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P T Williams

Publications and source records attributed to P T Williams.

At least 19 recordsLinked to original sources
PubMed1992

Effects of weight-loss by exercise and by diet on apolipoproteins A-I and A-II and the particle-size distribution of high-density lipoproteins in men.

We studied separately the effects of weight-loss by dieting or by running on apolipoprotein (apo) A-I, apo A-II, and high-density lipoprotein (HDL) subfractions in sedentary, moderately overweight men assigned at random into three groups: exercise without calorie restriction, calorie restriction without exercise, and control. The absorbance of protein-stained polyacrylamide gradient gels was used as an index of mass concentrations for five HDL subclasses that have been identified by their particle sizes: HDL3c (7.2 to 7.8 nm), HDL3b (7.8 to 8.2 nm), HDL3a (8.2 to 8.8 nm), HDL2a (8.8 to 9.7 nm), and HDL2b (9.7 to 12.9 nm). During the 1-year trial, the exercisers ran (mean +/- SD) 15.6 +/- 9.1 km/wk, and the dieters reported eating 340 +/- 71 fewer calories per day than at baseline. Total body weight and fat weight were both reduced significantly more in dieters (-7.2 +/- 4.1 and -6.2 +/- 4.1 kg, respectively) and in exercisers (-4.0 +/- 3.9 and -4.6 +/- 3.5 kg) than in controls (0.6 +/- 3.7 and -0.7 +/- 2.7 kg). As compared with mean changes in controls, exercisers and dieters each decreased HDL3b and increased HDL2b. Exercisers also significantly increased plasma apo A-I concentrations. Analysis of covariance was used to statistically adjust the mean lipoprotein changes for the effects of weight-loss. The adjustment eliminated the significant reductions in HDL3b and the significant increases in HDL2b in exercisers and dieters, and it eliminated the significant increase in apo A-I in exercisers. When adjusted, the dieters' mean changes in HDL2b had significantly decreased relative to those of both exercisers and controls.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Familial correlations of HDL subclasses based on gradient gel electrophoresis.

We used nondenaturing polyacrylamide gradient gel electrophoresis to examine the familial correlations of high density lipoprotein (HDL) subclasses for 150 offspring in 47 nuclear families. The absorbance of protein stain was used as an index of mass concentrations at intervals of 0.01 nm within five HDL subclasses: HDL3c (7.2-7.8 nm), HDL3b (7.8-8.2 nm), HDL3a (8.2-8.8 nm), HDL2a (8.8-9.7 nm), and HDL2b (9.7-12 nm). Parent-offspring correlations were computed for two different characterizations of the parents: 1) by sex (i.e., mother versus father) and 2) by their relative values (highest versus lowest HDL). Sibling resemblance was assessed by using the intraclass correlations coefficient. Family members were significantly related for the following subclasses: HDL3c (sibling and father-offspring), HDL3b (sibling), HDL3a (sibling and mother-offspring), HDL2a (mother-offspring), and HDL2b (sibling, father-offspring, and mother-offspring). The offsprings' HDL3c and HDL2b values were more strongly related to their fathers' than to their mothers' values, whereas their HDL2a levels were more strongly related to their mothers' than their fathers' values. In addition, fathers' HDL2b levels were inversely correlated with the offsprings' HDL3b. The parents' HDL subclass levels were more strongly related to subclass levels of their younger (< or = 20 years) than their older offspring. Among all subclasses, HDL2b showed the strongest parent-offspring relation, with the parents' HDL values accounting for over 30% of the variance in offsprings' HDL2b.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Associations of lipoproteins and apolipoproteins with gradient gel electrophoresis estimates of high density lipoprotein subfractions in men and women.

We examined the relations of gender and lipoproteins to subclasses of high density lipoproteins (HDLs) in a cross-sectional sample of moderately overweight men (n = 116) and women (n = 78). The absorbance of protein-stained polyacrylamide gradient gels was used as an index of mass concentrations of HDL at intervals of 0.01 nm across the entire HDL particle size range (7.2-12 nm). At least five HDL subclasses have been identified by their particle sizes: HDL3c (7.2-7.8 nm), HDL3b (7.8-8.2 nm), HDL3a (8.2-8.8 nm), HDL2a (8.8-9.7 nm), and HDL2b (9.7-12 nm). Men had significantly higher HDL3b and significantly lower HDL2a and HDL2b than did women. Correlations of HDL subclasses with concentrations of other lipoprotein variables were generally as strong for gradient gel electrophoresis as for analytical ultracentrifugation measurements of HDL particle distributions. In both sexes, high levels of HDL3b were associated with coronary heart disease risk factors, including high concentrations of triglycerides, apolipoprotein B, small low density lipoproteins, intermediate density lipoproteins, and very low density lipoproteins and low concentrations of HDL2 cholesterol and HDL2 mass. Plasma concentrations of HDL3 cholesterol were unrelated to protein-stained HDL3b levels. HDL3 cholesterol concentrations also did not exhibit the sex difference or the relations with lipoprotein concentrations that characterized HDL3b. Thus, low HDL3b levels may contribute in part to the low heart disease risk in men and women who have high HDL cholesterol. Measurements of HDL3 cholesterol may not identify clinically important relations involving HDL3b.

