Effect of addition of exercise to therapeutic lifestyle changes diet in enabling women and men with coronary heart disease to reach Adult Treatment Panel III low-density lipoprotein cholesterol goal without lowering high-density lipoprotein cholesterol

Psychological and Quality-of-Life Outcomes from a Comprehensive Stress Reduction and Lifestyle Program in Patients with Coronary Artery Disease: Results of a Randomized Trial

“…Other stress reduction programs have failed to produce psychological improvements, despite substantial interventional efforts [32, 33]. Several trials evaluating comprehensive lifestyle modification combined with stress management have shown beneficial effects on coronary atherosclerosis and cardiac risk factors [16, 18, 20, 34]; nevertheless, QoL and psychological outcomes were not assessed in these studies. Investigations that evaluated psychosocial therapies, e.g.…”

“…The stress-management and stress-reduction procedures delivered in this trial were based on well-established concepts that have been successful with other diagnoses or in trials assessing cardiac risks [20, 40, 41]. However, as mentioned earlier, most earlier lifestyle trials did not assess QoL and psychological outcomes, and studies with CBT have yielded mixed results.…”

“…Three angiographic trials, with one focusing on stress management, have demonstrated modest regression of coronary artery stenoses after 1–4 years of intensive lifestyle changes [14,15,16,17]. Several other lifestyle and stress-management trials have found clear beneficial effects on cardiac risk factors [18,19,20,21]. However, with one exception, these trials did not assess the impact of the intervention on quality of life (QoL) or psychological outcomes.…”

Lifestyle Approaches and Dietary Strategies to Lower LDL-Cholesterol and Triglycerides and Raise HDL-Cholesterol

“…There were no significant changes in TG or the TC:HDL-C ratio. In another study, by Welty and colleagues, 107 combining the TLC diet with aerobic exercise (30 to 60 minutes three to six times per week) for 6 months resulted in a 9.3% reduction in LDL-C (P 5 .02), an 18.8% reduction in triglycerides (P<.05), and a 2.6% increase in HDL-C (ns). In this study, physical activity beneficially affected HDL-C and TG in subjects on a TLC diet.…”

Cardiovascular risk in menopausal women and prevalent related co-morbid conditions: facing the post-Women's Health Initiative era

“…Changes in lifestyle are primarily recommended, including a hypocaloric and low in saturated fat and cholesterol diet to achieve total body weight and cholesterol reduction. Increasing physical activity is also suggested, as 30 minutes a day of exercise reduces LDL cholesterol levels 9.3% after 6 months (74,75). Exercise intensity and baseline triglycerides established the level of LDL cholesterol reduction.…”