Effect of exercise on anthropometric measures and serum lipids in older individuals: a systematic review and meta-analysis

Kuhle, Carol L.; Steffen, Mark W.; Anderson, Paul J.; Murad, M. Hassan

doi:10.1136/bmjopen-2014-005283

Cited by 27 publications

(23 citation statements)

References 43 publications

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“…This is supported by RCTs that demonstrate that endurance training and strength training reduce blood pressure [ 21 – 23 ]. In addition, endurance training also reduces fat mass and abdominal circumference [ 22 , 24 – 26 ].…”

Section: Resultsmentioning

confidence: 99%

The 2017 Dutch Physical Activity Guidelines

Weggemans¹,

Backx²,

Borghouts³

et al. 2018

Int J Behav Nutr Phys Act

140

124

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BackgroundThe objective of this study was to derive evidence-based physical activity guidelines for the general Dutch population.MethodsTwo systematic reviews were conducted of English language meta-analyses in PubMed summarizing separately randomized controlled trials and prospective cohort studies on the relation between physical activity and sedentary behaviour on the one hand and the risk of all-cause mortality and incidence of 15 major chronic diseases and conditions on the other hand. Other outcome measures were risk factors for cardiovascular disease and type 2 diabetes, physical functioning, and fitness. On the basis of these reviews, an expert committee derived physical activity guidelines. In deriving the guidelines, the committee first selected only experimental and observational prospective findings with a strong level of evidence and then integrated both lines of evidence.ResultsThe evidence found for beneficial effects on a large number of the outcome measures was sufficiently strong to draw up guidelines to increase physical activity and reduce sedentary behaviour, respectively. At the same time, the current evidence did not provide a sufficient basis for quantifying how much physical activity is minimally needed to achieve beneficial health effects, or at what amount sedentary behaviour becomes detrimental. A general tenet was that at every level of current activity, further increases in physical activity provide additional health benefits, with relatively larger effects among those who are currently not active or active only at light intensity. Three specific guidelines on (1) moderate- and vigorous-intensity physical activity, (2) bone- and muscle-strengthening activities, and (3) sedentary behaviour were formulated separately for adults and children.ConclusionsThere is an unabated need for evidence-based physical activity guidelines that can guide public health policies. Research in which physical activity is measured both objectively (quantity) and subjectively (type and quality) is needed to provide better estimates of the type and actual amount of physical activity required for health.Electronic supplementary materialThe online version of this article (10.1186/s12966-018-0661-9) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

The 2017 Dutch Physical Activity Guidelines

Weggemans¹,

Backx²,

Borghouts³

et al. 2018

Int J Behav Nutr Phys Act

140

124

View full text Add to dashboard Cite

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“…Among 8 reports of systematic review and metaanalysis of RCTs with comparison of exercise and non-exercise control including Japanese participants and were published after 2,000, significant decreases in LDL-C and TG levels were reported in two articles, respectively. Six reported a significant increase in HDL-C levels, which was the most frequently observed effect of exercise on serum lipids 577 , 607 – 613 ) . A meta-analysis of 25 RCTs that compared aerobic exercise for training periods of at least 15 minutes for ≥ 8 weeks with nonexercise control reported that exercise therapy significantly increased the HDL-C levels 612 ) .…”

Section: Comprehensive Risk Managementmentioning

confidence: 96%

Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017

Kinoshita

Yokote

Arai

et al. 2018

J Atheroscler Thromb

608

569

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“…However, previous studies were limited by their relatively small sample size, short follow-up period, single hospital data and lack consideration of effect of exercise on serum lipids. A meta-analysis of 1,166 participants aged over 60 years found exercise enables to improve anthropometric measures (i.e., body mass index and waist circumference), but this meta-analysis suggested the effect of exercise on serum lipids remains unclear 12 .…”

Section: Introductionmentioning

confidence: 89%

Impact of physical activity on the association between lipid profiles and mortality among older people

Chen

Shih

et al. 2017

Sci Rep

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High serum lipid levels are independent predictors of mortality risk in the general population. Recent data suggest that this may not apply in the older populations, and even acts in the opposite direction. In consideration of the frail state, minimum amount of physical activity (60–100 minutes each week) may be more suitable for older individuals but its role in lipid profiles has never been explored. Between 2006 and 2010, we conducted a cohort study of 83,820 participants aged ≥65 years using the Taipei City Elderly Health Examination Database. Participants were classified as inactive, low or high in their level of physical activity. Older individuals with lowest quintile of total cholesterol, non-HDL and HDL were associated with increased risk of all-cause mortality compared to those with other quintile of these lipid profiles. Compared to inactive older individuals, both low (adjusted hazard ratios [aHR] 0.75, 95% confidence interval [CI] 0.70–0.81) and high active older individuals (aHR 0.55, 95% CI 0.51–0.59) were associated with lower risks of mortality. Physical activity, even minimum volume of exercise, in older people has to be encouraged to reduce the increased risk of mortality from low serum lipid levels.

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Effect of exercise on anthropometric measures and serum lipids in older individuals: a systematic review and meta-analysis

Cited by 27 publications

References 43 publications

The 2017 Dutch Physical Activity Guidelines

The 2017 Dutch Physical Activity Guidelines

Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017

Impact of physical activity on the association between lipid profiles and mortality among older people

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