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Prognostic Significance of Serum Cholesterol in Nursing Home Men

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Dale E. Mattson, PH.D.

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Hoskote S. Nagraj, M.D.

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Axel G. Feller

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Daniel L. Jackson, R.N.

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Norma Caindec, B.S.

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Inge W. Rudman, B.S., R.PT.

Medical and Nutrition Services, Veterans Administration Medical Center, North Chicago, Department of Medicine, University of Health Sciences/Chicago Medical School, North Chicago, Department of Epidemiology, School of Public Health, University of Illinois, Chicago, Illinois

Serum cholesterol was measured in 129 men (average age 70.6; range 41-96) of a Veterans Administration Nursing Home, and was correlated with other items in an extensive clinical data base.

Serum cholesterol was less than 150 mg/dl in 13% of the subjects, and was less than 160 mg/dl in 18%. Cholesterol greater than 280 mg/dl occurred in 8%. Serum cholesterol varied directly (p < 0.02) with: body weight, serum albumin, serum total protein, serum sodium, ability to walk, and ability to feed oneself; and indirectly (p < 0.02) with death rate, degree of functional dependence, and serum SGOT and LDH. Nursing home men with cholesterol less than 150 mg/dl had a death rate of 63% during the 14 months after the cholesterol analysis, compared to a death rate of 9% in men with cholesterol greater than 150 mg/dl (p < 0.05). Death rate during the year after the analysis was 52% if cholesterol was below 160 mg/dl, compared to 7% if it was above this threshold (p < 0.05). (Journal of Parenteral and Enteral Nutrition 12:155-158; 1988)

Journal of Parenteral and Enteral Nutrition, Vol. 12, No. 2, 155-158 (1988)
DOI: 10.1177/0148607188012002155


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