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Updated: Jul 27, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
Seasonal variation in serum cholesterol levels--evidence from the UK and Japan
D Robinson1, E A Bevan, S Hinohara
1BUPA Medical Research and Development Limited, London, UK.
Insights
Seasonal variations significantly impact serum cholesterol levels, with winter levels 3-5% higher than summer levels in both UK and Japanese populations. This finding is crucial for epidemiological studies.
Area of Science:
- Endocrinology
- Epidemiology
- Environmental Health
Background:
- Serum cholesterol levels are a key indicator of cardiovascular health.
- Previous research suggests potential seasonal influences on lipid profiles, but large-scale data is limited.
Purpose of the Study:
- To investigate seasonal variations in serum cholesterol levels across large populations in the UK and Japan.
- To determine the relationship between seasonal changes in cholesterol and environmental factors like temperature and body mass.
Main Methods:
- Spectral analysis was applied to longitudinal data from over 170,000 men and 44,000 women in the UK and Japan.
- Serum cholesterol levels were analyzed for seasonal patterns and correlated with mean monthly air temperatures and body mass index.
Main Results:
- A significant seasonal effect on serum cholesterol was observed in both countries and sexes, with levels 3-5% higher in winter than summer.
- These seasonal variations in cholesterol were independent of changes in body mass.
- Mean monthly cholesterol levels showed a strong negative correlation with mean monthly air temperatures (r = -0.60 to -0.71).
Conclusions:
- Seasonal fluctuations in serum cholesterol are a robust phenomenon, exceeding analytical variability.
- These findings have significant implications for the design and interpretation of long-term epidemiological and clinical intervention studies on cholesterol.
Abstract:
Using data from 140,000 men and 32,000 women in the UK and 30,000 men and 12,000 women in Japan, we performed spectral analyses to test for seasonal variation in serum cholesterol levels. In both countries and both sexes we found a strong seasonal effect, cholesterol levels being some 3-5% higher in winter than in summer. This was independent of seasonal changes in body mass. Mean monthly cholesterol levels were negatively correlated with mean monthly air temperatures (r = -0.60 to -0.71). The observed seasonal differences were larger than the inter-assay coefficient of variation for the cholesterol determination method employed and have important consequences for long-term epidemiological or intervention studies.
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