ArticleNutrients2013
At-risk serum cholesterol profile at both ends of the nutrition spectrum in West African adults? The Benin study.
Article in Nutrients, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 28 citations in OpenAlex.
- Preoperative Nutrition in Bariatric Surgery: A Narrative Review on Enhancing Surgical Success and Patient Outcomes.Nutrients · 2025Review
- Associations between low HDL, sex and cardiovascular risk markers are substantially different in sub-Saharan Africa and the UK: analysis of four population studies.BMJ global health · 2021Article
- Waist circumference and low high-density lipoprotein cholesterol as markers of cardiometabolic risk in Kenyan adults.PloS one · 2021Article
- The Double Burden of Malnutrition: A Systematic Review of Operational Definitions.Current developments in nutrition · 2020Article
- Dyslipidemias and cardiovascular risk scores in urban and rural populations in north-western Tanzania and southern Uganda.PloS one · 2019Article
- Metabolic distress in lipid & one carbon metabolic pathway through low vitamin B-12: a population based study from North India.Lipids in health and disease · 2018Article
- Interethnic Differences in Serum Lipids and Implications for Cardiometabolic Disease Risk in African Ancestry Populations.Global heart · 2017Review
- Central obesity increases risk of breast cancer irrespective of menopausal and hormonal receptor status in women of South Asian Ethnicity.European journal of cancer (Oxford, England : 1990) · 2016Article
- Specific cut-off points for waist circumference and waist-to-height ratio as predictors of cardiometabolic risk in Black subjects: a cross-sectional study in Benin and Haiti.Diabetes, metabolic syndrome and obesity : targets and therapy · 2015Article
- Metabolic syndrome among hypertensive patients at University of Gondar Hospital, North West Ethiopia: a cross sectional study.BMC cardiovascular disorders · 2014Article
- Consequences of Abdominal Adiposity within the Metabolic Syndrome Paradigm in Black People of African Ancestry.Journal of clinical medicine · 2014Review
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
Abstract
Low HDL-cholesterol (HDL-C), using as cut-offs 1.03 mmol/L in men and 1.29 mmol/L in women, was observed in more than 25% apparently healthy adults (n = 541) in a cross-sectional study on nutrition transition and cardiometabolic risk factors (CMRF) in Benin, West Africa. Both overweight/obesity (35.3%) and underweight (11.3%) were present, displaying the double burden of malnutrition. We examined in more depth the association of low HDL-C with nutrition and with other CMRF. Metabolic syndrome components were assessed, plus the ratio of total cholesterol (TC)/HDL-C and serum homocysteine. Insulin resistance was based on Homeostasis Model Assessment. We also measured BMI and body composition by bio-impedance. Dietary quality was appraised with two non-consecutive 24 h recalls. Low HDL-C was associated with much higher TC/HDL-C and more abdominal obesity in men and women and with more insulin resistance in women. The rate of low HDL-C was highest (41.9%) among the overweight/obese subjects (BMI ≥ 25), but it also reached 31.1% among the underweight (BMI < 18.5), compared with 17.3% among normal-weight subjects (p < 0.001). Lower dietary micronutrient adequacy, in particular, in vitamins A, B3, B12, zinc and calcium, was associated with low HDL-C when controlling for several confounders. This suggests that at-risk lipoprotein cholesterol may be associated with either underweight or overweight/obesity and with poor micronutrient intake.
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