Differences in the concentration and composition of low-density lipoprotein subfraction particles between sedentary and trained hypercholesterolemic men
Abstract
There is evidence that a low-density lipoprotein (LDL) subfraction profile of increased concentrations of small, dense LDL particles is less common among trained than among sedentary normocholesterolemic men, but it is still uncertain whether there is a similar association in hypercholesterolemia also. Therefore, we determined the lipid and apolipoprotein concentration and composition of six LDL subfractions (density gradient ultracentrifugation) in 20 physically fit, regularly exercising (>three times per week) hypercholesterolemic men and 20 sedentary hypercholesterolemic controls. Trained (maximal oxygen consumption [VO2max], 57.3 +/- 7.4 mL/kg/min) and sedentary (VO2max, 37.5 +/- 8.8 mL/kg/min) individuals (aged 35 +/- 11 years; body mass index [BMI], 23.9 +/- 2.7 kg/m2) were matched for LDL apolipoprotein (apo) B levels (108 +/- 23 and 112 +/- 36 mg/dL, respectively). Trained subjects had significantly lower serum triglyceride (P < .05) and very-low-density lipoprotein (VLDL) cholesterol levels (P < .05) and higher high-density lipoprotein 2 (HDL2) cholesterol levels (P < .01) than sedentary controls. LDL particle distribution showed that trained individuals had significantly less small, dense LDL (d = 1.040 to 1.063 g/mL) and more large LDL (d = 1.019 to 1.037 g/mL) subfraction particles than sedentary controls, despite equal total LDL particle number. Analysis of LDL composition showed that LDL particles of hypercholesterolemic trained men had a higher free cholesterol content than LDL of untrained hypercholesterolemic men. Small, dense LDL in hypercholesterolemic trained men were richer in phospholipids than those in sedentary controls. These data demonstrate the significant influence of aerobic fitness on lipoprotein subfraction concentration and composition, thereby emphasizing the role of exercise in the treatment and risk reduction of hypercholesterolemia.
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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].”
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Franssen, W. M. A., Franssen, G. H. L. M., Spaas, J., Solmi, F., & Eijnde, B. O. (2020) · Figshare · doi:10.6084/m9.figshare.12284666
Heart failure etiology and lipoprotein subfractions: Insight from the SMARTEX-HF study
Karlsen, T., Vesterbekkmo, E. K., Hole, T., Larsen, A. I., Valborgland, T., Braaten, T. B., Bathen, T. F., Beckers, P. J., Delagardelle, C., Feiereisen, P., et al. (2026) · IJC Heart & Vasculature · doi:10.1016/j.ijcha.2026.101888
Self-citationAkkaya, C. C., Eslami, Z., Moghanlou, A. E., Yönal, M., Mirghani, S. J., Demirli, A., & Taştan, Z. (2026) · Metabolites · doi:10.3390/metabo16110825
- Authors
- Halle, M., Berg, A., König, D., Keul, J., & Baumstark, M. W.
- Affiliations
- University Medical Center Freiburg (DE)
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1997-02
- Volume
- 46
- Issue
- 2
- Pages
- 186-191
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2019043171
- Cited by
- 41
- References
- 59
- Citations by year
- 2026: 3 · 2024: 1 · 2022: 1 · 2020: 6 · 2018: 2 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 4
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- 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
- low-density lipoprotein subfractions, small dense LDL, hypercholesterolemia, cardiorespiratory fitness, physical activity, sedentary lifestyle, lipoprotein composition, free cholesterol, phospholipids, HDL2, VLDL cholesterol, triglycerides, apolipoprotein B, cardiovascular risk
- MeSH terms
- Centrifugation, Density Gradient, Humans, Hypercholesterolemia, Lipoproteins, LDL, Cholesterol, LDL, Male, Physical Fitness, Triglycerides, Ultracentrifugation, Cholesterol, VLDL, Exercise
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