Abstract:
BACKGROUND:Studies addressing the effects of aerobic exercise and a prudent diet on lipid and lipoprotein concentrations in adults have reached conflicting conclusions. The purpose of this study was to determine the effects of aerobic exercise combined with a prudent diet on lipid and lipoprotein concentrations in adults. METHODS:Studies were located by searching nine electronic databases, cross-referencing, and expert review. Two independent reviewers selected studies that met the following criteria: (1) randomized controlled trials, (2) aerobic exercise combined with diet recommendations (saturated/trans fat intake less than 10% of total calories and cholesterol less than 300 mg/day and/or fiber intake ≥ 25 g/day in women and ≥ 35 grams per day in men), (3) intervention ≥ 4 weeks, (4) humans ≥ 18 years of age, (5) published studies, including dissertations and Master's theses, (6) studies published in any language, (7) studies published between January 1, 1955 and May 1, 2009, (8) assessment of one or more of the following lipid and lipoprotein concentrations: total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), ratio of TC to HDL-C, non-HDL-C, low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG). Two reviewers independently extracted all data. Random-effects models that account for heterogeneity and 95% confidence intervals were used to pool findings. RESULTS:Of the 1,401 citations reviewed, six studies representing 16 groups (8 intervention, 8 control) and up to 559 men and women (282 intervention, 277 control) met the criteria for analysis. Statistically significant intervention minus control reductions were found for TC (-15.5 mg/dl, 95% CI, -20.3 to -10.7), TC:HDL-C (-0.4 mg/dl, 95% CI, -0.7 to -0.2), LDL-C (-9.2 mg/dl, 95% CI, -12.7 to -5.8) and TG (-10.6 mg/dl, 95% CI, -17.2 to -4.0) but not HDL-C (-0.5 mg/dl, 95% CI, -4.0 to 3.1). Changes were equivalent to reductions of 7.5%, 6.6%, 7.2% and 18.2% respectively, for TC, TC:HDL-C, LDL-C and TG. Because of missing variance statistics, non-HDL-C was excluded. CONCLUSIONS:Aerobic exercise combined with a prudent diet is highly efficacious for improving TC, TC:HDL-C, LDL-C and TG, but not HDL-C concentrations, in adults. However, additional studies are needed, including effectiveness studies using intention-to-treat analysis.
journal_name
BMC Medjournal_title
BMC medicineauthors
Kelley GA,Kelley KS,Roberts S,Haskell Wdoi
10.1186/1741-7015-9-74subject
Has Abstractpub_date
2011-06-15 00:00:00pages
74issn
1741-7015pii
1741-7015-9-74journal_volume
9pub_type
杂志文章,meta分析相关文献
BMC Medicine文献大全abstract:BACKGROUND:Recent reviews on placebo effects in clinical trials suggest that objective changes following placebo treatments may not exist or, at least, have been considerably overestimated. However, the possibility that yet unidentified subsets of parameters are responsive to placebo treatments has not been taken into ...
journal_title:BMC medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1741-7015-5-3
更新日期:2007-03-19 00:00:00
abstract:BACKGROUND:Marine resources including fatty fish are important sources of n-3 long chain polyunsaturated fatty acids (n-3 LC-PUFAs), which are important for brain development. To our knowledge, this is the first randomized controlled trial (RCT) investigating the impact of fatty fish on cognition in preschool children....
journal_title:BMC medicine
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12916-018-1020-z
更新日期:2018-03-12 00:00:00
abstract::Intra-tumour heterogeneity is a common molecular phenomenon in metastatic clear cell renal carcinoma (mRCC), representing the genetic complexity of a tumour with multiple metastatic sites. The present commentary discusses the observed phenomena of phenotypic intra-tumour heterogeneity in mRCC patients treated with the...
journal_title:BMC medicine
pub_type: 社论
doi:10.1186/s12916-016-0754-8
更新日期:2016-12-07 00:00:00
abstract:BACKGROUND:Despite the worldwide increasing burden of diabetes, there has been no corresponding scale-up of treatment in developing countries and limited evidence of program effectiveness. In 2002, in collaboration with the Ministry of Health of Cambodia, Médecins Sans Frontières initiated an outpatient program of subs...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-7-33
更新日期:2009-07-14 00:00:00
abstract::Primary care clinicians and researchers are growing increasingly aware of the prevalence of multimorbidity among long-term conditions, and the impact on patient experience, health, and utilisation of care. The correspondence paper by Muth et al. entitled 'The Ariadne principles: how to handle multimorbidity in primary...
