Szapary Philippe O, Bloedon LeAnne T, Foster Gary D
Division of General Internal Medicine, University of Pennsylvania School of Medicine, 1222 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021, USA.
Curr Cardiol Rep. 2003 Nov;5(6):488-92. doi: 10.1007/s11886-003-0112-2.
Physical activity is an important component of weight control, and is widely recommended to prevent and treat obesity-related complications such as diabetes and coronary heart disease (CHD). Although the cardiovascular benefits of increased physical activity are likely multifactorial, much of the attention has been focused on the known high-density lipoprotein (HDL) cholesterol-raising properties of regular physical activity. Physical activity, however, can also reliably lower triglycerides and favorably affect both low-density lipoprotein (LDL) and HDL particle sizes. Limited data on resistance exercise suggest that this type of physical activity may reduce LDL cholesterol. Although these lipid effects are modest and variable, they are likely to be particularly important in reducing the morbidity and mortality from CHD on a population level, and may be especially important in patients with atherogenic dyslipidemia.
体育活动是体重控制的重要组成部分，被广泛推荐用于预防和治疗肥胖相关并发症，如糖尿病和冠心病（CHD）。尽管增加体育活动对心血管的益处可能是多因素的，但很多注意力都集中在规律体育活动已知的升高高密度脂蛋白（HDL）胆固醇的特性上。然而，体育活动也能可靠地降低甘油三酯，并对低密度脂蛋白（LDL）和HDL颗粒大小产生有利影响。关于抗阻运动的有限数据表明，这类体育活动可能会降低LDL胆固醇。尽管这些脂质效应不大且存在变数，但它们在降低人群层面冠心病的发病率和死亡率方面可能特别重要，对动脉粥样硬化性血脂异常患者可能尤为重要。
