APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.

BACKGROUND:Increasing age is associated with elevated risk of non-communicable diseases, including dementia and Alzheimer's disease (AD). The apolipoprotein E (APOE) ε4 allele is a risk factor not only for AD, but also for cognitive decline, depressive symptoms, stroke, hypertension, coronary h...

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Main Authors: Kaoru Midorikawa, Douangdao Soukaloun, Kongsap Akkhavong, Bouavanh Southivong, Oudayvone Rattanavong, Vikham Sengkhygnavong, Amphay Pyaluanglath, Saymongkhonh Sayasithsena, Satoshi Nakamura, Yutaka Midorikawa, Mariko Murata
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4863969?pdf=render
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author Kaoru Midorikawa
Douangdao Soukaloun
Kongsap Akkhavong
Bouavanh Southivong
Oudayvone Rattanavong
Vikham Sengkhygnavong
Amphay Pyaluanglath
Saymongkhonh Sayasithsena
Satoshi Nakamura
Yutaka Midorikawa
Mariko Murata
author_facet Kaoru Midorikawa
Douangdao Soukaloun
Kongsap Akkhavong
Bouavanh Southivong
Oudayvone Rattanavong
Vikham Sengkhygnavong
Amphay Pyaluanglath
Saymongkhonh Sayasithsena
Satoshi Nakamura
Yutaka Midorikawa
Mariko Murata
author_sort Kaoru Midorikawa
collection DOAJ
description BACKGROUND:Increasing age is associated with elevated risk of non-communicable diseases, including dementia and Alzheimer's disease (AD). The apolipoprotein E (APOE) ε4 allele is a risk factor not only for AD, but also for cognitive decline, depressive symptoms, stroke, hypertension, coronary heart disease, cardiovascular disease, and diabetes. The Lao People's Democratic Republic (Laos) is undergoing development; consequently, life expectancy has risen. To evaluate the future risk of non-communicable diseases, we investigated APOE genotypes and anthropometric characteristics in the Laotian population. METHODOLOGY/PRINCIPAL FINDINGS:Subjects were 455 members of the Lao Loum majority and 354 members of ethnic minorities. APOE genotypes, anthropometric characteristics, blood pressure, and blood glucose were recorded. To compare individual changes, health examination data collected 5 years apart were obtained from a subset of Lao Loum subjects. APOE ε4 allele frequencies were higher among minorities (31.3%) than among Lao Loum (12.6%). In Lao Loum, but not in minorities, mean waist circumference and blood pressure increased significantly across age groups. Comparisons of health conditions between the beginning and end of the 5-year period revealed significant increases in obesity and blood glucose levels in Lao Loum. APOE ε4 carriers exhibited significant increases in resting heart rate in both ethnic groups. CONCLUSIONS/SIGNIFICANCE:A higher ε4 allele frequency was observed in Laotian minorities than in the Laotian majority. Furthermore, higher obesity, blood pressure and blood glucose were observed in the middle-aged ethnic majority. Therefore, given these genetic and non-communicable disease risk factors, it seems likely that as the Laotian population ages, elevated rates of non-communicable aging-related diseases, such as dementia, will also become more prevalent.
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spelling doaj.art-649f4fac24244ba8b6715f539e7f26812022-12-22T03:21:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01115e015507210.1371/journal.pone.0155072APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.Kaoru MidorikawaDouangdao SoukalounKongsap AkkhavongBouavanh SouthivongOudayvone RattanavongVikham SengkhygnavongAmphay PyaluanglathSaymongkhonh SayasithsenaSatoshi NakamuraYutaka MidorikawaMariko MurataBACKGROUND:Increasing age is associated with elevated risk of non-communicable diseases, including dementia and Alzheimer's disease (AD). The apolipoprotein E (APOE) ε4 allele is a risk factor not only for AD, but also for cognitive decline, depressive symptoms, stroke, hypertension, coronary heart disease, cardiovascular disease, and diabetes. The Lao People's Democratic Republic (Laos) is undergoing development; consequently, life expectancy has risen. To evaluate the future risk of non-communicable diseases, we investigated APOE genotypes and anthropometric characteristics in the Laotian population. METHODOLOGY/PRINCIPAL FINDINGS:Subjects were 455 members of the Lao Loum majority and 354 members of ethnic minorities. APOE genotypes, anthropometric characteristics, blood pressure, and blood glucose were recorded. To compare individual changes, health examination data collected 5 years apart were obtained from a subset of Lao Loum subjects. APOE ε4 allele frequencies were higher among minorities (31.3%) than among Lao Loum (12.6%). In Lao Loum, but not in minorities, mean waist circumference and blood pressure increased significantly across age groups. Comparisons of health conditions between the beginning and end of the 5-year period revealed significant increases in obesity and blood glucose levels in Lao Loum. APOE ε4 carriers exhibited significant increases in resting heart rate in both ethnic groups. CONCLUSIONS/SIGNIFICANCE:A higher ε4 allele frequency was observed in Laotian minorities than in the Laotian majority. Furthermore, higher obesity, blood pressure and blood glucose were observed in the middle-aged ethnic majority. Therefore, given these genetic and non-communicable disease risk factors, it seems likely that as the Laotian population ages, elevated rates of non-communicable aging-related diseases, such as dementia, will also become more prevalent.http://europepmc.org/articles/PMC4863969?pdf=render
spellingShingle Kaoru Midorikawa
Douangdao Soukaloun
Kongsap Akkhavong
Bouavanh Southivong
Oudayvone Rattanavong
Vikham Sengkhygnavong
Amphay Pyaluanglath
Saymongkhonh Sayasithsena
Satoshi Nakamura
Yutaka Midorikawa
Mariko Murata
APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
PLoS ONE
title APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
title_full APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
title_fullStr APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
title_full_unstemmed APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
title_short APOE Genotype in the Ethnic Majority and Minority Groups of Laos and the Implications for Non-Communicable Diseases.
title_sort apoe genotype in the ethnic majority and minority groups of laos and the implications for non communicable diseases
url http://europepmc.org/articles/PMC4863969?pdf=render
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