Dietary Vitamin C and Serum Lipids in Black and White Girls

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We examined the cross-sectional relation of dietary vitamin C intake to serum lipids in 1,825 preadolescent black and white girls. Dietary vitamin C intake exclusive of supplement use, determined by 3-day diet record, appeared unrelated to total-serum ein–eholesterol, low-density lipoprotein-cholesterol, and triglyceride levels. Because other investigators have demonstrated an inverse association between vitamin C and total serum cholesterol in individuals with elevated total serum cholesterol levels, we analyzed the subgroup of 285 girls (142 blacks and 143 whites) with total serum cholesterol levels ?|Mg.200 mg per dl. Multivariate analyses of this subgroup, which adjusted for saturated fat, polyunsaturated fat, monounsaturated fat, cholesterol, fiber, and energy intake and for body mass index, demonstrated negative associations between vitamin C intake and total serum cholesterol. In girls with total serum cholesterol levels 200 mg per dl, each 100 mg per day increase in -dietary vitamin-C-intake (ranges 13 373 and-14–242 mg-per - day for blacks and whites, respectively) was associated with a total serum cholesterol decrease of 4 mg per dl (95% confidence limits = −10.34, 2.77) in blacks and 13 mg per dl (95% confidence limits = −22.99, −2.68) in whites. If the observed association is causal and generalizable, our results suggest that increased vitamin C intake could play an important role in the cholesterol homeostasis of females with elevated total cholesterol levels. (Epidemiology 1993;4:537–542)

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