The 'oxidation hypothesis' states that oxidative modification of low-d
ensity lipoprotein (LDL) is important in the pathogenesis of the ather
osclerotic lesion. Physical exercise has been reported to reduce clini
cal manifestations of atherosclerosis. We compared the effects of aero
bic physical exercise history on oxidation characteristics of plasma L
DL at rest in non-smoking male veteran endurance athletes (n=15) and c
ontrol subjects (n=16). As an indicator of LDL oxidation we used a met
hod which provides an estimate of LDL diene conjugation in vivo. The a
thletes had lower plasma LDL cholesterol diene conjugation (P=0.003).
They also had lower cholesterol, lower LDL and higher high-density lip
oprotein (HDL) cholesterol. Intensive physical exercise energy expendi
ture correlated inversely with LDL diene conjugation (r=-0.41, P=0.021
). We conclude that participation in intensive physical exercise train
ing is associated with reduced plasma LDL fraction oxidation as reflec
ted by LDL diene conjugation. This finding may have relevance for stud
ies aiming to explain the variation in occurrence of ischemic heart di
sease.