The effects of weight loss by exercise or by dieting on plasma high-density lipoprotein (HDL) levels in men with low, intermediate, and normal-to-high HDL at baseline
Open accessAbstract
To assess whether baseline plasma high-density lipoprotein (HDL) cholesterol levels affected the HDL response to weight loss, we examined lipoprotein changes in overweight men aged 30 to 59 years who were randomized to lose weight by exercise training (primarily running, n = 46) or by caloric restriction (ie, dieting, n = 42) or to remain sedentary, nondieting controls (n = 42) in a 1-year study. In exercisers, absolute increases in HDL (mg/dL) were greatest in men with normal-to-high baseline HDL and least in men with low baseline HDL. Specifically, when divided into groups of low (< or = 37 mg/dL), intermediate (38 to 47 mg/dL), and normal-to-high HDL cholesterol (> or = 48 mg/dL) at baseline, the exercisers increased HDL cholesterol by 2.3 +/- 1.9, 4.9 +/- 1.1, and 7.0 +/- 1.3 mg/dL, respectively; HDL2 cholesterol by 0.8 +/- 1.6, 2.3 +/- 1.2, and 5.1 +/- 1.3 mg/dL; and HDL2 mass by 2.8 +/- 5.1, 9.5 +/- 8.9, and 31.7 +/- 11.0 mg/dL. Relative increases in HDL cholesterol were more similar in the low (7.1% +/- 6.1%), intermediate (12.4% +/- 3.9%), and normal-to-high men (13.2% +/- 4.0%). Regression analyses were performed to assess whether baseline HDL cholesterol was related to the amount of absolute HDL change per unit of weight loss. In exercisers, the increase in HDL3 cholesterol concentrations was significantly greater in men with low HDL than in those with normal-to-high HDL at entry (2.0 +/- 0.8 v 0.2 +/- 0.8 mg/dL per kg/m2 lost).(ABSTRACT TRUNCATED AT 250 WORDS)
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It has been suggested that regular physical activity may change the LDL cholesterol particle size, even when total LDL concentrations remain constant.
“However, it has been suggested that regular physical activity may change the LDL cholesterol particle size, even when total LDL concentrations remain constant [82, 83].”
From Can consumer wearable activity tracker-based interventions improve physical activity and cardiometabolic health in patients with chronic diseases? A systematic review and meta-analysis of randomised controlled trials (2020) · cites this paper as [83]
The Discussion and Results passages report changes in HDL cholesterol and its subfractions after exercise-induced weight loss, not changes in LDL particle size while total LDL remains constant. Searches for LDL particle size and low-density lipoprotein subfractions found only a related work listed in the References; our copy does not state the attributed claim. No page numbers were supplied for these passages. (LLM, conf=0.72)
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- Authors
- Williams, P. T., Stefanick, M. L., Vranizan, K. M., & Wood, P. D.
- Affiliations
- Lawrence Berkeley National Laboratory (US)
- Corresponding author
- Williams, Paul T.
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1994-07
- Volume
- 43
- Issue
- 7
- Pages
- 917-924
- ISSN
- 0026-0495 (ISSN-L)
- PMC
- PMC2864614
- OpenAlex
- W2019784051
- Cited by
- 106
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 3 · 2020: 8 · 2019: 1 · 2018: 1 · 2017: 2 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 2
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5k04hl002183-05, 1r03hl049828-01a1, 5r01hl024462-10)
- National Institute on Aging (R03AG032004)
- National Heart, Lung, and Blood Institute (HL-49828, HL-24462, HL-02183)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- HDL cholesterol, weight loss, exercise training, caloric restriction, dieting, overweight men, running, lipoprotein metabolism
- MeSH terms
- Adult, Diet, Reducing, Humans, Lipoproteins, HDL, Cholesterol, HDL, Male, Middle Aged, Reference Values, Weight Loss, Exercise
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