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Exercise, Lipids, and Lipoproteins in Older Adults: A Meta‐Analysis
Open accessAbstract
The authors used the meta‐analytic approach to examine the effects of aerobic exercise on lipids and lipoproteins in adults 50 years of age and older. Twenty‐eight outcomes representing 1427 subjects (806 exercise, 621 control) were available for pooling. Random‐effects modeling yielded statistically significant improvements of 1.1%, 5.6%, 2.5%, and 7.1%, respectively, for total cholesterol (mean ± SEM in mg/dL, −3.3±1.7; 95% confidence interval [CI], −6.5 to −0.02; p=0.05), high‐density lipoprotein cholesterol (2.5±1.0; 95% CI, 0.7–4.4; p=0.01), low‐density lipoprotein cholesterol (−3.9±1.9; 95% CI, −7.7 to −0.08; p=0.05), ratio of total cholesterol to high‐density lipoprotein cholesterol (−0.8±0.2; 95% CI, −1.2 to −0.4; p<0.001), but not triglycerides (−7.0±3.6; 95% CI, −14.0 to 0.1; p=0.06). After conducting sensitivity analyses, only the improvements in high‐density lipoprotein cholesterol and the ratio of total cholesterol to high‐density lipoprotein cholesterol remained statistically significant (p<0.05 for both). It was concluded that aerobic exercise increases high‐density lipoprotein cholesterol and decreases the ratio of total cholesterol to high‐density lipoprotein cholesterol in older adults.
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“Aerobic exercise is effective in improving lipid metabolism607–615).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [609]
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“Six reported a significant increase in HDL-C levels, which was the most frequently observed effect of exercise on serum lipids577, 607–613).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [609]
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BackgroundLICHTENSTEIN, H., Loria, C. M., Millen, B. E., Miller, N. H., Nonas, C., Eckel, R. H., Jakicic, J. M., Ard, J. D., Hubbard, S. M., Jesus, J. M. D., et al. (2013) · Cited by 4
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EFFECTS OF EXERCISE TYPE AND INTENSITY ON VISFATIN AND THE METABOLIC SYNDROME IN OBESITY
Lee, J.-K. (2021) · Revista Brasileira de Medicina do Esporte · doi:10.1590/1517-8692202127022020_0088 · Cited by 4
Fellows, L., Miller, E. H., Frederickson, M., Bly, B., & Felt, P. (2000) · PubMed · Cited by 4
Clinical inquiries. Which lifestyle interventions effectively lower LDL cholesterol?
Powers, E., Saultz, J. W., Hamilton, A., & Lo, V. (2007) · PubMed · Cited by 4
Epidemiology of Atherosclerotic Cardiovascular Disease
Townsend, N. P. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809657-4.99735-7 · Cited by 5
BENEFITS OF AEROBIC EXERCISE TRAINING WITH RECOMMENDATIONS FOR HEALTHY AGING
Lazzer, S., Rejc, E., & del Torto, A. (2018) · Annales Kinesiologiae · doi:10.35469/ak.2017.135 · Cited by 3
Physical Activity in the Prevention of Heart Failure
Intwala, S., & Balady, G. J. (2015) · Circulation · doi:10.1161/circulationaha.115.018831 · Cited by 3
“The biological link between exercise and coronary heart disease protection has been attributed to improved antioxidative protection, changes in mitochondrial metabolism, favorable lipid changes (increase high-density lipoprotein, decrease low-density lipoprotein), and control of known atherosclerotic risk factors.(14,…”
BackgroundZhou, T., Su, S., Yuan, C., Jiang, D., Qiu, Y., Xiao, J., Lu, X., Gu, D., & Liu, F. (2026) · Medicine Plus · doi:10.1016/j.medp.2026.100137 · Cited by 2
Effect of green tea on the cardiovascular system
Maternia, J., Miszczyk, K., Maj, P., Sergiel, N., Kania, A., Gonet, M., Włodarczyk-Cybulska, K., Mozer, P., Lazar, M., & Serwik-Trandasir, A. (2023) · Journal of Education Health and Sport · doi:10.12775/jehs.2023.46.01.014 · Cited by 2
“Mogą również przyczynić się do poprawy profilu lipidowego, regulując syntezę tłuszczów i obniżając absorpcję lipidów w jelicie [22].”
Coelho‐Júnior, H. J., Calvani, R., Picca, A., Tosato, M., Savera, G., Landi, F., & Marzetti, E. (2023) · Aging Clinical and Experimental Research · doi:10.1007/s40520-023-02549-x · Cited by 2
“Numerous studies have reported that aerobic training (AT), land-or water-based exercises in which muscle contractions are sustained for long periods [10], ameliorates cardiometabolic risk factors [11–14].”
BackgroundCardiac Rehabilitation in Geriatric Individuals
Kutukcu, E. C., Topcuoğlu, C., Ar, U., & Sağlam, M. (2024) · Topics in Geriatric Rehabilitation · doi:10.1097/tgr.0000000000000448 · Cited by 2
Anton, S., & Manini, T. M. (2010) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-010-0100-1 · Cited by 2
“Another meta-analyses of 13 studies (17 exercise groups, 14 control) concluded that the average reduction in body weight following an exercise intervention is 0.7 kg [ 41 ].”
