Cited by 588Cardiovascular and exercise physiologyPhysical Activity and HealthLipoproteins and Cardiovascular Health

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Blood Lipid and Lipoprotein Adaptations to Exercise: A Quantitative Analysis

Durstine, J. Larry, Grandjean, Peter W., Davis, Paul G., Ferguson, Michael A., Alderson, Nathan L., DuBose, Katrina D.·2001·Sports Medicine

DOI 10.2165/00007256-200131150-00002

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Abstract

Dose-response relationships between exercise training volume and blood lipid changes suggest that exercise can favourably alter blood lipids at low training volumes, although the effects may not be observable until certain exercise thresholds are met. The thresholds established from cross-sectional literature occur at training volumes of 24 to 32 km (15 to 20 miles) per week of brisk walking or jogging and elicit between 1200 to 2200 kcal/wk. This range of weekly energy expenditure is associated with 2 to 3 mg/dl increases in high-density lipoprotein-cholesterol (HDL-C) and triglyceride (TG) reductions of 8 to 20 mg/dl. Evidence from cross-sectional studies indicates that greater changes in HDL-C levels can be expected with additional increases in exercise training volume. HDL-C and TG changes are often observed after training regimens requiring energy expenditures similar to those characterised from cross-sectional data. Training programmes that elicit 1200 to 2200 kcal/wk in exercise are often effective at elevating HDL-C levels from 2 to 8 mg/dl, and lowering TG levels by 5 to 38 mg/dl. Exercise training seldom alters total cholesterol (TC) and low-density lipoprotein-cholesterol (LDL-C). However, this range of weekly exercise energy expenditure is also associated with TC and LDL-C reductions when they are reported. The frequency and extent to which most of these lipid changes are reported are similar in both genders, with the exception of TG. Thus, for most individuals, the positive effects of regular exercise are exerted on blood lipids at low training volumes and accrue so that noticeable differences frequently occur with weekly energy expenditures of 1200 to 2200 kcal/wk. It appears that weekly exercise caloric expenditures that meet or exceed the higher end of this range are more likely to produce the desired lipid changes. This amount of physical activity, performed at moderate intensities, is reasonable and attainable for most individuals and is within the American College of Sports Medicine's currently recommended range for healthy adults.

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Authors: Durstine, J. L., Grandjean, P. W., Davis, P. G., Ferguson, M. A., Alderson, N. L., & DuBose, K. D.
Affiliations: University of South Carolina (US)
Auburn University (US)
University of North Carolina at Greensboro (US)
ORCID: Durstine, J. Larry
Grandjean, Peter W.
Davis, Paul G.
Ferguson, Michael A.
DuBose, Katrina D.
Venue: Sports Medicine
Publisher: Springer Science and Business Media LLC
Published: 2001
Volume: 31
Issue: 15
Pages: 1033-1062
ISSN: 0112-1642 (ISSN-L)
DOI: 10.2165/00007256-200131150-00002
OpenAlex: W2167094654
Cited by: 588
References: 163
Citations by year: 2026: 9 · 2025: 15 · 2024: 21 · 2023: 20 · 2022: 14 · 2021: 20 · 2020: 29 · 2019: 19 · 2018: 23 · 2017: 16 · 2016: 21 · 2015: 44 · 2014: 31 · 2013: 31 · 2012: 40
FWCI: 34.13
Type: journal article
Language: en
Open access: closed
Locations: Sports Medicine (publishedVersion)
PubMed (publishedVersion)
Scholar Commons (University of South Carolina) (submittedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
Keywords: exercise training, serum lipids, lipoproteins, HDL cholesterol, triglycerides, LDL cholesterol, total cholesterol, exercise energy expenditure, training volume, dose-response relationship, exercise threshold, sex differences, physical activity guidelines
MeSH terms: Adult, Body Composition, Cholesterol, Cross-Sectional Studies, Energy Metabolism, Evaluation Studies as Topic, Exercise Therapy, Female, Humans, Hypercholesterolemia, Life Style, Lipids, Lipoproteins, Male, Physical Education and Training, Physical Endurance, Sex Factors, Time Factors, Triglycerides, Exercise

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Blood Lipid and Lipoprotein Adaptations to Exercise: A Quantitative Analysis

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