Tambalis Konstantinos, Panagiotakos Demosthenes B, Kavouras Stavros A, Sidossis Labros S
Department of Nutrition Science-Dietetics, Harokopio University, Athens, Greece.
Angiology. 2009 Oct-Nov;60(5):614-32. doi: 10.1177/0003319708324927. Epub 2008 Oct 30.
This review considers the effectiveness of aerobic exercise training with different intensities (moderate and high) as well as the type of exercise (aerobic, resistance, and combined aerobic with resistance) in altering the blood lipids. We reviewed various trials via a systematic search of PubMed, published reviews, and references from original articles. We selected studies that involved aerobic and/or resistance and/or combined exercise training in healthy adults over a limit of 12 weeks and had examined the response of training to one or more of the following: triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. We selected a total of 84 studies, 58 were randomized controlled trials. Comparisons between intensities of aerobic exercise programs resulted in favorable effects only for high intensity. The most frequently observed alteration was an increase in the high-density lipoprotein cholesterol, whereas reductions in triglycerides, total cholesterol, and low-density lipoprotein cholesterol appeared less often. Moreover, the evidence of the positive effect of resistance exercise marks out a trend mainly for the low-density lipoprotein cholesterol levels, whereas for combined exercise, results extracted from a short list of published studies show improvements in values of both the high-density lipoprotein cholesterol and the low-density lipoprotein cholesterol. High-intensity aerobic training results in improvement in high-density lipoprotein cholesterol. For resistance and combined exercise, the results are inconsistent. The heterogeneity between the types of exercise did not allow reliable comparisons.
本综述探讨了不同强度（中等强度和高强度）的有氧运动训练以及运动类型（有氧运动、抗阻运动和有氧与抗阻联合运动）对血脂的影响。我们通过系统检索PubMed、已发表的综述以及原始文章的参考文献，对各种试验进行了回顾。我们选择了涉及健康成年人进行12周以上的有氧和/或抗阻和/或联合运动训练的研究，并研究了训练对以下一种或多种指标的反应：甘油三酯、总胆固醇、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇。我们总共选择了84项研究，其中58项为随机对照试验。有氧运动项目强度之间的比较仅显示高强度有有益效果。最常观察到的变化是高密度脂蛋白胆固醇升高，而甘油三酯、总胆固醇和低密度脂蛋白胆固醇降低则较少出现。此外，抗阻运动积极效果的证据主要显示为低密度脂蛋白胆固醇水平呈下降趋势，而对于联合运动，从少量已发表研究中得出的结果显示高密度脂蛋白胆固醇和低密度脂蛋白胆固醇值均有所改善。高强度有氧运动训练可使高密度脂蛋白胆固醇得到改善。对于抗阻运动和联合运动，结果并不一致。运动类型之间的异质性使得无法进行可靠的比较。
