5 Steps to prevent Heart Disease

Friday, April 8, 2016

Exercise to lower cholesterol? Which type of cholesterol? What type of exercise?

Having passed the American Board of Obesity Medicine in Dec. 2015,  I am now studying for re-certification of my boards in Lipidology.

I do this to prepare myself to go back to the practice of medicine in June 2016.
I plan to open a Obesity/Lipid Clinic.

Statements from NLA Self Assessment Program Critique Book:


Above slide from Dr Horn lecture in Washington DC 2015

Below documents from NLA Guidelines Part 2      2015



Few controlled trials done with dyslipidemia and exercise:


 Exercise with weight loss will lower LDLc:


Leaving exercise and addressing weight loss and lipid change

Weight loss maintained in very few patients.


Ref 75:  Bays HE, Toth PP, Kris-Etherton PM, Abate N, Aronne LJ, Brown WV, Gonzalez-Campoy
JM, Jones SR, Kumar R, La Forge R, Samuel VT.
Obesity, adiposity, and dyslipidemia: a consensus statement from the National Lipid Association. J Clin Lipidol. 2013;7:304-83. 

I find the last sentence in the above paragraph made without any reference to the Look Ahead trial which had favorable changes in risk factors but was a negative trial. Gary Foster on Look Ahead trial




NLA Guidelines Part 2 in chart below summarized:





My question after comparing what NLA wrote in 2013 and in it's guidelines in 2015 is: 

Where is the apoB data mentioned in the NLA self-assessment program critique book that I posted at the start of this blog? 

Seems as if NLA guidelines Part 2 is going backward rather than forward.

Other blog links 

My review of exercise guidelines from studying for ABOM exam Dec 2015 


The NLA guidelines Part 2 on lifestyle made me sad


8 year weight loss maintenance of 5% failed to improve CV outcomes  


Look Ahead: 39% maintained greater than 10% weight loss for eight years.  

However, then you look at the control results (DSE) in Look Ahead.
24% of the control group lost more than 10% of weight after 8 years.  WOW! 



 








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