Abstract

It is unclear whether individuals with high skeletal muscle mass may have beneficial effects on cardiovascular health. PURPOSE: To ①Compare cardiovascular risk factors between individuals with Standard skeletal Muscle mass Group-Male(SMG-M)/ Female(SMG-F), and High skeletal Muscle Group-Male(HMG-M)/Female(HMG-F) ②Explore the relationship skeletal muscle mass and cardiovascular risk factors. METHODS: Fifty Healthy young male(n=27, 23.4±0.4 years old) and female(n=23, 22.1±0.4 years old) were recruited to participate in this study. Body composition of the subjects were measured by a Bioelectrical Impedance Analysis. Depending on the results, they were divided into 2 groups(HMG-M vs. SMG-M, HMG-F vs. SMG-F). Blood pressure, brachial-ankle pulse wave velocity(baPWV), and blood analysis [Low Density Lipoprotein Cholesterol(LDL-C), High Density Lipoprotein Cholesterol(HDL-C), Triglycerides(TRG), glucose, HbA1c] were performed. RESULTS: There were statistically significant differences in the values of skeletal muscle mass Index(SMI) between the two groups [HMG-M vs. SMG-M, SMI(%) 130.5± 1.5 vs. 101.9 ± 1.3, p<.0001; HMG-F vs. SMG-F, SMI(%): 109.0 ± 1.5 vs. 86.2 ± 2.3, p<.0001]. Blood analysis showed that HDL-C was higher in HMG than in SMG [HMG-M vs. SMG-M, (mg/dL): 71.7 ± 4.7 vs 47.5±2.3, p=.0001; HMG-F vs. SMG-F: 79.0 ± 3.8 vs. 54 ± 2.3, p<.0001], whereas LDL-C and TRG levels were comparable in the groups regardless of gender[HMG-M vs. SMG-M, LDL-C(mg/dL): 90.5 ± 12.1 vs 76.2 ± 12.4, p=.427, TRG(mg/dL): 124.0 ± 22.5 vs. 104.5 ± 22.0, p=.549; HMG-F vs. SMG-F, LDL-C: 97.2 ± 8.5 vs. 91.8 ± 6.6, p=.626, TRG: 80.4 ± 15.0 vs. 96.0 ± 14.6, p= .477]. In addition, baPWV did not show significant differences between groups [HMG-M vs. SMG-M, (cm/s): 1129.5 ± 18.2 vs. 1100.0 ± 49.8, p=.589; HMG-F vs. SMG-F, 1001.7 ± 41.4 vs. 997.0 ± 73.2, p= .957]. Interestingly, HDL cholesterol levels are associated with SMI in young adults(Male, r =.640, p=.001; Female, r = .583, p<.01). CONCLUSIONS: In both male and female groups, HDL was significantly higher in HMG than in SMG, and a significant correlation was found between skeletal muscle mass index and HDL cholesterol. These results suggest that an increase in skeletal muscle mass may have an additive benefit on a cardiovascular risk factor, especially HDL cholesterol level.

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