Lipid and
apolipoprotein (apo) levels were investigated in 98 (68 female, 30 male) subjects older than 85 years and 86 (59 female, 27 male) subjects aged 65-75 years. The mean
cholesterol level of the long-lived persons who were free from overt degenerative arterial disease was 5.2 mmol/l and ranged markedly below the mean level of the population. Comparing both age groups, the
triglyceride level of the high-age subjects was at 0.3 mmol/l, significantly lower;
HDL-cholesterol and
apo A-I at 0.15 mmol/l or 0.3 g/l were higher.
Cholesterol, LDL-
cholesterol, and
apo B only tended to be lower in the higher age. Subjects suffering from degenerative arterial disease (circulatory disturbance, hypertonia,
diabetes mellitus), especially the long-lived group, had a more marked unfavorable
lipoprotein profile. Subjects over 85 years (13%) had markedly less disturbance in
lipoprotein metabolism of high atherogenic potency (hyper-beta-,
hypo-alpha-lipoproteinemia) than did subjects 65-75 years old (23%).
Hypertriglyceridemia is with 38% or rather 21% very frequent and seems to be of less atherogenic potency. Hyper-alpha-lipoproteinemia as anti-risk factor for
coronary heart diseases was established more frequently in the long-lived group with 13% in comparison to 3.5% in those 65-75 years of age.