Background-Fasting levels of plasma lipids and lipoproteins are reported to improve with regular exercise training.However, little is known on whether the training responses are influenced by heritable factors. Methods and Results-The lipid profile was assessed in 115 black (224 individuals) and 99 white families (469 individuals), who participated in the HERITAGE Family Study, while in a sedentary state (baseline visit) and after exercise training for 20 weeks (post visit). Variables included total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (ApoB), high-density lipoprotein cholesterol (HDL-C), apolipoprotein A-I, and HDL-C subfractions 2 (HDL 2 -C) and 3 (HDL 3 -C). Familial correlations for the training responses (⌬ϭpostϪbaseline) were significant for most variables, and the percent variance accounted for by familial factors (ie, maximal heritabilities) ranged from 25% to 38%. Exceptions were for higher heritabilities near 60% for ⌬ApoB in blacks and ⌬HDL 2 -C in whites and a lower estimate of zero for ⌬LDL-C in blacks. Conclusions-Heritable factors in part determine lipid profile responses to regular exercise. Maximal heritabilities were similar across ethnic groups and variables, except for ⌬LDL-C, ⌬ApoB, and ⌬HDL 2 -C. Molecular studies to identify the markers and genes associated with these influences are currently underway. Key Words: genetics Ⅲ heritability Ⅲ lipids Ⅲ exercise P lasma levels of lipids and lipoproteins are risk factors for coronary heart disease (CHD). 1 Apolipoprotein B (ApoB), the primary surface component of low-density lipoprotein (LDL), functions by binding to specific receptors in the liver and peripheral tissue surface membrane for cholesterol delivery 2 and is strongly associated with an increased risk for CHD. 1 The anti-atherogenic effects of high-density lipoprotein (HDL) 3 are thought to be associated with cholesterol removal from peripheral tissues (including arteries) directly to the liver by the reverse cholesterol transport processes. 4 HDL subfraction 3 (HDL 3 ) assimilates lipids and is converted to HDL subfraction 2 (HDL 2 ), 5 and CHD risk increases with reduced levels of either subfraction. 6 Increases in the levels of the principal surface protein of HDL (apolipoprotein A-I [ApoA-I]) may reflect higher HDL synthesis and conversion of HDL 3 to HDL 2 . Exercise training can improve the lipid profile and may reduce CHD risk. [7][8][9][10][11] Moreover, these responses can be affected by several interacting factors 12,13 such as age, sex, ethnicity, and steroid hormones, although the strongest predictors are exerciseinduced plasma volume changes, dietary habits, and initial fitness levels.Although it is well documented that baseline lipids and lipoproteins are influenced by heritable factors, 14 less is known of familial components for lipid responses to exercise. That is, are some individuals, because of their genetic make-up, more likely to have an improved lipid profile with exercise training? The HERITAGE Family Study is ...