Gordon Benjamin, Chen Stephen, Durstine J Larry
Department of Exercise Science, University of South Carolina, Columbia, SC.
Curr Sports Med Rep. 2014 Jul-Aug;13(4):253-9. doi: 10.1249/JSR.0000000000000073.
The purpose of this review is to provide up-to-date information regarding the effects of aerobic and resistance exercise training on the traditional blood lipid and lipoprotein profile. In addition, emerging coronary artery disease (CAD) risk factors, such as postprandial lipemia (PPL) and metabolic syndrome (MetS), are reviewed. Numerous studies report that aerobic exercise combined with weight loss significantly reduces blood cholesterol, low-density lipoprotein cholesterol (LDL-C), very low-density lipoprotein cholesterol (VLDL-C), and triglycerides (TG) while improving high-density lipoprotein cholesterol (HDL-C). Both aerobic and resistance training demonstrated a reduction in non-HDL-C independent of changes in body weight. Transient beneficial effects of a single session of aerobic exercise are observed for PPL. Nonetheless further research is needed to provide a better understanding of the potential mechanisms for reducing PPL. Exercise as an intervention for patients with MetS leads to improved CAD risk factors including atherogenic dyslipidemia, blood pressure, body composition, insulin sensitivity, and fat metabolism.
本综述的目的是提供关于有氧和抗阻运动训练对传统血脂和脂蛋白谱影响的最新信息。此外,还对餐后血脂异常(PPL)和代谢综合征(MetS)等新出现的冠状动脉疾病(CAD)危险因素进行了综述。大量研究报告称,有氧运动结合体重减轻可显著降低血液胆固醇、低密度脂蛋白胆固醇(LDL-C)、极低密度脂蛋白胆固醇(VLDL-C)和甘油三酯(TG),同时提高高密度脂蛋白胆固醇(HDL-C)。有氧训练和抗阻训练均显示非HDL-C降低,且与体重变化无关。单次有氧运动对PPL有短暂的有益影响。然而,需要进一步研究以更好地理解降低PPL的潜在机制。运动作为对MetS患者的一种干预措施,可改善CAD危险因素,包括致动脉粥样硬化性血脂异常、血压、身体成分、胰岛素敏感性和脂肪代谢。