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Meghan Edwards and Paul Loprinzi

The atherogenic index of plasma (AIP), calculated as LOG 10 (triglycerides/high-density lipoprotein-cholesterol [HDL-C]), 1 is directly associated with cardiovascular disease (CVD) risk. 2 – 4 Triglycerides and HDL-C are both measured during a traditional lipid profile assessment, making this a

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Rochelle R. Costa, Adriana C.K. Buttelli, Leandro Coconcelli, Laura F. Pereira, Alexandra F. Vieira, Alex de O. Fagundes, Juliano B. Farinha, Thais Reichert, Ricardo Stein, and Luiz F.M. Kruel

Dyslipidemias are heterogeneous disorders of lipid metabolism arising from multiple etiologies that result in alterations in blood lipoproteins (low-density lipoprotein—LDL and high-density lipoprotein—HDL) and lipid (total cholesterol—TC and triglycerides—TG) concentrations. 1 In elderly women

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Nicholas M. Pilli, Tyler J. Kybartas, Kristen M. Lagally, and Kelly R. Laurson

Metabolic syndrome (MetS) is a host of cardiometabolic risk factors commonly including abdominal adiposity, elevated triglycerides, blood pressure, fasting glucose, and low HDL cholesterol. This clustering of risk factors is associated with an increased risk of cardiometabolic diseases, type 2

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Nicholas A. Koemel, Christina M. Sciarrillo, Katherine B. Bode, Madison D. Dixon, Edralin A. Lucas, Nathaniel D.M. Jenkins, and Sam R. Emerson

include increased oxidative stress and inflammation ( Alipour et al., 2008 ; Devaraj et al., 2008 ). The adverse metabolic response to an HFM is characterized by significantly elevated plasma triglycerides (TG), known as postprandial lipemia (PPL). The magnitude of this TG response is directly associated

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Jacqueline R. Berning

Studies investigating fat as a fuel for exercise have found that increasing free fatty acids during exercise tends to spare muscle glycogen due to increased utilization of free fatty acids for energy, which in turn can enhance the capacity for endurance exercise. Medium-chain triglycerides do not delay gastric emptying or absorption. They are broken down by lipase in the stomach and duodenum to glycerol and medium-chain fatty acids (MCFA). Since MCFAs are metabolized as quickly as glucose, it has been speculated that they might provide an alternative carbon source for the muscle during prolonged exercise. While the majority of studies investigating the role of medium-chain triglycerides and exercise have found no sparing effect of muscle glycogen after consumption of medium-chain triglycerides, two recent studies have presented conflicting results. This review will investigate the speculated role of medium-chain triglycerides as an alternative fuel source for exercising muscles and will discuss the possibility that medium-chain triglycerides preserve muscle glycogen during exercise,

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Leigh M. Vanderloo, Jonathan L. Maguire, Charles D.G. Keown-Stoneman, Patricia C. Parkin, Cornelia M. Borkhoff, Mark S. Tremblay, Laura N. Anderson, Catherine S. Birken, and on behalf of the TARGet Kids! Collaboration

school-aged children, Katzmarzyk and Staiano ( 32 ) reported that meeting an increased number of recommendations from the 24-Hour Movement Guidelines for Children and Youth ( 52 ) was associated with lower levels of CMR factors (namely, glucose and triglycerides) and obesity among children aged 5

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Daniela A. Rubin, Robert G. McMurray, Joanne S. Harrell, Barbara W. Carlson, and Shrikant Bangdiwala

The purpose of this project was to determine the accuracy in lipids measurement and risk factor classification using Reflotron, Cholestech, and Ektachem DT-60 dry-chemistry analyzers. Plasma and capillary venous blood from fasting subjects (n = 47) were analyzed for total cholesterol (TC), high density lipoprotein (HDL-C), and triglycerides (TG) using these analyzers and a CDC certified laboratory. Accuracy was evaluated by comparing the results of each portable analyzer against the CDC reference method. One-way ANOVAs were performed for TC, HDL-C, and TG between all portable analyzers and the reference method. Chi-square was used for risk classification (2001 NIH Guidelines). Compared to the reference method, the Ektachem and Reflotron provided significantly lower values for TC (p < .05). In addition, the Cholestech and Ektachem values for HDL-C were higher than the CDC (p < .05). The Reflotron and Cholestech provided higher values of TG than the CDC (p < .05). Chi-squares analyses for risk classification were not significant (p > .45) between analyzers. According to these results, the Ektachem and Cholestech analyzers met the current NCEP III guidelines for accuracy in measurement of TC, while only Ektachem met guidelines for TG. All 3 analyzers provided a good overall risk classification; however, values of HDL-C should be only used for screening purposes.

