Sportmedizin im Wandel
Problem: Dyslipidaemia and physical inactivity are leading risk factors for the development of atherosclerotic disease, accounting annually for approximately 5.8 million deaths worldwide. A lipid-lowering effect of exercise is commonly assumed, but, in contrast to multi-modal lifestyle interventions...
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| Format: | Article |
| Language: | deu |
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Dynamic Media Sales Verlag
2017-11-01
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| Series: | Deutsche Zeitschrift für Sportmedizin |
| Online Access: | https://www.germanjournalsportsmedicine.com/archive/archive-2017/heft-11/a-run-a-day-keeps-lipids-at-bay-regular-exercise-as-a-treatment-of-dyslipidaemias/ |
| _version_ | 1827908629517303808 |
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| author | Pressler A |
| author_facet | Pressler A |
| author_sort | Pressler A |
| collection | DOAJ |
| description | Problem: Dyslipidaemia and physical inactivity are leading risk factors for the development of atherosclerotic disease, accounting annually for approximately 5.8 million deaths worldwide. A lipid-lowering effect of exercise is commonly assumed, but, in contrast to multi-modal lifestyle interventions, the particular effect of exercise on lipid profiles is less-wellestablished. Methods: Systematic literature search for epidemiological and randomized trials, reviews and meta-analyses evaluating the particular effects of high fitness or exercise interventions on changes in lipid levels. Results: A higher fitness assessed by exercise testing is moderately associated with favourable HDL-cholesterol and triglyceride, but not LDL levels. This is confirmed by findings from randomized trials and meta-analyses, but effects are not consistently observed. Moderate aerobic exercise is preferred over resistance or high-intensity interval exercise. Besides absolute lipid values, exercise favourably influences atherogenic lipid subfractions. The combination of statins with exercise improves clinical outcomes; thus, statins should not be withheld if indicated according to guidelines.Discussion: The effect of exercise on lipid levels is at best moderate, with small improvements in HDL and triglyceride, but not LDL levels. Nonetheless, dyslipidaemia is rarely observed as a single risk factor, and exercise remains a cornerstone of multimodal lifestyle interventions to favourably modify cardiovascular risk.KEY WORDS: Fitness, Exercise, Dyslipidaemia, LDL, Statins |
| first_indexed | 2024-03-13T01:25:00Z |
| format | Article |
| id | doaj.art-308553696cda4ae09b1a1e142dc7ade5 |
| institution | Directory Open Access Journal |
| issn | 0344-5925 2510-5264 |
| language | deu |
| last_indexed | 2024-03-13T01:25:00Z |
| publishDate | 2017-11-01 |
| publisher | Dynamic Media Sales Verlag |
| record_format | Article |
| series | Deutsche Zeitschrift für Sportmedizin |
| spelling | doaj.art-308553696cda4ae09b1a1e142dc7ade52023-07-04T17:04:30ZdeuDynamic Media Sales VerlagDeutsche Zeitschrift für Sportmedizin0344-59252510-52642017-11-01681110.5960/dzsm.2017.304304635Sportmedizin im WandelPressler AProblem: Dyslipidaemia and physical inactivity are leading risk factors for the development of atherosclerotic disease, accounting annually for approximately 5.8 million deaths worldwide. A lipid-lowering effect of exercise is commonly assumed, but, in contrast to multi-modal lifestyle interventions, the particular effect of exercise on lipid profiles is less-wellestablished. Methods: Systematic literature search for epidemiological and randomized trials, reviews and meta-analyses evaluating the particular effects of high fitness or exercise interventions on changes in lipid levels. Results: A higher fitness assessed by exercise testing is moderately associated with favourable HDL-cholesterol and triglyceride, but not LDL levels. This is confirmed by findings from randomized trials and meta-analyses, but effects are not consistently observed. Moderate aerobic exercise is preferred over resistance or high-intensity interval exercise. Besides absolute lipid values, exercise favourably influences atherogenic lipid subfractions. The combination of statins with exercise improves clinical outcomes; thus, statins should not be withheld if indicated according to guidelines.Discussion: The effect of exercise on lipid levels is at best moderate, with small improvements in HDL and triglyceride, but not LDL levels. Nonetheless, dyslipidaemia is rarely observed as a single risk factor, and exercise remains a cornerstone of multimodal lifestyle interventions to favourably modify cardiovascular risk.KEY WORDS: Fitness, Exercise, Dyslipidaemia, LDL, Statinshttps://www.germanjournalsportsmedicine.com/archive/archive-2017/heft-11/a-run-a-day-keeps-lipids-at-bay-regular-exercise-as-a-treatment-of-dyslipidaemias/ |
| spellingShingle | Pressler A Sportmedizin im Wandel Deutsche Zeitschrift für Sportmedizin |
| title | Sportmedizin im Wandel |
| title_full | Sportmedizin im Wandel |
| title_fullStr | Sportmedizin im Wandel |
| title_full_unstemmed | Sportmedizin im Wandel |
| title_short | Sportmedizin im Wandel |
| title_sort | sportmedizin im wandel |
| url | https://www.germanjournalsportsmedicine.com/archive/archive-2017/heft-11/a-run-a-day-keeps-lipids-at-bay-regular-exercise-as-a-treatment-of-dyslipidaemias/ |
| work_keys_str_mv | AT presslera sportmedizinimwandel |