journal_title:BMC medicine
pub_type: 社论
doi:10.1186/s12916-014-0222-2
更新日期:2014-12-08 00:00:00
abstract:BACKGROUND:Lethal and edema toxins secreted by Bacillus anthracis during anthrax infection were found to incite serious cardiovascular complications. However, the underlying mechanisms in anthrax lethal toxin-induced cardiac anomalies remain unknown. This study was designed to evaluate the impact of antioxidant enzyme ...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-10-134
更新日期:2012-11-07 00:00:00
abstract:BACKGROUND:Since the late 1980s, genetic discrimination has remained one of the major concerns associated with genetic research and clinical genetics. Europe has adopted a plethora of laws and policies, both at the regional and national levels, to prevent insurers from having access to genetic information for underwrit...
journal_title:BMC medicine
pub_type: 杂志文章,评审
doi:10.1186/1741-7015-11-25
更新日期:2013-01-31 00:00:00
abstract::The stratification of patients for treatment of prostate cancer is based on very general parameters like prostate-specific antigen, Gleason score, and TNM classification. We use these rough parameters for selection of active surveillance, active treatment, and even for the treatment selection in metastasized or castra...
journal_title:BMC medicine
pub_type: 评论,杂志文章
doi:10.1186/s12916-015-0344-1
更新日期:2015-05-09 00:00:00
abstract::There has been increasing interest in the role of malaria drugs in preventing malaria transmission from humans to mosquitoes, which would help augment malaria control and elimination strategies. Nevertheless, only one stage in the malaria parasite life cycle, the gametocyte, is infectious to mosquitoes. The Worldwide ...
journal_title:BMC medicine
pub_type: 社论
doi:10.1186/s12916-016-0641-3
更新日期:2016-06-18 00:00:00
abstract:BACKGROUND:Strategies in many countries have sought to improve palliative care and reduce hospital deaths for non-cancer patients, but their effects are not evaluated. We aimed to determine the trends and factors associated with dying in hospital in two common progressive respiratory diseases, and the impact of a natio...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-016-0776-2
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Depression in tuberculosis increases the risk for adverse health outcomes. However, little is known about comorbid depression and tuberculosis in the general population. Thus, we assessed the association between depression and tuberculosis, and the decrements in health status associated with this comorbidity...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-017-0975-5
更新日期:2017-11-28 00:00:00
abstract::The original article [1] contained an error in the presentation of Figure 1; this error has now been rectified and Figure 1 is now presented correctly. ...
journal_title:BMC medicine
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12916-018-1232-2
更新日期:2018-12-28 00:00:00
abstract::The lack of formal training programs for peer reviewers places the scientific quality of biomedical publications at risk, as the introduction of 'hidden' bias may not be easily recognized by the reader. The exponential increase in the number of manuscripts submitted for publication worldwide, estimated in the millions...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-014-0179-1
更新日期:2014-09-26 00:00:00
abstract:BACKGROUND:Most UK medical schools use aptitude tests during student selection, but large-scale studies of predictive validity are rare. This study assesses the United Kingdom Clinical Aptitude Test (UKCAT), and its four sub-scales, along with measures of educational attainment, individual and contextual socio-economic...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-11-244
更新日期:2013-11-14 00:00:00
abstract:BACKGROUND:Vaccination has reduced the global incidence of measles to the lowest rates in history. However, local interruption of measles virus transmission requires sustained high levels of population immunity that can be challenging to achieve and maintain. The herd immunity threshold for measles is typically stipula...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-019-1413-7
更新日期:2019-09-25 00:00:00
abstract:BACKGROUND:The term 'lower value services' concerns healthcare that is of little or no value to the patient and consequently should not be provided routinely, or not be provided at all. De-adoption of lower value care may occur through explicit recommendations in clinical guidelines. The present study aimed to generate...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-016-0747-7
更新日期:2016-11-25 00:00:00
abstract:BACKGROUND:The mind-body nexus has been a topic of growing interest. Further data are however required to understand the specific relationship between mood and anxiety disorders and individual physical health conditions, and to verify whether these psychiatric disorders are linked to overall medical burden. METHODS:Th...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-11-110
更新日期:2013-04-24 00:00:00
abstract:BACKGROUND:Although vaccination has been proved to be a safe, efficacious, and cost-effective intervention, immunisation rates remain suboptimal in many European countries, resulting in poor control of many vaccine-preventable diseases. DISCUSSION:The Summit of Independent European Vaccination Experts focused on the p...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-5-11
更新日期:2007-05-29 00:00:00
abstract:BACKGROUND:Inappropriate treatment of non-malaria fevers with artemisinin-based combination therapies (ACTs) is a growing concern, particularly in light of emerging artemisinin resistance, but it is a behavior that has proven difficult to change. Pay for performance (P4P) programs have generated interest as a mechanism...
