Effect of Abdominal Obesity on Lipoprotein Metabolism
Effect of Abdominal Obesity on Lipoprotein Metabolism
Abdominal obesity is strongly associated with dyslipidemia, which may account for the
 associated increased risk of atherosclerosis and coronary disease. Weight reduction is
 suggested to be a preferred and effective first-line strategy to correct lipid abnormalities,
 particularly in overweight/obese subjects. This improvement may be related to the effect of
 reduction in abdominal fat mass on apoB and apoA-I metabolism, but this remains to be fully
 demonstrated.

 Hypothesis: Reduction in abdominal fat mass by weight loss decreases apoB concentration and
 raises HDL-cholesterol chiefly by increasing LDL-apoB fractional catabolic rate (FCR), as
 well as decreasing HDL apoA-I, respectively.
We examined the mechanism of the effect of weight loss through dieting on LDL and HDL
 metabolism in abdominally obese men. LDL apoB-100 and HDL apoA-I kinetics were studied using
 a primed-constant infusion of 1-[13C]-leucine in a controlled, dietary intervention trial of
 16 weeks duration in middle-aged, obese men with the metabolic syndrome. Isotopic enrichment
 in apoB and apoA-I was measured by gas chromatography-mass spectrometry and fractional
 turnover rates estimated using multi-compartmental modelling.
Inclusion Criteria:

 -  Obesity was defined as a body mass index (BMI) >28kg/m2 and visceral visceral obesity
 (waist to hip ratio> 1.0 or waist circumference >100 cm)

 Exclusion Criteria:

 -  Diabetes mellitus,

 -  Proteinuria,

 -  Hypothyroidism,

 -  Abnormal liver enzymes,

 -  Major systemic illness,

 -  A history of alcohol abuse,

 -  A family history of hyperlipidemia or premature coronary artery disease or were taking
 medication known to affect lipid metabolism.