum lipid levels among 61 men with gallstones, 38 who had the gallbladder removed previously, and 2494 with a normal gallbladder. In univariate analysis, men having gallstones and those who had had a cholecystectomy had lower concentrations of total and low-density-lipoprotein (LDL) cholesterol than did control subjects, although the differences were not statistically significant. After adjustment for body mass index, smoking, alcohol use, and glucose tolerance, inverse associations of cholecystectomy with total and LDL cholesterol levels were more pronounced and statistically significant. There was no appreciable difference in high-density-lipoprotein (HDL) cholesterol and triglycerides between control subjects and men either with gallstones or after cholecystectomy. The present study did not support a positive relation between gallstones and serum triglyceride levels and an inverse one to HDL cholesterol, which have been reported elsewhere. The findings on total and LDL cholesterol are consistent with some, but not all recent studies.
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ISSN:1047-2797
1873-2585
DOI:10.1016/1047-2797(93)90084-H