journal_title:BMC medicine
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12916-015-0497-y
更新日期:2015-10-16 00:00:00
abstract::The Fluid Expansion as Supportive Therapy (FEAST study) was an extremely well conducted study that gave unexpected results. The investigators had reported that febrile children with impaired perfusion treated in low-income countries without access to intensive care are more likely to die if they receive bolus resuscit...
journal_title:BMC medicine
pub_type: 评论,杂志文章
doi:10.1186/1741-7015-11-67
更新日期:2013-03-14 00:00:00
abstract:BACKGROUND:Resistance and tolerance to Plasmodium falciparum can determine the progression of malaria disease. However, quantitative evidence of tolerance is still limited. We investigated variations in the adverse impact of P. falciparum infections among African pregnant women under different intensities of malaria tr...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-017-0893-6
更新日期:2017-07-17 00:00:00
abstract:BACKGROUND:It is known that antimalarial drugs reduce the risk of low birth weight (LBW) in pregnant patients. However, a previous Cochrane review did not evaluate whether the level of antimalarial drug resistance could modify the protective effect of antimalarial drugs in this regard. In addition, no systematic review...
journal_title:BMC medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12916-015-0429-x
更新日期:2015-08-14 00:00:00
abstract:BACKGROUND:There has been concern that the incidence of autism and other pervasive developmental disorders (PDDs) is increasing. Previous studies have been smaller, restricted to autism (excluding other pervasive developmental disorders such as Asperger's syndrome), included boys only, or have not been based on a natio...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-2-39
更新日期:2004-11-09 00:00:00
abstract::Proteinuria is a defining criterion for the diagnosis of pre-eclampsia. The amount of protein lost per day has been thought by some to predict both maternal and fetal outcome. The systematic review of 16 primary papers including over 6700 patients by Thangaratinam and colleagues published this month in BMC Medicine su...
journal_title:BMC medicine
pub_type: 杂志文章,评审
doi:10.1186/1741-7015-7-11
更新日期:2009-03-24 00:00:00
abstract:BACKGROUND:Abnormal BMI is associated with discouraging IVF outcomes in fresh autologous or oocyte donor cycles, whether or not such a relation also holds true for women undergoing frozen-thawed embryo transfer (FET) remains unknown. In addition, it remains unclear the detrimental effect of abnormal BMI on IVF outcomes...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-019-1354-1
更新日期:2019-06-26 00:00:00
abstract::Post-traumatic stress disorder (PTSD) can be caused by life threatening illness, such as cancer and coronary events. The study by Forbes et al. made the unexpected finding that military personnel evacuation with medical illness have similar rates of PTSD to those evacuated with combat injuries. It may be that the illn...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-10-126
更新日期:2012-10-24 00:00:00
abstract::Nanooncology, the application of nanobiotechnology to the management of cancer, is currently the most important chapter of nanomedicine. Nanobiotechnology has refined and extended the limits of molecular diagnosis of cancer, for example, through the use of gold nanoparticles and quantum dots. Nanobiotechnology has als...
journal_title:BMC medicine
pub_type: 杂志文章,评审
doi:10.1186/1741-7015-8-83
更新日期:2010-12-13 00:00:00
abstract:BACKGROUND:Current policies encourage healthcare institutions to acquire clinical information systems (CIS) so that captured data can be used for secondary purposes, including clinical process improvement. Such policies do not account for the extra work required to repurpose data for uses other than direct clinical car...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-11-103
更新日期:2013-04-10 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) called for global action towards the elimination of cervical cancer. One of the main strategies is to screen 70% of women at the age between 35 and 45 years and 90% of women managed appropriately by 2030. So far, approximately 85% of cervical cancers occur in low- and midd...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-020-01613-x
更新日期:2020-06-03 00:00:00
abstract::How should we approach trial design when we can get some, but not all, of the way to the numbers required for a randomised phase III trial?We present an ordered framework for designing randomised trials to address the problem when the ideal sample size is considered larger than the number of participants that can be r...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-016-0722-3
更新日期:2016-11-25 00:00:00