We investigated seasonal variation in serum lipids in 96 volunteers ag
ed 65-74 years who were studied at 2-monthly intervals for one year. P
eriodic regression analysis revealed highly significant seasonal varia
tion in serum total cholesterol and high-density lipoprotein (HDL) cho
lesterol. Peak levels for both occurred in winter with corresponding s
ummer troughs. The seasonal difference for total cholesterol was 0.32
mmol/l (95%CI 0.23-0.41, p < 0.0001) and that for HDL cholesterol 0.16
mmol/l (95% CI 0.12-0.19, p < 0.0001). Low-density lipoprotein (LDL)
cholesterol was highest in winter in men only (seasonal difference 0.2
7 mmol/l, 95% CI 0.15-0.39, p < 0.0001), and triglycerides were signif
icantly greater in late winter for women only (seasonal difference 0.2
2 mmol/l, 95% CI 0.09-0.35, p = 0.002). The timing of seasonal variati
on in total cholesterol and triglycerides would be consistent with a r
ole in the seasonal variation in vascular deaths, but our finding of a
relatively high HDL: total cholesterol ratio in winter makes this les
s likely.