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These studies suggest that normal triglyceride levels range from 70-120 mg/dL, with variations based on age, sex, weight, and fasting status.
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The normal range for serum triglyceride levels has been a subject of extensive research. According to a study that measured triglyceride levels in 263 normal subjects aged 2 to 79 years, the normal range was found to be 70 ± 40 mg/dL, with levels over 120 mg/dL potentially indicating hypertriglyceridemia. Another study supports this by suggesting that a fasting triglyceride level under 150 mg/dL is widely accepted as the upper limit of the normal range. However, some researchers argue that triglyceride levels above 100 mg/dL may still predict coronary heart disease (CHD) events, suggesting that a lower cutpoint of <100 mg/dL might be more optimal for CHD risk assessment.
Triglyceride levels vary significantly with age, sex, and body weight. Levels tend to rise with age, peaking in the forties, and then decrease. There is no significant sex difference in triglyceride levels except for higher levels in females during their fifties and sixties, particularly post-menopause. Obesity is also a key factor, with higher triglyceride levels observed in obese individuals compared to those with normal or lean body weight.
Different methods for measuring triglyceride levels can yield varying results. For instance, enzymatic methods tend to show lower upper normal ranges compared to colorimetric methods . This highlights the importance of standardizing measurement techniques to ensure consistent and accurate assessment of triglyceride levels.
Elevated triglyceride levels are associated with an increased risk of cardiovascular diseases. The Framingham Heart Study found that individuals with high triglyceride levels (>1.7 mmol/L) and low high-density lipoprotein (HDL) levels (<1.03 mmol/L) have a significantly higher rate of coronary artery disease. This risk is independent of other major risk factors, emphasizing the importance of monitoring triglyceride levels as part of cardiovascular risk assessment.
Non-fasting triglyceride levels can also provide valuable insights. A study on healthy Dutch subjects found that non-fasting triglyceride concentrations varied throughout the day, with the highest levels observed in the evening. These findings suggest that non-fasting triglyceride measurements could be useful for identifying individuals at risk for atherosclerosis.
Lower triglyceride levels are associated with better endothelial function. A study measuring flow-mediated vasodilation (FMD) found that subjects with triglyceride levels below 50 mg/dL had significantly better endothelial function compared to those with higher levels. This underscores the potential benefits of maintaining low triglyceride levels for vascular health.
In summary, the normal range for triglyceride levels is generally considered to be below 150 mg/dL, with some evidence suggesting that levels below 100 mg/dL may be more optimal for reducing CHD risk. Triglyceride levels are influenced by age, sex, and obesity, and different measurement methods can yield varying results. Elevated triglyceride levels are a significant risk factor for cardiovascular diseases, and maintaining lower levels is associated with better endothelial function. Regular monitoring and appropriate lifestyle adjustments are crucial for managing triglyceride levels and reducing cardiovascular risk.
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