Exercise
Boosts Cholesterol-
Lowering Diet Effects
NEW YORK (Reuters Health) - Yet another study has demonstrated
the considerable health benefits of moderate exercise. In a study
of people with heart disease who were trying to lower their cholesterol
levels by sticking to a reduced-fat diet, adding an average of
just 30 minutes a day of moderate exercise helped most reach their
cholesterol goals.
The study included 21 men and 6 women with heart disease. At the
start of the study, all participants were on a cholesterol-lowering
diet that included less than 200 milligrams (mg) of cholesterol
a day and fewer than 7% of calories from saturated fat. More than
half of the participants were taking cholesterol-lowering drugs,
but they did not change their dose during the 6-month study.
Each participant was advised to continue on the reduced-fat
diet but to begin exercising 30 to 60 minutes three to six times
a week. The exercise program emphasized moderate exercise, such
as brisk walking, slow jogging and riding an exercise bike, according
to the report in The American Journal of Cardiology.
Six months later, 89% of participants had lowered their LDL
("bad") cholesterol to acceptable levels, reports a team led by
Dr. Francine K. Welty of Beth Israel Deaconess Medical Center
in Boston, Massachusetts. The participants exercised an average
of 30 minutes a day.
For people with heart disease who have LDL levels between 100
and 129 mg per deciliter (dL) of blood, treatment with cholesterol-lowering
drugs is optional. Once LDL reaches 130 mg/dL, however, drug therapy
is usually recommended. Of the 10 people in the study who initially
had LDL levels greater than 130 mg/dL, four were able to reduce
LDL levels to 125 mg/dL or below, and in three patients, levels
dropped to 100 mg/dL or below.
After 6 months of exercising, patients also experienced an average
drop in triglycerides, another type of blood fat that is linked
to heart disease. Blood pressure also declined, but HDL, the helpful
form of cholesterol, did not decline.
"Our findings provide support for the use of exercise and weight
loss in achieving LDL cholesterol goal" in people with heart disease
who have LDL cholesterol levels between 100 mg/dL and 129 mg/dL,
Welty and her colleagues conclude.
They note that weight loss, and not just sticking to a reduced-fat
diet, was important for lowering LDL levels. The amount of weight
loss was related to the size of the decline in LDL levels, according
to the report.
SOURCE: American Journal of Cardiology 2002;89:1201-1204.
Reference
Source 89
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