Key result
Prolonged bedrest for 21 days significantly reduced plasma HDL-cholesterol levels and markedly suppressed HDL cholesterol efflux capacity, which was not corrected by resistive vibration exercise.
Why the study?
Knowledge of factors determining the link between HDL function and levels with clinical outcomes is limited, and the effects of prolonged bedrest on HDL composition and functional properties remain elusive.
Does resistive vibration exercise prevent the reduction of HDL cholesterol efflux capacity and HDL levels during prolonged bedrest in healthy males?
RCT (n=11)
Randomized
No
Does resistive vibration exercise prevent the reduction of HDL cholesterol efflux capacity and HDL levels during prolonged bedrest in healthy males?
Absolute Event Rate: 30% vs 36.8%
p-value: p=0.001
Prolonged bedrest significantly reduces HDL-cholesterol levels and impairs cholesterol efflux capacity, which is not mitigated by resistive vibration exercise, potentially increasing cardiovascular and infectious risks in bedridden patients.
Bedrest-induced HDL efflux suppression warrants monitoring in immobilized patients; leaves open its contribution to infection and CHD risk.
Recent observations strongly connect high-density lipoproteins (HDL) function and levels with coronary heart disease outcomes and risk for infections and sepsis. To date, our knowledge of factors determining this connection is still very limited. The immobility associated with prolonged bedrest is detrimental to health, affecting several systems, including the cardiovascular, pulmonary, gastrointestinal, musculoskeletal and urinary. Effects of prolonged bedrest on the composition and functional properties of HDL remain elusive. We evaluated metrics of HDL composition and function in healthy male volunteers participating in a randomized, crossover head-down bedrest study. We observed that HDL cholesterol efflux capacity was profoundly decreased during bedrest, mediated by a bedrest associated reduction in plasma levels of HDL-cholesterol and major apolipoproteins (apo) apoA-I and apoA-II. Paraoxonase activity, plasma anti-oxidative capacity and the activities of lecithin-cholesterol acyltransferase and cholesteryl ester transfer protein were not affected. No change was observed in the content of HDL-associated serum amyloid A, a sensitive marker of inflammation. Resistive vibration exercise countermeasure during bedrest did not correct impaired cholesterol efflux capacity and only tended to increase arylesterase activity of HDL-associated paraoxonase. In conclusion, prolonged bedrest reduces plasma HDL levels linked to markedly suppressed HDL cholesterol efflux capacity. Resistive vibration exercise during bedrest did not correct HDL levels and impaired cholesterol efflux capacity.
No takes yet. Share an insight, caveat, or question.
Trakaki et al. (2020) conducted an RCT in Healthy volunteers (n=11). Prolonged bedrest vs. Pre-bedrest baseline was evaluated on Plasma HDL-cholesterol levels (mg/dL) (p=0.001). Prolonged bedrest for 21 days significantly reduced plasma HDL-cholesterol levels and markedly suppressed HDL cholesterol efflux capacity, which was not corrected by resistive vibration exercise.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: