PMID- 20015326 OWN - NLM STAT- MEDLINE DCOM- 20101027 LR - 20221207 IS - 1398-9995 (Electronic) IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 65 IP - 7 DP - 2010 Jul TI - Relationship of serum cholesterol levels to atopy in the US population. PG - 859-64 LID - 10.1111/j.1398-9995.2009.02287.x [doi] AB - BACKGROUND: Cholesterol promotes Th2 immunity and allergic inflammation in rodents; whether this occurs in humans is unclear. Reports of both direct and inverse associations between serum cholesterol and atopy in different populations suggest that race and/or other demographic variables may modify these relationships. AIMS OF THE STUDY: To determine the relationships between levels of three serum cholesterol measures [total cholesterol (TC), high density lipoprotein-cholesterol (HDL-C), and non-HDL-C] and atopy in a sample representative of the US population. METHODS: Cross-sectional study of 6854 participants aged > or =6 years from the 2005-2006 National Health and Nutrition Examination Survey. RESULTS: In the overall population, adjusted odds ratios (AORs) per two-standard deviation increase in TC and non-HDL-C for biochemical atopy (defined as > or =1 allergen-specific IgE to 19 allergens) were 1.17 [95% confidence interval (CI), 1.00-1.38] and 1.19 (95% CI, 1.03-1.39), respectively. Interactions by race were noted for the two relationships (interaction P = 0.004 and P = 0.009, respectively) with non-Hispanic Whites (NHWs) having direct relationships [TC: AOR 1.27 (95% CI, 1.03-1.57); non-HDL-C: AOR 1.27 (95% CI, 1.03-1.56)] and non-Hispanic Blacks (NHBs) inverse relationships [TC: AOR 0.77 (95% CI, 0.62-0.95); non-HDL-C: AOR 0.86 (95% CI, 0.69-1.08)]. The adjusted HDL-C-atopy relationship was nonsignificant for NHWs and inverse for NHBs [AOR 0.77 (95% CI, 0.61-0.96)]. Relationships were independent of body mass index and serum C-reactive protein and unmodified by corticosteroid or statin usage. Results were similar using current hay fever/allergy as the atopy outcome. CONCLUSIONS: There are marked inter-racial differences in the relationship between serum cholesterol and atopy in the US population. FAU - Fessler, M B AU - Fessler MB AD - Laboratory of Respiratory Biology, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC 27709, USA. fesslerm@niehs.nih.gov FAU - Jaramillo, R AU - Jaramillo R FAU - Crockett, P W AU - Crockett PW FAU - Zeldin, D C AU - Zeldin DC LA - eng GR - Z01 ES102005/ImNIH/Intramural NIH HHS/United States GR - ZIA ES102005-07/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20091216 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adolescent MH - Adult MH - Black People MH - Child MH - Cholesterol/blood MH - Cholesterol, HDL/*blood MH - Cholesterol, LDL/*blood MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypersensitivity, Immediate/*blood/*ethnology MH - Male MH - Prevalence MH - White People MH - Young Adult PMC - PMC4045486 MID - NIHMS555326 EDAT- 2009/12/18 06:00 MHDA- 2010/10/28 06:00 PMCR- 2014/06/04 CRDT- 2009/12/18 06:00 PHST- 2009/12/18 06:00 [entrez] PHST- 2009/12/18 06:00 [pubmed] PHST- 2010/10/28 06:00 [medline] PHST- 2014/06/04 00:00 [pmc-release] AID - ALL2287 [pii] AID - 10.1111/j.1398-9995.2009.02287.x [doi] PST - ppublish SO - Allergy. 2010 Jul;65(7):859-64. doi: 10.1111/j.1398-9995.2009.02287.x. Epub 2009 Dec 16.