J. Marrugat et al., AMOUNT AND INTENSITY OF PHYSICAL-ACTIVITY, PHYSICAL-FITNESS, AND SERUM-LIPIDS IN MEN, American journal of epidemiology, 143(6), 1996, pp. 562-569
Physical activity improves one's lipid profile and increases physical
fitness. The present study was aimed at determining the association of
amount and intensity of leisure time physical activity with serum lip
id profile and physical fitness. A total of 537 healthy men aged 20-60
years were recruited in a quota sampling frame for measurement of phy
sical activity energy expenditure at two different levels. The Minneso
ta Leisure Time Physical Activity Questionnaire was administered, Seru
m lipid and lipoprotein levels were measured, and all participants wer
e given an exercise test. Physical activities with an intensity greate
r than 7 kcal/minute were significantly associated (p < 0.01) with a h
igher level of high density lipoprotein (HDL) cholesterol and a lower
atherogenic index (total cholesterol:HDL cholesterol). Independently o
f other confounding variables, each average 100 kcal/day expended in l
eisure time physical activity with an intensity greater than 7 kcal/mi
nute during the previous year was associated with an increase of 2.09
mg/dl (0.054 mmol/liter) in HDL cholesterol and a decrease of 0.23 in
atherogenic index, However, only physical activity with an intensity g
reater than 9 kcal/minute was associated with decreases in total chole
sterol, non-HDL cholesterol, and log (triglycerides). Better physical
fitness was associated with physical activities of intensities above 5
kcal/minute. There is a threshold in the intensity of exercise associ
ated with serum lipid profile (7 kcal/minute) and physical fitness (5
kcal/minute), Above the former threshold, the relation between amount
of physical activity and lipid levels is linear for total cholesterol,
HDL cholesterol, non-HDL cholesterol, and atherogenic index and is lo
garithmic for triglycerides.