BackgroundInfluentialNúñez-Cortés, J. M., Pedro‐Botet, J., & Pintó, X. (2011) · Clínica e Investigación en Arteriosclerosis · doi:10.1016/j.arteri.2011.07.003 · Cited by 2
Kashef, M., Karizak, S. Z., & Shabaninia, M. (2014) · مجله علمی پژوهشی افق دانش · Cited by 2
Elfira, E. (2020) · Nurse and Health Jurnal Keperawatan · doi:10.36720/nhjk.v9i2.193 · Cited by 2
Health and Nutrition Analysis in Older Adults in San José de Minas Rural Parish in Quito, Ecuador
Ordóñez-Araque, R., Caicedo-Jaramillo, C., Gálvez, M. M. G., & Proaño-Zavala, J. (2023) · Global Health · doi:10.1155/2023/1839084 · Cited by 1
“In addition, it improves the immune system response, can reduce the risk of falls and cardiovascular diseases, can contribute to a reduction in muscle atrophy, increases the excretion of cholesterol, and consequently reduces the risk of atherosclerosis [4, 6, 7].”
Bénéfices pour la santé de la pratique d’une activité physique chez le sujet âgé
Vogel, T., Lang, P. O., Schmitt, E., Kaltenbach, G., & Gény, B. (2013) · Les cahiers de l année gérontologique · doi:10.1007/s12612-013-0360-8 · Cited by 1
Fruchart, J., Sacks, F. M., Hermans, M. P., Assmann, G., Brown, W. V., Češka, R., Chapman, M. J., Dodson, P. M., Fioretto, P., Ginsberg, H. N., et al. (2010) · Cor et Vasa · doi:10.33678/cor.2010.056 · Cited by 1
Physical Activity and the Mediterranean Diet
Hingle, M. D., Laddu, D., & Going, S. B. (2016) · Springer eBooks · doi:10.1007/978-3-319-27969-5_16 · Cited by 1
“1 %), but not TG [ 55 ] with moderate intensity (55–90 % of maximum heart rate) aerobic activity; increased HDL-C and decreased ratio of TC/HDL-C were the only fractions that remained statistically signifi cant after a sensitivity analysis to identify publication bias ( p < 0.”
BackgroundAVALIAÇÃO DOS EFEITOS DA ATIVIDADE FÍSICA NA PREVENÇÃO DE DOENÇAS CARDIOVASCULARES
Melo, T. D. P. N., Andrade, P. R. M., Santos, G. A. R., Júnior, L. R. D. A., da Silva, A. K. O., Rodrigues, M. G. D. O., Magalhães, P. R., Magalhães, L. R., do Nascimento, A. L., & de Souza, L. M. (2024) · Revista Ibero-Americana de Humanidades, Ciências e Educação · doi:10.51891/rease.v10i6.13879 · Cited by 1
Exercise Standards for Testing and Training: A Scientific Statement From the American
Rhodes, J., Thompson, P. D., Williams, M. A., Coke, L. A., Fleg, J. L., Forman, D. E., Gerber, T. C., Gulati, M., Fletcher, F. M., Ades, P. A., et al. (2013) · Cited by 1
Chehuen, M. D. R. (2014) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.39.2014.tde-11052015-095750 · Cited by 1
Naharcı, M. İ., & Taşçı, İ. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15877 · Cited by 1
“A meta-analysis reported aerobic exercise increases HDL-C and decreases the ratio of total cholesterol to HDL-C in adults aged 50 years or older.(8) In a recent study, Aparicio-Ugarriza et al suggested that physical fitness was associated with improved HDL-C and low-density lipoprotein cholesterol levels in adults age…”
BackgroundAerobic Exercise Training and Healthy Aging
Fleg, J. L. (2019) · Springer eBooks · doi:10.1007/978-3-319-69892-2_605-1 · Cited by 1
Weight Loss Versus Behavioral Change as the Primary Goal in Clinical Practice
Vaughan, E. M., & Johnston, C. A. (2015) · American Journal of Lifestyle Medicine · doi:10.1177/1559827615579166
Jakicic, J. M., Ard, D., Miller, N. H., Hubbard, S. M., Nonas, C., Jesus, J. M. D., Sacks, F. M., Lichtenstein, A. H., Svetkey, L. P., Loria, C. M., et al. (2013)
Metadata
- Authors
- Kelley, G. A., Kelley, K. S., & Tran, Z. V.
- Affiliations
- West Virginia University (US)
- Venue
- Preventive Cardiology
- Publisher
- Wiley
- Published
- 2005-09
- Volume
- 8
- Issue
- 4
- Pages
- 206-214
- ISSN
- 1520-037X (ISSN-L)
- 1751-7141
- PMC
- PMC2447857
- OpenAlex
- W2009903068
- Cited by
- 118
- References
- 50
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 4 · 2021: 7 · 2020: 6 · 2019: 5 · 2018: 9 · 2017: 7 · 2016: 5 · 2015: 6 · 2014: 6 · 2013: 13 · 2012: 6
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL069802)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- aerobic exercise, older adults, lipoproteins, cholesterol, HDL cholesterol, LDL cholesterol, TC/HDL-C ratio, triglycerides, lipid profile, cardiovascular risk
- MeSH terms
- Female, Humans, Lipids, Lipoproteins, Cholesterol, HDL, Cholesterol, LDL, Male, Middle Aged, Exercise
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