title: High normal plasma triglycerides are associated with preserved cognitive function in Chinese oldest-old.
abstract: OBJECTIVE
  to explore the relationship between blood lipids/lipoproteins and cognitive function in the Chinese oldest-old.
  
  
  METHODS
  multivariate statistical analysis using cross-sectional data.
  
  
  METHODS
  community-based setting in longevity areas in China.
  
  
  METHODS
  eight hundred and thirty-six subjects aged 80 and older were included in the sample.
  
  
  METHODS
  plasma total cholesterol, triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, blood pressure and fasting plasma glucose were measured and information about demographics and lifestyle was collected. Cognitive status was assessed using the Mini-Mental State Examination (MMSE).
  
  
  RESULTS
  cumulative logit model analysis showed that triglyceride was significantly negatively associated with cognitive impairment. By general linear modelling, there was a significant linear trend of MMSE scores with the level of triglyceride, but not with levels of cholesterol after adjustment. The odds ratio (OR) of cognitive impairment (MMSE score < 18) was significantly reduced for the highest quartile of plasma triglyceride concentration (OR: 0.52, 95% CI: 0.33-0.84), but not for the second or third quartile, compared with the lowest quartile (adjusted models). There were no significant associations between cognitive impairment and cholesterol.
  
  
  CONCLUSIONS
  we concluded that high normal plasma triglyceride was associated with preservation of cognitive function while lower concentrations were not in the Chinese oldest-old.
authors.affiliation: Division of Non-Communicable Disease Control and Community Health,  Chinese Center for Disease Control and Prevention, Beijing 102206,  China.
authors.forename: Zhao-Xue
authors.initials: ZX
authors.lastname: Yin
authors.forename: Xiao-Ming
authors.initials: XM
authors.lastname: Shi
authors.forename: Virginia B
authors.initials: VB
authors.lastname: Kraus
authors.forename: Simon M
authors.initials: SM
authors.lastname: Fitzgerald
authors.forename: Han-Zhu
authors.initials: HZ
authors.lastname: Qian
authors.forename: Jian-Wei
authors.initials: JW
authors.lastname: Xu
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhai
authors.forename: Melanie D
authors.initials: MD
authors.lastname: Sereny
authors.forename: Yi
authors.initials: Y
authors.lastname: Zeng
mesh_terms: D000369:Aged, 80 and over; D044466:Asian People; D002784:Cholesterol / Q000097:blood; D003071:Cognition / Q000502:physiology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015228:Hypertriglyceridemia / Q000097:blood / Q000208:ethnology* / Q000503:physiopathology*; D016014:Linear Models; D008075:Lipoproteins, HDL / Q000097:blood; D008077:Lipoproteins, LDL / Q000097:blood; D008136:Longevity / Q000502:physiology; D008297:Male; D015999:Multivariate Analysis; D012189:Retrospective Studies; D014280:Triglycerides / Q000097:blood*
chemical_list: D008075:Lipoproteins, HDL; D008077:Lipoproteins, LDL; D014280:Triglycerides; D002784:Cholesterol