Relationship between Physical Activity and Serum Lipoprotein Levels among the Middle-Aged and Elderly in I-Lan County, Taiwan

宜蘭地區中老年人運動與血脂狀況的關係

許碧珊(Pi-Shan Hsu) ； 賴仲亮(Chung-Liang Lai) ； 陳亮恭(Liang-Kung Chen) ； 黃信彰(Shinn-Jang Hwang) ； 邱淑媞(Shu-Ti Chiou)

《臺灣家庭醫學研究》 3卷4期 (2005/10) Pp. 137-148

https://doi.org/10.29475/TFMR.200510.0003

摘要

The risk factors of coronary heart disease (CHD) such as cigarette smoking and hypercholesterolemia have been escalating in recent years in Taiwan. There are limited reports concerning the relationship of active physical activity on the serum levels of lipoproteins in the middle-aged adults and elderly of Chinese population. We conducted a community-based study for metabolic disorders and related factors among residents aged over 40 in I-Lan County in 2000. Every subject received history taking, physical examination including anthropometric measurements, blood sampling and completed a questionnaire including medical history, lifestyle and physical activity. Serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL) and low density lipoprotein cholesterol (LDL) were measured. The results were compared between subjects with active physical activity (defined as continuous movement involving the whole body lasting 20 minutes and more for at least three times per week) and subjects without. In total, 189 subjects (105 women and 84 men, mean age: 62±12 years) completed the study, and 78 (41.3%) had active physical activity. The physically active individuals were significantly older than the inactive subjects (65±11 vs. 60±12 years,p＜0.01), and having significantly higher mean serum level of HDL (44.7±18.5 vs. 39.6±15.2 mg/dL, p=0.04). The blood pressure, body mass index (BMI), serum levels of TC, TG, and LDL showed no significant difference between two groups. Using multivariate logistic regression analysis, BMI 25 kg/m2 and active physical activity were independent predictors for high serum levels of HDL (≧40 mg/dL). In conclusion, the middle-aged adults and elderly Chinese who participate in active physical activity have a significantly higher serum level of HDL. Both BMI 25 kg/m^2 and active physical activity can predict a higher serum level of HDL.

並列摘要

The risk factors of coronary heart disease (CHD) such as cigarette smoking and hypercholesterolemia have been escalating in recent years in Taiwan. There are limited reports concerning the relationship of active physical activity on the serum levels of lipoproteins in the middle-aged adults and elderly of Chinese population. We conducted a community-based study for metabolic disorders and related factors among residents aged over 40 in I-Lan County in 2000. Every subject received history taking, physical examination including anthropometric measurements, blood sampling and completed a questionnaire including medical history, lifestyle and physical activity. Serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL) and low density lipoprotein cholesterol (LDL) were measured. The results were compared between subjects with active physical activity (defined as continuous movement involving the whole body lasting 20 minutes and more for at least three times per week) and subjects without. In total, 189 subjects (105 women and 84 men, mean age: 62±12 years) completed the study, and 78 (41.3%) had active physical activity. The physically active individuals were significantly older than the inactive subjects (65±11 vs. 60±12 years,p＜0.01), and having significantly higher mean serum level of HDL (44.7±18.5 vs. 39.6±15.2 mg/dL, p=0.04). The blood pressure, body mass index (BMI), serum levels of TC, TG, and LDL showed no significant difference between two groups. Using multivariate logistic regression analysis, BMI 25 kg/m2 and active physical activity were independent predictors for high serum levels of HDL (≧40 mg/dL). In conclusion, the middle-aged adults and elderly Chinese who participate in active physical activity have a significantly higher serum level of HDL. Both BMI 25 kg/m^2 and active physical activity can predict a higher serum level of HDL.

並列關鍵字

Body mass index ； Elderly ； High density lipoprotein ； Middle-aged ； Physical activity