2022-台灣高血脂初級預防指引- 11. 非藥物治療-運動

2025-12-09 11:08AM
2022台灣血脂治療指引(英文版)下面中文使用google自動翻譯

鍛鍊

關於運動對低密度脂蛋白膽固醇（LDL-C）的影響，現有證據仍有爭議。運動似乎無法顯著降低總膽固醇（TC）和低密度脂蛋白膽固醇（LDL-C）水平。 ⁶⁸ 高強度、大運動量的運動對降低三酸甘油酯（TG）和升高高密度脂蛋白膽固醇（HDL-C）濃度有明顯作用。 ⁶⁹ 規律運動可使三酸甘油酯濃度比不運動者降低17.7 mg/dL。 ⁷⁰ 一項大規模觀察性研究表明，規律慢跑有助於提高高密度脂蛋白膽固醇水平，降低三酸甘油酯水平和三酸甘油酯/高密度脂蛋白膽固醇比值。 ⁷¹ 其他有氧運動，如游泳、跳舞（包括國際標準舞）和騎自行車，也與高密度脂蛋白膽固醇水平升高有關。 ⁷¹ 儘管阻力運動對血脂譜的影響尚無定論，但由於其具有多種健康益處，包括改善身體功能和可能降低血壓，因此仍應鼓勵進行阻力運動。鼓勵所有成年人每週至少進行150分鐘的中等強度有氧運動，或每週進行75分鐘的高強度有氧運動，以降低動脈粥狀硬化性心血管疾病（ASCVD）的風險。 ⁵⁴ 即使是持續時間較短的5分鐘或10分鐘的運動，中間穿插1至2分鐘的休息，也與持續時間較長的運動一樣有益。 ⁷²

Exercise

Existing evidence on LDL-C response to exercises is controversial. It seems that exercise does not significantly reduce TC and LDL-C levels.68 There was an apparent effect on reduction of TG and increase of HDL-C concentrations with the high-amount and high-intensity exercise.69 Regular exercise can reduce TG by 17.7 mg/dL than those without exercise.70 A large-scale observational study showed that regular jogging contributed to an increase of HDL-C and reduction of TG and TG/HDL-C ratio.71 Other aerobic exercises such as swimming, dancing (including international standard dancing), and cycling were also associated with an elevated level of HDL-C.71 Although the changes in lipid profiles by resistance exercise are inconsistent, it should still be encouraged due to several health benefits, including improving physical functioning and possibly lowering blood pressure. All adults are encouraged to engage in at least 150 min per week of accumulated moderate-intensity aerobic physical activity, or 75 min per week of vigorousintensity aerobic physical activity to lower ASCVD risk.54 Even exercise with a shorter duration of 5 or 10 min with 1- to 2-min interruption is as beneficial as the longer ones.72