J. Lipid Res.  Neurobiology of Lipids (ISSN1683-5506)
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Originally published In Press as doi:10.1194/jlr.M300233-JLR200 on September 1, 2003

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Journal of Lipid Research, Vol. 44, 2356-2364, December 2003
Copyright © 2003 by American Society for Biochemistry and Molecular Biology

Visceral fat accumulation determines postprandial lipemic response, lipid peroxidation, DNA damage, and endothelial dysfunction in nonobese Korean men

Yangsoo Jang*,{dagger}, Oh Yoen Kim{dagger}, Ha Jung Ryu§, Ji Young Kim§, Sang Hoon Song**, Jose M. Ordovas{dagger}{dagger} and Jong Ho Lee1,{dagger},§

* Division of Cardiology, Cardiovascular Genome Center, Yonsei Medical Institute, Yonsei University, Seoul, 120-749 Korea
{dagger} Yonsei University Research Institute of Science for Aging, Yonsei University, Seoul, 120-749 Korea
§ Department of Food & Nutrition, Yonsei University, Seoul, 120-749 Korea
** Food Ingredient Division, Foods R&D Center, CJ Corp., Seoul, Korea
{dagger}{dagger} Nutrition and Genomics Laboratory,, JM-USDA-HNRCA, Tufts University, Boston, MA 02111

1 To whom correspondence should be addressed. e-mail: jhleeb{at}yonsei.ac.kr

Visceral fat has been associated with multiple cardiovascular disease (CVD) risk factors. The aim of this study was to identify anthropometrical measures most closely associated with some well-known CVD risk factors. Because most Asians at risk have normal body mass index (BMI) according to Western standards, we studied healthy nonobese Korean males (n = 102; age: 36.5 ± 0.8 years, BMI: 23.8 ± 0.2 kg/m2). Visceral fat area (VFA) at the fourth lumbar vertebra was associated with increased postprandial triglyceride (TG) response (r = 0.53, P < 0.001) and with plasma malondialdehyde (MDA) (r = 0.36, P < 0.01) and PGF2{alpha} (r = 0.24, P < 0.05). When matched for BMI and age, men with high VFA (HVFA) (>=100 cm2; n = 27) had higher blood pressure (P < 0.01), increased consumption of cigarettes (P < 0.01), and lower ratio of energy expenditure to calorie intake (P < 0.01) as compared with low VFA men (<100 cm2; n = 27). Men with HVFA showed higher TG, glucose, and insulin responses following fat and oral glucose tolerance tests respectively higher plasma concentrations of MDA (P < 0.001), urinary PGF2{alpha} (P < 0.05), and lymphocytes deoxyribonucleic acid tail moments (P < 0.01). Conversely, HVFA was associated with lower testosterone, insulin-like growth factor-1, and brachial artery flow-mediated dilation (P < 0.001).

In conclusion, our data indicate that visceral fat accumulation, even in nonobese men, is a major factor contributing to increased CVD risk.

Supplementary key words flow-mediated dilation • body fat distribution • glucose tolerance


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