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Total cholesterol
Variable Controls (n=12) RT* (n=12) 4.8
(mmol l/l)
Age (years) 26.0 (6.0) 28.0 (6.0) 4.6
Height (cm) 165.0 (7.0) 162.5 (7.0)
4.4
Weight (kg) 65.5 (17.3) 66.8 (7.3)
Total calories (kJ) 6699 (1510) 7297 (1774) *†
4.2
Fat calories (kJ) 2067 (644) 2427 (724)
4.0
*RT = resistance training. 3.8
LDL cholesterol
3.2
back) performed at 85% of 1-RM; 45–50
(mmol/l)
minute sessions three times a week. Subjects 3.0
performed two sets of eight repetitions and 2.8
went to exhaustion on the third set. The rest 2.6
interval between sets was 30 seconds to one *
2.4
minute. Before training, all subjects were shown
the proper technique. The principal investigator 2.2
(BP) suggested the initial resistance for a given
cholesterol)
sion, and curl; and latissimus dorsi pull using a
circuit training machine (DVF, Newport News, 4
VA, USA). Bicep curls, military press, and *
3
triceps extension exercises were performed
= Controls
using free weights. A standardised warm up of 2 = Resistance training group
eight repetitions at 60% of 1-RM for each exer-
cise preceded each training session. Subjects 1
Baseline After training
were given an exercise log sheet each week on
which was recorded the number of repetitions Figure 1 EVect of resistance training on total cholesterol
(A), LDL cholesterol (B), and the total cholesterol/HDL
completed during the third set for each exercise. cholesterol ratio (C). *RT-after < RT-baseline; p<0.05;
At the end of each week these data were †RT-after < controls after; p<0.05. To convert total
assessed using Power 5.1 software to generate a cholesterol and LDL cholesterol to mg/dl multiply mmol/l by
38.46.
new estimated 1-RM for each exercise. Resist-
ance was then increased as necessary to
completed the study. Table 1 shows the
maintain 85% of estimated 1-RM in each mus-
baseline characteristics of the subjects. There
cle group throughout the study. During the
were no diVerences at baseline between the
course of the study, training resistance was
groups in age, body composition, lipids,
increased two or three times for triceps
estimated 1-RM measurements, or intake of
extension and leg curls; and five or six times for
total and fat calories.
leg press and extension, bench press, latissimus
dorsi pull, military press, and biceps curl.
COMPLIANCE WITH TRAINING
STATISTICAL ANALYSIS
Subjects showed a high degree of compliance
The eVects of resistance training on total chol- with training, completing 39 (1) (mean (SD)
esterol, HDL and LDL cholesterol, triglycer- 94 (3)%) of the 42 training sessions.
ides, body fat percentage, body mass, and esti-
mated 1-RM for each exercise station were EFFECT OF RESISTANCE TRAINING ON LIPID
ance using SAS 6.09 PROC GLM.29 The Fourteen weeks of resistance training resulted
criterion for main (group, trial) and interaction in a 9% decrease in total cholesterol (4.68
(group × trial) eVects was á=0.05, with a Bon- (0.31) v 4.26 (0.23) mmol/l; p<0.05; fig 1A),
ferroni adjustment for appropriate post hoc 14% decrease in LDL cholesterol (2.99 (0.29)
comparisons. v 2.57 (0.21) mmol/l; p<0.05; fig 1B), and a
14.3% decrease in the total cholesterol/HDL
Results cholesterol ratio (4.20 (0.42) v 3.66 (0.42);
BASELINE CHARACTERISTICS OF THE SUBJECTS
p<0.05; fig 1C).
Thirty subjects took part in the study, but the At the end of training the total cholesterol
results of six were excluded—one subject from was significantly lower (p<0.05) in the resist-
the control group reduced her estimated ance exercise training group than in the control
energy intake compared with baseline; two group. In addition, a strong trend towards a
other control subjects failed to report for blood
collection after the study; and three subjects in + To convert total cholesterol, LDL
the resistance exercise training group failed to cholesterol, and HDL cholesterol to
attend the required 80% of the total exercise mg/dl, multiply mmol/l by 38.46.
sessions. The results are based on the remain- + To convert triglycerides to mg/dl, multiply
ing 24 subjects (12 control subjects; 12 from mmol/l by 87.72.