Adult↗
PubMed1992

Correlations of plasma lipoproteins with LDL subfractions by particle size in men and women.

Nondenaturing gradient gel electrophoresis of plasma low density lipoprotein (LDL) has been used to identify major LDL subclasses that are influenced by genetic and other factors. In the present paper, this technique has been extended by measuring absorbance of lipid- or protein-stained gels as an index of concentration at intervals of 0.05 nm across the entire LDL particle size range (21.8-30 nm) in moderately overweight men (n = 115) and women (n = 78). When LDL absorbance levels were correlated with other lipoprotein variables, we found that the strengths of the correlations with each of triglycerides, apolipoprotein (apo) B, high density lipoprotein (HDL)2, and apoA-I achieve relative maximum values for two regions within the small LDL range (21-26 nm), one within LDL-IVB (22-23.2 nm) and a second within LDL-III (24.2-25.5 nm). We also found that the increase in LDL accompanying higher triglyceride levels occurs below 25.5 nm in men and between 24.5 and 26.5 nm in women, suggesting either that triglycerides are related to different LDL subclasses in men and women, or that particle sizes of metabolically homologous LDL subclasses may differ in men and women. As compared to analytic ultracentrifuge measurements, gradient gel measurements of LDL absorbance by the procedure described here provide greater resolution of LDL subclasses but less precision in estimating LDL levels.

Adult↗
PubMed1991

The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise, in overweight men and women.

BACKGROUND: The National Cholesterol Education Program (NCEP) recommends a low-saturated-fat, low-cholesterol diet, with weight loss if indicated, to correct elevated plasma cholesterol levels. Weight loss accomplished by simple caloric restriction or increased exercise typically increases the level of high-density lipoprotein (HDL) cholesterol. Little is known about the effects on plasma lipoproteins of a hypocaloric NCEP diet with or without exercise in overweight people. METHODS: We tested the hypothesis that exercise (walking or jogging) will increase HDL cholesterol levels in moderately overweight, sedentary people who adopt a hypocaloric NCEP diet. We randomly assigned 132 men and 132 women 25 to 49 years old to one of three groups: control, hypocaloric NCEP diet, or hypocaloric NCEP diet with exercise. One hundred nineteen of the men and 112 of the women returned for testing after one year. RESULTS: After one year, the subjects in both intervention groups had reached or closely approached NCEP Step 1 dietary goals and reduced their mean body fat significantly (range of reduction in mean fat weight, 4.0 to 7.8 kg). Weight loss on the NCEP diet alone did not significantly change HDL cholesterol levels in either the men or the women as compared with the subjects in the control group. Plasma levels of HDL cholesterol increased significantly more in the men who exercised and dieted (mean [+/- SE] change, +13 +/- 3 percent) than in the men who only dieted (+2 +/- 3 percent, P less than 0.01) or the men who acted as controls (-4 +/- 2 percent, P less than 0.001). HDL cholesterol levels remained about the same in the women who exercised and dieted (+1 +/- 2 percent); they were higher than in the women who only dieted (-10 +/- 3 percent, P less than 0.01), but not higher than in the controls (-3 +/- 3 percent). CONCLUSIONS: Regular exercise in overweight men and women enhances the improvement in plasma lipoprotein levels that results from the adoption of a low-saturated-fat, low-cholesterol diet.

Adult↗
PubMed1991

Caffeinated and decaffeinated coffee effects on plasma lipoprotein cholesterol, apolipoproteins, and lipase activity: a controlled, randomized trial.

Coffee consumption has been associated with elevated plasma cholesterol. One hundred eighty-one men consumed a standard caffeinated coffee for 2 mo followed by randomization to continue caffeinated coffee (control), change to decaffeinated coffee or no coffee for 2 mo. Plasma low-density-lipoprotein (LDL) cholesterol and apolipoprotein B concentrations increased significantly (0.12 +/- 0.65 mmol/L, P less than 0.025; 0.06 +/- 0.12 g/L, P less than 0.0004, respectively) in the group that changed to decaffeinated coffee. In a subgroup (n = 51), post-heparin lipoprotein lipase decreased significantly more (-270 mmol free fatty acids.L-1.h-1, P less than 0.003) in the decaffeinated-coffee group. Resting heart rate and blood pressure did not change significantly. Change from caffeinated to decaffeinated coffee increased plasma LDL cholesterol and apolipoprotein B whereas discontinuation of caffeinated coffee revealed no change. This finding suggests that a coffee component other than caffeine is responsible for the LDL cholesterol, apolipoprotein B, and lipase activity changes reported in this investigation.

Adult↗
PubMed1991

Effects of warm air-drying and spreading on resin bonding.

