Aim:To examine the effects of supervised aerobic exercise training on serum adiponectin and lipids, including triglyceride (TG)-rich lipoproteins, in moderate dyslipidemic subjects. Methods: Twenty-five dyslipidemic patients [mean body mass index (BMI) 24.6 kg/m 2 ; mean age 39 years; mean total cholesterol 226 mg/dL; mean TG 149 mg/dL] without metabolic syndrome, diabetes, and hypertension underwent supervised aerobic exercise training (60 min/day, 2 to 3 times/ week) at an intensity of 60 − 80% of age-predicted maximal heart rate for 16 weeks. Lipoprotein cholesterol levels were measured by our established anion-exchange HPLC method. Results: Aerobic exercise training significantly decreased BMI, cholesterol levels of LDL-and IDL-, and markedly reduced VLDL-cholesterol at week 8 ( 45%) and week 16 ( 50%), but changes in TG and HDL-cholesterol were not significant. Adiponectin significantly increased by 51% and HOMA-R was significantly decreased at week 16, although changes in these parameters were not significant at week 8. There was no significant relationship between changes in adiponectin and in VLDL-or IDL-cholesterol, but changes in adiponectin were inversely but insignificantly associated with changes in BMI (r 0.343, p 0.095). Conclusions: These results suggest that supervised aerobic exercise training two to three times/week in the presence of body weight loss increases serum adiponectin with an improved lipid profile and insulin sensitivity at week 16 in non-obese moderate dyslipidemic patients, and that VLDL-cholesterol is markedly decreased by supervised aerobic exercise training.

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