the resistance exercise training group) who
Resistance exercise and lipid profile in premenopausal women 193
significant decrease in the LDL to HDL chol- Table 2 EVect of 14 weeks of resistance training on lipid
esterol ratio (p=0.057, table 2) was seen in the profile and body fat percentage. Results are shown as means
(SE)
resistance exercise training group. Triglycer-
ides and HDL cholesterol were not signifi- Variable Before training After training % Change
cantly changed by training (table 2). No
[T-CHOL] (mmol/l)
changes were seen in any of these variables in Controls 4.47 (0.29) 4.60 (0.29) 3⇑
the control group. RT*† 4.68 (0.31) 4.26 (0.23)*† 9⇓
[LDL-C] (mmol/l)
Controls 2.73 (0.23) 2.81 (0.26) 2.5 ⇑
EFFECT OF RESISTANCE TRAINING ON BODY MASS RT* 2.99 (0.29) 2.57 (0.21)* 14 ⇓
AND COMPOSITION [HDL-C] (mmol/l)
Body mass was not significantly changed in Controls 1.27 (0.05) 1.33 (0.08) 4.7 ⇑
RT 1.20 (0.10) 1.27 (0.10) 5.9 ⇑
either group. A small, but significant decrease [TG] (mmol/l)
in the body fat percentage was seen in the Controls 0.99 (0.10) 1.01 (0.10) 2⇑
RT 1.06 (0.13) 0.90 (0.10) 14 ⇓
resistance exercise training group (27.9 (2.09) [LDL-C]/[HDL-C] ratio
v 26.5 (2.15)%; p<0.05), but was unchanged Controls 2.13 (0.20) 2.10 (0.20) 1.4 ⇓
in the control group. Although resistance train- RT‡ 2.68 (0.36) 2.26 (0.37)‡ 15.7 ⇓
[T-CHOL]/[HDL-C] ratio
ing did not significantly change HDL choles- Controls 3.55 (0.22) 3.52 (0.22) 0.8 ⇓
terol, there was a significant correlation (r = RT* 4.20 (0.42) 3.66 (0.42)* 14.3 ⇓
−0.77, p=0.0034) between the percentage Body fat percentage
Controls 25.64 (1.97) 25.65 (2.02) 0.03 ⇓
change in estimated body fat and the percent- RT* 27.90 (2.09) 26.51 (2.15)* 5⇓
age change in HDL cholesterol. For all
subjects, there was a trend towards a significant RT = resistance training; T-CHOL = total cholesterol; LDL-C
= low density lipoprotein cholesterol; HDL-C = high density
association between percentage change in body lipoprotein cholesterol; TG = triglycerides.
fat and the percentage change in total choles- *RT- after < RT-baseline; p<0.05.
terol (r=0.36, p=0.08) and a significant associ- †RT- after < controls-after; p<0.05.
‡RT- after < RT-baseline; p=0.057.
ation between percentage change in body fat To convert [T-CHOL], [LDL-C], and [HDL-C] to mg/dl,
and the percentage change in HDL cholesterol multiply mmol/l by 38.46.
(r= −0.41, p=0.05). To convert [TG] to mg/dl, multiply mmol/l by 87.72.
(r= −0.08, p=0.81). The mean (SD) percent- percentage change in 1-RM (r= −0.86,
age change in total cholesterol seen in resist- p=0.0003). These associations suggest that
ance training subjects (−8 ( 9)%) was similar to increased strength may exert a greater influ-
that reported in young women after 24 weeks ence on decreasing total cholesterol in young
of “brisk walking” (6.4 km/h) which produced women, whereas a decreased percentage body
a 9% increase in V ~ O2MAX.30 fat may exert a greater influence on any
Most of the research on this issue has observed increase in HDL cholesterol, a
concerned the eVect of aerobic exercise on lipid variable which appears to be resistant to
profiles. Although V~ O2MAX was not measured in change in this group.
