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高密度脂蛋白之影響因素-飲食、體能及荷爾蒙(下篇:體能及荷爾蒙)

Effects of Diet, Physical Fitness and Hormones on High Density Lipoprotein (Part Ⅱ: Physical Fitness and Hormones)

Abstracts


高密度脂蛋白(HDL)受飲食影響因素(除酒精外)相對於低密度脂蛋白 (LDL)較小,但體能及荷爾蒙因素對高密度脂蛋白卻可能影響較大。本文將體能分為三部份來探討與高密度脂蛋白膽固醇(HDL-C)的關係:第一、肥胖程度多與血液中HDL-C呈負相關;第二、中廣型肥胖或上身肥胖的體型也與HDL-C呈負相關;第三、運動量與HDL-C有顯著之正相關性。就荷爾蒙之影響而言,女性血中HDL-C的濃度比男性顯著高許多(約25%) ,這極可能與性荷爾蒙影響有關。停經後婦女其HDL-C比停經前是否會下降或上升並無一致性。停經後所使用的女性荷爾蒙,動情激素(estrogen)可降低LDL-C及提高HDL-C及三酸甘油酯的濃度,而黃體激素(progesterone)可降低HDL-C和三酸甘油酯,提高LDL-C。停經後所使用的女性荷爾蒙對HDL-C的影響並無定論。提高HDL-C的最好生活型態選擇為持續規律的運動,避免肥胖。

Keywords

高密度脂蛋白 肥胖 體型 運動 荷爾蒙 性別 停經

Parallel abstracts


Dietary influence (except alcohol) on high density lipoprotein cholesterol (HDL-C) concentration was less significant than on the low density lipoprotein (LDL). However, physical fitness and sex hormones may exert more influences on HDL-C level than dietary factors. We discuss the relationships between HDL-C and physical fitness in three areas. First, obesity index such as body mass index (BMI) is negatively correlated with HDL-C level. Second, body fat distribution, represented by waist hip ratio (WHR), is also negatively correlated with HDL-C independent from BMI. Third, various forms of exercise increase HDL-C significantly with a benefit of losing body fatness. Even though females tend to have higher HDL-C than males by an average of 25 percent, the metabolic roles of sex hormones such as estrogen, progesterone and testosterone affecting on blood lipids are still unknown. Whether the postmenopausal women have lower or higher HDL-C levels than the premenopausal women remains controversial. Improve physical fitness to increase HDL-C is the best lifestyle recommendation until today.

Cited by


席美玲(2003)。冠狀動脈疾病婦女罹病危險因子、症狀與疾病嚴重程度、及生活品質之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714522874
許莉玲(2003)。冠狀動脈疾病婦女疾病嚴重度、危險因子與健康相關行為之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714522767

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