High-density lipoprotein particle pattern and overall lipid responses to a short-term moderate-intensity aerobic exercise training intervention in patients with chronic kidney disease
Open accessAbstract
Chronic kidney disease (CKD) is associated with abnormal lipid profiles and altered high-density lipoprotein (HDL) particle size patterns. Lower levels of the larger, cardioprotective HDL particles found in CKD may play a role in the increased risk for cardiovascular disease in these patients. The current study was designed to assess the effects of short-term moderate-intensity aerobic exercise training on the HDL particle pattern and overall lipid profiles in stage 3 CKD patients. Forty-six men and women with stage 3 CKD were randomized to either exercise (EX, n = 25) or control (CON, n = 21). Those in the EX group completed 16 weeks of supervised moderate-intensity aerobic exercise three times per week. Serum total cholesterol, HDL cholesterol (HDL-C), triglycerides (TGs), low-density lipoprotein cholesterol (LDL-C), HDL particle size, estimated glomerular filtration rate (eGFR), body composition and peak oxygen uptake (VO2peak) were assessed at baseline and week 16. The rate of compliance in the EX group was 97 ± 7.2%. No change was observed in eGFR over time in either group. There was an 8.2% improvement in VO2peak in the EX group (P = 0.05), while VO2peak decreased in the CON group. HDL-C, TGs, HDL particle size and body composition remained unchanged in both groups. A trend was found for lower total cholesterol (TC) (P = 0.051) and LDL-C (P = 0.07) in the CON group. Our findings indicate that a short-term aerobic exercise training intervention in stage 3 CKD patients does not induce changes in HDL particle size or favorable lipid profile modifications.
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Risk for detection bias was unclear in 4 RCTs and high in the Kiuchi study only.
“Risk for detection bias was unclear in 4 RCTs [7, 13, 20, 21], and was scored as high in Kiuchi study only [15].”
From Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis (2019) · cites this paper as [13]
High risk of performance bias was granted to more than 75% of the included studies.
“high risk of performance bias was granted to more than 75% of the studies [7, 9, 10, 13, 15–18, 20, 21].”
From Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis (2019) · cites this paper as [13]
The Results describe one randomized exercise intervention, and the Materials and methods describe its procedures. Neither section assesses performance bias across the citing paper’s included studies or reports that more than 75% were rated high risk. Searches for performance bias, blinding, and the 75% figure found no such assessment in our copy. (LLM, conf=0.76)
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Cites
Effects of the amount and intensity of exercise on plasma lipoproteins
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Zhang, L., Wang, Y., Xiong, L., Luo, Y., Huang, Z., & Yi, B. (2019) · BMC Nephrology · doi:10.1186/s12882-019-1586-5 · Cited by 132 · see citing works
- Authors
- Miele, E. M., Headley, S. A. E., Germain, M., Joubert, J., Herrick, S., Milch, C., Evans, E., Cornelius, A., Brewer, B., Taylor, B., & Wood, R. J.
- Affiliations
- Springfield College (US)
- University of the Rockies (US)
- University of Connecticut (US)
- Corresponding author
- Wood, Richard J.
- Venue
- Clinical Kidney Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-03-27
- Volume
- 10
- Issue
- 4
- Pages
- 524-531
- ISSN
- 2048-8505 (ISSN-L)
- 2048-8513
- PMC
- PMC5570090
- OpenAlex
- W2597971971
- Cited by
- 30
- References
- 6
- Citations by year
- 2026: 3 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 2
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Clinical Kidney Journal (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1R15HL096097-01)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- chronic kidney disease, aerobic exercise training, HDL particle size, HDL cholesterol, lipid profile, cardiovascular risk, peak oxygen uptake, body composition, triglycerides, LDL cholesterol, total cholesterol, exercise intervention
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