The influence of oral contraceptives and habitual physical activity on serum lipids in black adolescents and young women

Decreased submaximal oxygen uptake during short duration oral contraceptive use: a randomized cross-over trial in premenopausal women

Long-term oral contraceptive (OC) use is known to be associated with changes in haemostasis, cardiovascular dynamics, and carbohydrate and lipid metabolism. Less well documented are the short-term variations in cardiorespiratory responses to exercise during the menstrual cycle of OC users. In this study the short-term effects of the usage of OC on cardiorespiratory and ventilatory responses to submaximal exercise were examined. Ten women (age = 23 +/- 3 years) on monophasic OC were tested at three different times during their 'cycle': during menstruation, off OC use (off OC: days 2-4), early on OC use (EOC: days 7 - 9) and late on OC use (LOC: days 19 - 21). Times of testing were assigned randomly. On each occasion participants performed a continuous 12-min run exercise on a treadmill at three submaximal intensities (averaging 7, 8 and 9 km h(-1)), each for 4 min. Heart rate, ventilation (VE), oxygen uptake (VO2), carbon dioxide output (VCO2), respiratory exchange ratio and running economy were assessed in the last minute of each stage of exercise. No significant variations were observed between the different times for heart rate, VE, and VCO2 irrespective of the stage of exercise (p > 0.05). Using two-way analysis of variance (ANOVA) with repeated measures on both factors (three stages and three times), VO2 (ml kg(-1) min(-1)) was lower by 3% to 5.8% when participants were on early and late OC use compared to off OC regardless of the stage of the exercise (F(2,18) = 6.3; p = 0.008). Running economy (ml O2 kg(-1) km(-1)) was significantly improved (lower values) when women were on late OC use compared to off OC regardless of the stage of exercise. No significant interaction effect between stage of exercise and time of pill usage was demonstrated in any of the parameters studied. Results suggest that oral contraceptive users may expect lower VO2 and better running economy during the pill ingestion phase and consequently have implications for exercise performances.

Association among serum lipid and lipoprotein concentrations and physical activity, physical fitness, and body composition in young children

OBJECTIVE

To examine the relationships among indicators of physical activity, physical fitness, and body composition with serum lipid and lipoprotein levels in young children.

DESIGN

Cross-sectional and 1-year prospective cohort.

SETTING

Studies of Child Activity and Nutrition (SCAN) program, Galveston, Tex.

SUBJECTS

One hundred twenty-three 4- or 5-year-old black, Hispanic (of Mexican origin), and white children.

MEASUREMENTS

Body composition, resting heart rate, and cardiovascular fitness variables and serum lipid and lipoprotein levels were measured at age 3 or 4 years (study year 1) and at age 4 or 5 years (study year 2), and day-long heart rate was measured and the Children's Activity Rating Scale was administered between study years 1 and 2.

RESULTS

Year-1 waist/hip ratios were inversely correlated with total serum cholesterol (TSC) and low-density lipoprotein (LDL) levels. Mean activity level was inversely correlated with waist/hip ratios. On the basis of multiple regression analysis, the sum of seven skin-fold measurements, height, and gender explained 15.4% of the variation in triglyceride levels. The sum of seven skin-fold measurements was inversely correlated with the high-density lipoprotein (HDL) level. Resting heart rate, waist/hip ratio, and the slope of the exercise heart rate during fitness testing explained 19.5% of the variation in the concentration of an HDL subclass, HDL2. These children's levels of physical activity were associated with higher fitness levels. Year-1 waist/hip ratios and year-2 sum of seven skin-fold measurements were positively correlated with the LDL/HDL and TSC/HDL ratios.

CONCLUSION

Higher levels of cardiovascular fitness and lower levels of fatness were associated with more favorable serum lipid and lipoprotein levels in these young children. Physical activity appeared to have an indirect association with serum lipid and lipoprotein values through its relationship with higher fitness levels and lower levels of fatness.