this study, high intensity resistance training has Serum triglycerides were not aVected by the
been reported to have no significant eVect on resistance training in this study, a finding which
cardiorespiratory fitness in men7 22 and is in agreement with similar studies of male34
women.8 21 These results support the eYcacy of and female35 subjects after high intensity resist-
resistance training as a stimulus which is ance training, as well as a study of women after
eVective and comparable with cardiovascular aerobic exercise training.4 The observed 14%
training in favourably altering lipid profiles in decrease in triglycerides after high intensity
previously sedentary, premenopausal, eumen- resistance training was not significant owing to
orrhoeic women. the large variance in triglycerides. In addition,
It has been reported that young to middle the percentage change in triglycerides was not
aged women have higher serum HDL choles- significantly associated with the percentage
terol and lower LDL cholesterol and triglycer- change in body fat (r=0.16, p=0.61) in the
ides than their male counterparts.15 16 These resistance exercise training group.
diVerences between men and women may be Serum lipids have been reported to vary
due to endogenous or exogenous hormones, or during the menstrual cycle, with increased
both.31–33 Although increased serum HDL total, LDL, and HDL cholesterol during the
cholesterol has been reported in men after late follicular phase compared with the late
resistance training,22 it was not significantly luteal phase.36–38 These fluctuations are thought
increased in response to the training stimulus to be related in part to cyclical changes in pro-
used in this study or other studies of female gesterone concentration.39 40 In our study it was
subjects.23 24 Resistance training regimens of not feasible to obtain samples during the same
five months at 70% of 1-RM23 and 16 weeks at phase of each subject’s menstrual cycle.
84% of 1-RM24 failed to increase serum HDL Although this may be a possible limitation, we
cholesterol in female subjects who had baseline believe that the eVect of cyclical menstrual
values of 53 mg/dl (1.38 mmol/l) and 77 mg/dl fluctuations in lipid profiles, which might be
(2.0 mmol/l), respectively. Baseline HDL chol- seen as a threat to the validity of our study, was
esterol of subjects in our study ((47 mg/dl) controlled, in part, by the presence of a well
1.27 mmol/l) was greater than the HDL matched sedentary control group, in whom
cholesterol after training for the men in the there was no change in lipid profile. Recom-
study of Hurley et al.22 Possibly, resistance mendations for future studies include within-
training is not an eVective stimulus to increase subject control of the menstrual phase and a
HDL cholesterol in women or other subjects resistance training regimen of longer duration.
with high baseline values. In summary, significant decreases in total
Decreased body mass and body fat have also cholesterol, LDL cholesterol, and the total/
been associated with decreased total choles- HDL cholesterol ratio were observed in previ-
terol, decreased LDL cholesterol, and in- ously sedentary, eumenorrhoeic, premenopau-
creased HDL cholesterol. Body mass was not sal women after 14 weeks of well controlled,
significantly changed in this study. Other stud- intense (85% of estimated 1-RM) resistance
ies have reported no change in body fat after training which elicited significant increases in
resistance training,22–24 but the estimated body strength. HDL cholesterol and triglycerides
fat percentage was decreased after resistance were not significantly changed after training.
training in this study. The lack of a significant Training was also associated with a small, but
association between the percentage change in significant, decrease in estimated body fat per-
total cholesterol and the percentage change in centage, but no change in body mass. In
body fat (r=0.36, p=0.08) suggests that our conclusion, intense resistance training appears
finding of decreased total cholesterol after to be an eVective stimulus for favourably alter-
resistance training was not confounded by the ing lipid profiles in this group.
modest, but significant decrease in body fat
percentage. Although no significant change This study was funded by the Yamanaka Fund. We thank Jim
was observed in HDL cholesterol in this study, ScholVstall, who helped in strength testing, in supervising some
exercise sessions, and in running software Power 5.1.
the percentage change in HDL cholesterol was
significantly associated with a change in body Contributors
fat percentage (r= −0.41, p=0.05). However, Bharathi Prabhakaran was the principal investigator, who
the percentage change in HDL cholesterol was trained the subjects, organised the collection of data, and
assisted in statistical analysis of the data and preparation of the
not significantly associated with a percentage manuscript. Elizabeth A Dowling assisted in the design of the
change in 1-RM (r= −0.11, p=0.061). In the study, data collection, and manuscript preparation. J David
Branch assisted in the collection and statistical analysis of the
resistance trained subjects, high correlations data, as well as in manuscript preparation. David P Swain and
were found between the percentage change in Brian C Leutholtz assisted in the preparation and editing of the
manuscript.
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