Internal Med Medical News about cardiovascular lifestyle change; lipoprotein subclass profiles

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Effects of cardiovascular lifestyle change on lipoprotein subclass profiles defined by nuclear magnetic resonance spectroscopy
Lipids in Health and Disease, 06/30/09

Decewicz DJ et al. - The lifestyle intervention was effective in producing significant changes in lipoprotein subclasses that contribute to CAD risk. There was a clear beneficial effect on the total number of LDL particles, small dense LDL particles, and LDL particle size. Likewise, participants showed significant improvement in traditional CAD risk factors such as body mass index, total cholesterol, physical fitness, and future risk for CAD. Men and women responded differently to the program for all clinically-relevant variables, with men deriving greater benefit in terms of lipoprotein atherogenicity. Plasma lipid and lipoprotein responses to the lifestyle change program were not confounded by lipid-lowering medications. In at risk patients motivated to participate, an intensive lifestyle change program can effectively alter traditional CAD risk factors and plasma lipoprotein subclasses and may reduce risk for cardiovascular events. Improvements in lipoprotein subclasses are more evident in men compared to women.