John Baer
What is it?
 Hyperlipidemia- any condition that elevates fasting blood
triglyceride and cholesterol concentrations
 Dyslipidemia- altered blood lipid and lipoprotein
 Hypercholesterolemia- elevated cholesterol
 Hypertriglyceridemia- elevated triglycerides
 Hyperlipoproteinemia- elevated lipoproteins
 Hypoalphalipoprotein syndrome- low HDL
 Postprandial lipemia- postprandial rise in TG rich proteins
after eating
 http://www.youtube.com/watch?v=NklmCp8pyDM
 On the decline
 Average cholesterol went from 213 mg/dl to 203 mg/dl
 17% of adults have cholesterol 240 mg/dl or greater
 67.6% had blood checked in 1991
 73.1% had blood checked in 2003
 Greater awareness
 Cholesterol greater
than 240 mg/dl
 LDL often over 260
 HDL lower than 40
 Obtained through complete blood lipid profile from
forearm venipuncture following a 12 hour fast
 Finds total cholesterol, LDL-C, HDL-C, and triglycerides.
 Dyslipidemia itself is not a complication
 Patients with dyslipidemia may also have other diseases
or disabilities which may prevent them from exercise
 A thorough medical review must be conducted before
any exercise training
 Lifestyle changes
 Medications
Lifestyle Changes
 TLC diet, therapeutic lifestyle changes
 Fat intake 25-35% total calories
 Saturated fat less than 7%, polyunsaturated fat 10%, and
monounsaturated fat 20% of calories
 Increases in dietary fiber and plant stanols or sterols
 Encouraged to eat more fruits, vegetables, and high
fiber foods
Lifestyle Changes cont.
 Smoking cessation
 Exercise
 If lifestyle changes are not working well enough for 6
months medications used
 Statin agents are most commonly used
 Increase HDL and decreases LDL
 Inhibits cholesterol synthesis
Effects of Disease on Exercise
 Dyslipidemia alone does not affect exercise
 Cardiovascular disease could cause angina
 Medications currently taking
Medications on Exercise
 P. 43 Clinical Exercise Physiology
Effects of Exercise on Disease
 Lower triglyceride concentrations
 Reduced postprandial lipemia
 Decreased concentrations of LDL
 Higher HDL concentrations
 Increases in lipoprotein enzyme activity
 Improved glycemic control
 Reduction in adiposity indirectly lowers blood lipid
 P. 225 Pollock’s
Exercise Testing
 Follow protocols for populations at risk for CAD
 Diagnose CAD
 Determine functional capacity
 Determine appropriate intensity range for aerobic
exercise training
 High cholesterol may cause ischemia
Exercise Programming
 Aerobic exercise is the foundation of the program
 Exercise at 40-80% VO2 max
 5 or more days per week
 Once, maybe twice per day
 Incorporate resistance training in program
 45 minutes per session
 P. 172 ACSM
 Have blood lipids checked every 1-5 years
 Could prevent CAD and atherosclerosis
 Eat healthy and exercise
Know the Risks: Lifestyle Management of Dyslipidemia by Paul Sorace, Thomas
LaFontaine, and Tom R. Thomas
ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities by J.
Larry Durstine, Geoffrey E. Moore, Patricia L. Painter, Scott O. Roberts
Clinical Exercise Physiology 2nd Edition by Jonathan K. Ehrman, Paul M. Gordon, Paul S.
Visisch, Steven J. Keteyian
Pollock’s Textbook of Cardiovascular Disease and Rehabilitation by J. Larry Durstine,
Geoffrey E. Moore, Michael J. LaMonte, Barry A. Franklin

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