title: The relationship between the postprandial lipemic response and lipid composition in persons with spinal cord injury.
abstract: OBJECTIVE
  To determine the influence of lipid concentration, lipid particle size, and total abdominal fat (TAF) on postprandial lipemic response (PPLr) in persons with spinal cord injury (SCI).
  
  
  METHODS
  Thirty-five persons with SCI (17 paraplegia, 18 tetraplegia) and 18 able-bodied (AB) individuals participated. Following a 10-hour fast, blood was drawn for lipids, apolipoprotein (apo) A1 and B concentrations, and low-density (LSP) and high-density (HSP) lipoprotein particle sizes. A high-fat milkshake was consumed (∼1.3 g fat/kg). Blood was drawn at 2, 4, and 6 hours to determine PPLr, (triglyceride (TG) area under the curve). TAF and visceral (VF) fat were measured by ultrasonography; total body fat (TBF) by dual-energy X-ray absorptiometry. Differences between the groups were determined by independent sample t-tests. Pearson correlation coefficients determined the relationship among PPLr and lipids, and TAF.
  
  
  RESULTS
  There were no significant differences in fasting TG, low-density lipoprotein (LDL), apoB, TAF, or PPLr values between the groups. In SCI, PPLr significantly correlated with: apoB (r = 0.63, P < 0.01, LSP (r = 0.57, P < 0.01), and TAF (r = 0.36, P < 0.01). After controlling for age and duration of injury, PPLr significantly correlated with apoB (r = 0.66, P = 0.001), TBF (r = 0.45, P = 0.03), VF (r = 0.66, P = 0.02), and TAF (r = 0.56, P = 0.007).
  
  
  CONCLUSIONS
  Although concentrations of LDL cholesterol and apoB were not different between SCI and AB groups, LSP, apoB, and TAF correlated with PPLr in persons with SCI. ApoB was associated with a greater PPLr in those with motor complete SCI, after controlling for age and duration of injury.
authors: Racine R
authors: RR
authors: Emmons
authors: Christopher M
authors: CM
authors: Cirnigliaro
authors: Steven C
authors: SC
authors: Kirshblum
authors: William A
authors: WA
authors: Bauman
mesh_terms: D050153:Abdominal Fat / Q000473:pathology*; D015502:Absorptiometry, Photon; D000328:Adult; D000368:Aged; D000886:Anthropometry; D019540:Area Under Curve; D001823:Body Composition / Q000502:physiology*; D005215:Fasting / Q000097:blood; D005223:Fats / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000209:etiology*; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000097:blood* / Q000150:complications*
chemical_list: D005223:Fats; D008055:Lipids
keywords: Abdominal fat; Apolipoprotein B; Lipid particle size; Postprandial lipemia; Spinal cord injury