SUMMARY Fasting plasma triglyceride, plasma cholesterol and high-density lipoprotein (HDL) cholesterol levels were studied for 190 white women, ages 21-39 years, who were classified according to their oral contraceptive (OC) usage patterns at two community surveys, 3 years apart. The mean level of fasting triglyceride was higher among current OC users (95 mg/100 ml) than among nonusers (73 mg/100 ml) (p = 0.002). After adjustment for the possible confounding effects of age, weight, current cigarette smoking and fasting glucose level, current OC users still had a mean plasma triglyceride level 19 mg/100 ml higher than that of nonusers (p = 0.007). Current OC users also appeared to have somewhat higher levels of total cholesterol which were of borderline significance in crude and adjusted analyses.
Methods of ProcedureDuring each community survey, questionnaire information was obtained concerning cigarette smoking (yes or no), age, and stated body weight. In the clinic, fasting blood specimens were drawn by antecubital venipuncture with the women sitting. The specimens were collected between 8 and 10 a.m. in tubes that contained sodium EDTA. The tubes were inverted eight times and centrifuged, and the plasma was decanted. In addition, a fasting blood glucose was collected in a tube containing fluoride-oxalate, and measured by the glucose oxidase method.8Triglycerides were measured by a modification of the Kessler-Lederer method.9 Cholesterol concentrations in the total plasma were measured by the method of Abell-Kendall." HDL cholesterol fractions were separated by precipitating the other lipoproteins with heparin-manganese chloride, and measured by a modification of the method of Burstein and colleagues.1' These determinations were performed in the laboratory of the Framingham Heart Study, which participates in a quality-control program through a cooperative arrangement with the Lipid Research Clinics. 12 486