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Ensayo controlado aleatorizado2019

Effects of alternate day fasting and exercise on cholesterol metabolism in overweight or obese adults: A pilot randomized controlled trial

Cho AR, Moon JY, Kim S, An KY, Oh M, Jeon JY, Jung DH, Choi MH, Lee JW

Metabolism: clinical and experimental · 78 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Research Foundation of Korea
Universidad u hospital
Yonsei University College of Medicine
Subvenciones
National Research Foundation of Korea (NRF-2018R1D1A1B07049223); National Research Foundation of Korea (NRF-2013M3A9B6046413); Yonsei University College of Medicine (6-2013-0021)

Según 2 financiadores declarados.

Publicación

Publicado
2019-01-04 · Metabolism · vol. 93 · págs. 52–60
Editorial
Elsevier BV
Citado
99 citas · más que el 99% de estudios similares · 10.8× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
31 trabajos
Acceso
Acceso abierto (copia en repositorio) · CC-BY-NC-ND
Áreas de investigación
Cholesterol and Lipid Metabolism · Dietary Effects on Health · Lipoproteins and Cardiovascular Health
Palabras clave
alternate-day fasting, physical activity, cholesterol metabolism, serum sterols, cholesterol biosynthesis, cholesterol absorption, phytosterols, desmosterol, 7-dehydrocholesterol, oxysterols, cholesterol esters, overweight, obesity, weight loss, caloric restriction
MeSH
humans, obesity, weight loss, cholesterol, sterols, exercise, caloric restriction, fasting, pilot projects, adult, female, male, overweight, gas chromatography-mass spectrometry

9 autores

  • A‐Ra Cho🇰🇷Yonsei University; Gangnam Severance Hospital
  • Ju‐Yeon Moon🇰🇷Korea Institute of Science and Technology
  • Sue Kim🇰🇷Severance Hospital; Yonsei University Health System
  • Ki‐Yong An🇨🇦University of Alberta
  • Minsuk Oh🇺🇸University of Iowa
  • Justin Y. Jeon🇰🇷Yonsei University
  • Dong‐Hyuk Jung🇰🇷Yonsei University; Severance Hospital; Yongin Severance Hospital
  • Man Ho Choi🇰🇷 · autor de correspondenciaKorea Institute of Science and Technology
  • Ji‐Won Lee🇰🇷 · autor de correspondenciaYonsei University; Gangnam Severance Hospital; Yonsei University Health System

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background and purpose

The objective of this pilot randomized controlled trial was to investigate the effect of alternate day fasting (ADF) and exercise on serum sterol signatures, which are surrogate markers of cholesterol absorption and biosynthesis.

Methods

We randomly assigned 112 overweight or obese participants to four groups: 1) ADF and exercise (E-ADF); 2) ADF; 3) exercise; and 4) control. We studied 31 completers in this exploratory analysis and measured their serum sterol signatures using gas chromatography-mass spectrometry.

Results

After intervention, most serum sterol signatures that correspond to cholesterol metabolism were significantly different between groups (p < 0.05 by analysis of covariance [ANCOVA]). We found no differences in plant sterols, which are markers of cholesterol absorption. In the exercise group, desmosterol, cholesteryl esters, and oxysterols decreased significantly. Furthermore, only changes in physical activity levels negatively correlated with changes in the metabolic ratios of desmosterol and 7-dehydrocholesterol to cholesterol, which reflect cholesterol biosynthesis (r = -0.411; p = 0.030, and r = -0.540; p = 0.003, respectively).

Conclusion

These findings suggest that exercise with or without ADF improves cholesterol metabolism as measured by serum sterol signatures, and increased physical activity has a greater effect on cholesterol biosynthesis than weight reduction or calorie restriction.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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