The FITT of exercise prescription for individuals with dyslipidemia without comorbidities is very similar to the prescription for healthy adults. The only major difference between the FITT principle for individuals with dyslipidemia compared to healthy adults is that healthy weight maintenance should be emphasized. Consequently, aerobic exercise becomes the foundation of the exercise prescription. Resistance and flexibility exercises thus become secondary to an aerobic training program. This is because these modes of exercise do not substantially contribute to the overall caloric expenditure goals that appear to be beneficial for improvements in blood lipid and lipoprotein concentrations.
Here is the ACSM FITT recommendations for individuals with dyslipidemia:
Aerobic Exercise
Frequency: Greater than or equal to five times a week to maximize caloric expenditure
Intensity: 40% - 70% of resting VO2 or Heart Rate Reserve
Time: 30-60 minutes per day. However, to promote or maintain weight loss 50-60 minutes of daily exercise is recommended. Performance of intermittent exercise of at least 10 minutes in duration to accumulate these duration recommendations can serve as an effective alternative to continuous exercise.
Type: The primary mode should be aerobic physical activities that involve larger muscle groups. As part of a balanced exercise program, resistance training and flexibility exercise should be incorporated. Individuals with dyslipidemia without comorbidities may follow the resistance training and flexibility guidelines for healthy adults.
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