Are there any other treatments for dyslipidemia?

    Last Updated: October 25, 2023

    Exercise can impact several markers of dyslipidemia. Exercise is a commonly recommended therapy to increase HDL-C, but it also can lower LDL-C and triglycerides. [1][2]

    HDL-C may increase with activity level in a dose-response manner. Decreases in LDL-C and triglycerides may require higher intensity exercise. Aerobic exercise generally has a larger evidence base for encouraging these changes, though resistance exercise may be equally effective as long as it is of a similar caloric expenditure (generally requiring lower weight, more repetitions, and more sets).[3]

    Tobacco smokers have higher levels of triglycerides, LDL-C, and lower levels of HDL-C.[4] Smoking cessation tends to improve HDL-C within about a year.[5] There are mixed results as to whether, when, and by how much other blood lipids levels may improve.[6][7][4] However, smoking cessation clearly does ultimately reduce cardiovascular disease risk.

    Obstructive sleep apnea generally increases risk for dyslipidemia.[8] Fortunately, the gold standard treatment for sleep apnea, continuous positive airway pressure (CPAP) therapy, improves total cholesterol, LDL-C, and HDL-C levels.[9]

    References

    1. ^Hayashino Y, Jackson JL, Fukumori N, Nakamura F, Fukuhara SEffects of supervised exercise on lipid profiles and blood pressure control in people with type 2 diabetes mellitus: a meta-analysis of randomized controlled trials.Diabetes Res Clin Pract.(2012-Dec)
    2. ^Lin X, Zhang X, Guo J, Roberts CK, McKenzie S, Wu WC, Liu S, Song YEffects of Exercise Training on Cardiorespiratory Fitness and Biomarkers of Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.J Am Heart Assoc.(2015-Jun-26)
    3. ^Steven Mann, Christopher Beedie, Alfonso JimenezDifferential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: review, synthesis and recommendationsSports Med.(2014 Feb)
    4. ^Nakamura M, Yamamoto Y, Imaoka W, Kuroshima T, Toragai R, Ito Y, Kanda E, J Schaefer E, Ai MRelationships between Smoking Status, Cardiovascular Risk Factors, and Lipoproteins in a Large Japanese Population.J Atheroscler Thromb.(2021-Sep-01)
    5. ^Forey BA, Fry JS, Lee PN, Thornton AJ, Coombs KJThe effect of quitting smoking on HDL-cholesterol - a review based on within-subject changes.Biomark Res.(2013-Sep-13)
    6. ^Maeda K, Noguchi Y, Fukui TThe effects of cessation from cigarette smoking on the lipid and lipoprotein profiles: a meta-analysis.Prev Med.(2003-Oct)
    7. ^Gepner AD, Piper ME, Johnson HM, Fiore MC, Baker TB, Stein JHEffects of smoking and smoking cessation on lipids and lipoproteins: outcomes from a randomized clinical trial.Am Heart J.(2011 Jan)
    8. ^Patinkin ZW, Feinn R, Santos MMetabolic Consequences of Obstructive Sleep Apnea in Adolescents with Obesity: A Systematic Literature Review and Meta-Analysis.Child Obes.(2017-Apr)
    9. ^Nadeem R, Singh M, Nida M, Kwon S, Sajid H, Witkowski J, Pahomov E, Shah K, Park W, Champeau DEffect of CPAP treatment for obstructive sleep apnea hypopnea syndrome on lipid profile: a meta-regression analysis.J Clin Sleep Med.(2014-Dec-15)