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These studies suggest that normal VLDL cholesterol levels are influenced by factors such as age, gender, menopausal status, and health conditions, with variations in VLDL composition linked to triglyceride and HDL-cholesterol levels, and that managing factors like obesity and diet can improve VLDL-related lipid profiles, which is important given its association with coronary heart disease risk.
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Very low-density lipoprotein (VLDL) cholesterol is one of the types of lipoproteins that carry cholesterol and triglycerides through the bloodstream. Understanding the normal range of VLDL cholesterol is crucial for diagnosing and managing cardiovascular diseases and other lipid disorders.
A study aimed at determining the normal values of serum cholesterol, including VLDL-C, in healthy children found that the mean VLDL-C levels varied by age group. For children aged 0-12 months, the mean VLDL-C level was 24.19 mg/dL, while for those aged 13 months to 6 years, it was 21.55 mg/dL. Children aged 7-11 years had a mean VLDL-C level of 21.69 mg/dL, and those aged 12-15 years had a mean level of 25.17 mg/dL. There were no significant differences in VLDL-C levels between males and females across these age groups.
In a study involving healthy Japanese adults, it was found that 13.7% of serum cholesterol was present in VLDL subclasses. The study also highlighted gender differences, with men having significantly higher large VLDL-cholesterol levels compared to women, while women had higher small VLDL-cholesterol levels.
The Friedewald equation, which estimates VLDL-C as 20% of the plasma triglyceride (TG) level, has been widely used. This method is generally accurate for TG values up to 400 mg/dL, but caution is advised for higher TG levels as the estimates become less precise.
Elevated VLDL cholesterol levels have been associated with an increased risk of myocardial infarction. A study found that VLDL cholesterol explained 50% of the myocardial infarction risk from elevated apoB-containing lipoproteins, whereas VLDL triglycerides did not significantly explain the risk. Another study in a large Chinese cohort found that elevated VLDL cholesterol levels increased the risk of coronary heart disease (CHD) by 2.19-3.36 times, especially when combined with elevated LDL cholesterol and other cardiovascular risk factors.
The normal range of VLDL cholesterol varies by age and gender. In children, the mean VLDL-C levels range from approximately 21.55 to 25.17 mg/dL depending on the age group. In adults, VLDL cholesterol constitutes about 13.7% of total serum cholesterol, with notable gender differences. Elevated VLDL cholesterol is a significant risk factor for cardiovascular diseases, emphasizing the importance of monitoring and managing VLDL levels in clinical practice.
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