Abstract

Elevated levels of high-density lipoprotein cholesterol (HDL-C) have been associated with a decreased risk of coronary heart disease (CHD). An active lifestyle is necessary in order to improve lipid HDL-C, including (but not limited to) physical exercise. Research on the association between badminton, an intermittent exercise, and HDL-C is limited. We investigated the impact of aerobic exercise and badminton on HDL-C levels in Taiwanese adults. The sociodemographic data of 7797 participants comprising 3559 men and 4238 women aged between 30 to 70 years were retrieved from the Taiwan Biobank. The participants were grouped into three exercise categories—no exercise, aerobic exercise, and badminton exercise. The HDL-C levels were compared using an analysis of variance (ANOVA). The multivariate linear regression models were used to determine the associations between HDL and exercise. Comparing the other two groups to the no-exercise group, the individuals who were engaged in aerobic and badminton exercise were significantly associated with a higher HDL-C (β =1.3154; p <0.0001 and β = 6.5954; p = 0.0027, respectively). Aerobic exercise and badminton were also associated with higher HDL-C levels among carriers of the lipoprotein lipase (LPL) rs328 genotypes. Aerobic exercise and regular badminton were associated with higher levels of HDL-C, with the badminton group being more significant.

Highlights

  • Substantial epidemiologic evidence suggests a negative linear correlation between of high-density lipoprotein cholesterol (HDL-C) levels and the incidence of coronary heart disease (CHD); an inverse relationship between High-density lipoprotein (HDL)-C and cardiovascular disease was not well established until the Framingham study in the 1970s, which identified HDL-C as a powerful risk factor inversely associated with the incidence of CHD [1]

  • We investigated the association between badminton, aerobic exercise, and HDL-C

  • After adjusting for confounders, HDL-C was positively associated with aerobic exercise (β = 1.2788, p ≤ 0.0001) and badminton (β = 4.7663, p = 0.0043) when compared to no exercise

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Summary

Introduction

Substantial epidemiologic evidence suggests a negative linear correlation between of high-density lipoprotein cholesterol (HDL-C) levels and the incidence of coronary heart disease (CHD); an inverse relationship between HDL-C and cardiovascular disease was not well established until the Framingham study in the 1970s, which identified HDL-C as a powerful risk factor inversely associated with the incidence of CHD [1]. High-density lipoprotein (HDL) is positively associated with a decreased risk of coronary heart disease (CHD). Smoking and obesity are the most significant risk factors associated with a lower HDL-C [5]. Certain genes play an essential role in the synthesis and metabolism of serum lipids One of these genes is the lipoprotein lipase (LPL) gene, whose variant (Rs 328) has been associated with HDL-C and triglyceride [6,7]. The findings from another study revealed that playing badminton can reduce all-cause mortality by 47% and CVD mortality risk by 59% [21]. Both aerobic exercise and badminton have positive effects on health. We investigated the association between badminton, aerobic exercise, and HDL-C among adult Taiwanese

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