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Marc T. Hamilton, Enas Areiqat, Deborah G. Hamilton, and Lionel Bey

Physical activity often declines with age because of a reduction in the spontaneous activities of daily living and because of less intense exercise. In controlled studies of young rats, it was shown that physical activities associated with walking and standing were especially important for maintaining a high level of lipoprotein lipase (LPL) activity in postural skeletal muscles (slowtwitch oxidative muscles). More intense contractions during run training were important for a high LPL activity in the fast-twitch glycolytic muscles. Aging also causes a fiber type–specific decrease of skeletal muscle LPL activity and LPL protein in weight-bearing skeletal muscles (and no aging effect in glycolytic muscles). Thus, contractile inactivity may be a significant factor causing sub-optimal triglyceride metabolism in skeletal muscles during both unloading in young animals and aging. Measurements of plasma LPL activity, plasma triglyceride (TG) clearance rates, postprandial hypertriglyceridemia after oral fat tolerance tests, and fasting TG levels were generally indicative of reduced plasma TG metabolism during middle or old age. In contrast, older endurance-trained individuals had a favorable blood lipid profile compared to age-matched or young controls, even when the controls were not overweight. Therefore, the poor TG metabolism that is frequently associated with aging may be caused by some of the same processes that lower skeletal muscle LPL activity of young sedentary individuals.

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Jonathan. P. Little, Scott C. Forbes, Darren G. Candow, Stephen M. Cornish, and Philip D. Chilibeck

Creatine (Cr) supplementation increases muscle mass, strength, and power. Arginine α-ketoglutarate (A-AKG) is a precursor for nitric oxide production and has the potential to improve blood flow and nutrient delivery (i.e., Cr) to muscles. This study compared a commercial dietary supplement of Cr, A-AKG, glutamine, taurine, branchedchain amino acids, and medium-chain triglycerides with Cr alone or placebo on exercise performance and body composition. Thirty-five men (~23 yr) were randomized to Cr + A-AKG (0.1 g · kg−1 · d−1 Cr + 0.075 g · kg−1 · d−1 A-AKG, n = 12), Cr (0.1 g · kg−1 · d−1, n = 11), or placebo (1 g · kg−1 · d−1 sucrose, n = 12) for 10 d. Body composition, muscle endurance (bench press), and peak and average power (Wingate tests) were measured before and after supplementation. Bench-press repetitions over 3 sets increased with Cr + A-AKG (30.9 ==6.6 → 34.9 ± 8.7 reps; p < .01) and Cr (27.6 ± 5.9 → 31.0 ± 7.6 reps; p < .01), with no change for placebo (26.8 ± 5.0 → 27.1 ± 6.3 reps). Peak power significantly increased in Cr + A-AKG (741 ± 112 → 794 ± 92 W; p < .01), with no changes in Cr (722 ± 138 → 730 ± 144 W) and placebo (696 ± 63 → 705 ± 77 W). There were no differences in average power between groups over time. Only the Cr-only group increased total body mass (79.9 ± 13.0→81.1 ± 13.8 kg; p < .01), with no significant changes in lean-tissue or fat mass. These results suggest that Cr alone and in combination with A-AKG improves upper body muscle endurance, and Cr + A-AKG supplementation improves peak power output on repeated Wingate tests.

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Renata Moraes Bielemann, Virgílio Viana Ramires, Denise Petrucci Gigante, Pedro Curi Hallal, and Bernardo Lessa Horta


The purpose of this study was to evaluate cross-sectional and longitudinal associations between physical activity and triglyceride and HDLc levels in young male adults.


We used information about males belonging 1982 Pelotas Birth Cohort. Physical activity in 4 domains (leisure time, transportation, household, and occupation) was assessed by self-report in participants of the cohort at ages of 18 and 23 years. Subjects were active if reached the recommendation of 150 min/week of moderate to vigorous physical activity. At 23 years of age, blood sample was collected, and triglycerides and HDLc levels estimated. Multivariate linear and Poisson regression were used to adjust the estimates for confounders.


Males who were inactive at 18 and active at 23 years had 41% lower risk (β = 0.59; 95% confidence interval: 0.40; 0.89) for borderline-high triglycerides (≥ 150 mg/dL) as compared with those who were inactive at both follow-ups. No association was found between changes of physical activity and HDLc level. In cross-sectional analyses, greater HDLc levels were found in active subjects in 4 domains, whereas there was no difference in HDL levels according physical activity during leisure time.


Becoming active from adolescence to early adulthood reduced the risk for high triglycerides. Current physical activity was associated with greater HDLc levels.