The purpose of this study was to compare the effect on resin-to-enamel bonding produced by warm air from a hair dryer, and to correlate changes in resin bond strength with resin tag structure. Herculite-XR resin composite and Bondlite bonding resin were used. The three technique variables were the type of air used for drying, air dryer distance, and drying and spreading time. Control samples were dried and the bonding resin spread with a dental air syringe, whereas warm air from a hair dryer was used on the experimental samples. The bond strength (MPa) was determined in shear at a crosshead speed of 1 mm/min. Following bond strength evaluation, the teeth were immersed in 10% HCl for enamel dissolution and the resin tag structure was examined with the SEM. ANOVA analyses of shear bond strengths were performed. Warm air-drying and spreading for 15 seconds at 6 cm and 5 seconds at 6 cm respectively, produced statistically greater shear bond strengths (x = 20.4 +/- 4.4 MPa, P less than 0.05). The other drying time/distance combinations, including the control (x = 14.4 +/- 3.3 MPa), were not statistically different. Differences in resin tag structure were qualitatively evident under the SEM, with sharp tags produced by the warm air-drying and spreading techniques, compared to the blunt tags created by syringe air-drying and spreading. Warm air-drying and spreading significantly improved the bond strength. No apparent correlation exists between bond strength and tag length.

Air↗
PubMed1991

Effects of warm air-drying on intra-pulpal temperature.

This study was designed to determine what effects different warm air-drying conditions have on the intra-pulpal temperature (IPT), with or without chamber preparation and with or without an acid-etching treatment of the enamel. Four human maxillary centrals and four cuspids had lingual access openings prepared to accommodate a thermal sensor probe. Half of the specimens received a labial chamber preparation and half were acid-etched. All specimens were stored in water at 37 degrees C prior to testing. Labial aspects were positioned at 2 cm and 6 cm from the nozzle of a 500W hair dryer and IPTs were recorded after 15, 30, 45, and 60-second exposures. Exposure times for the acid-etched samples were modified to 10 seconds at 2 cm and 15 seconds at 6 cm. Results showed that for unetched teeth, increases in the IPT were greater at the 2 cm/15-second exposure (a 10.4-12.0 degrees C increase) than at the 6 cm/15-second exposure (a 3.9-6.6 degrees C increase). Even greater temperature changes were seen as the exposure times were increased to 30, 45, and 60 seconds. When the teeth were acid-etched, IPT rises of 5.6-10.1 degrees C and 5.8-8.7 degrees C were measured at 2 cm/10 seconds and at 6 cm/15 seconds, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid Etching, Dental↗
PubMed1990

Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City Project.

To test whether communitywide health education can reduce stroke and coronary heart disease, we compared two treatment cities (N = 122,800) and two control cities (N = 197,500) for changes in knowledge of risk factors, blood pressure, plasma cholesterol level, smoking rate, body weight, and resting pulse rate. Treatment cities received a 5-year, low-cost, comprehensive program using social learning theory, a communication-behavior change model, community organization principles, and social marketing methods that resulted in about 26 hours of exposure to multichannel and multifactor education. Risk factors were assessed in representative cohort and cross-sectional surveys at baseline and in three later surveys. After 30 to 64 months of education, significant net reductions in community averages favoring treatment occurred in plasma cholesterol level (2%), blood pressure (4%), resting pulse rate (3%), and smoking rate (13%) of the cohort sample. These risk factor changes resulted in important decreases in composite total mortality risk scores (15%) and coronary heart disease risk scores (16%). Thus, such low-cost programs can have an impact on risk factors in broad population groups.

Adult↗
PubMed1990

Associations of lecithin: cholesterol acyltransferase (LCAT) mass concentrations with exercise, weight loss, and plasma lipoprotein subfraction concentrations in men.

The relationships between plasma lecithin:cholesterol acyltransferase (LCAT) mass concentrations and lipids, apolipoprotein, and lipoprotein subfraction concentrations were studied in men assigned at random to a one-year exercise program (n = 48) and to a sedentary control condition (n = 31). Exercise training did not significantly affect mean concentrations of LCAT-mass. Moreover changes in LCAT within the exercise group were unrelated to distance run and weight loss. The baseline data and the one-year change data showed consistent positive correlations between LCAT concentrations and total cholesterol, low density lipoprotein cholesterol, very low density lipoprotein cholesterol, and apolipoprotein B concentrations, and consistently weak correlations between LCAT concentrations and high density lipoprotein (HDL)-cholesterol, HDL2, and apolipoprotein A-I concentrations. The strong correlation between LCAT and total cholesterol may account for LCAT's relationships with lipoprotein subfractions, apolipoprotein B and other lipoprotein cholesterol concentrations.

Adult↗
PubMed1990

Weight set-point theory and the high-density lipoprotein concentrations of long-distance runners.

Long-distance runners have higher high-density lipoprotein (HDL)-cholesterol concentrations and lower adiposity than sedentary men. Most cross-sectional studies claim that the runners' elevated HDL-cholesterol is not due to the runners' leanness. However, when cross-sectional studies use analysis of covariance (ANCOVA) to adjust for adiposity, or when they compare runners with lean sedentary men, they make an incorrect tacit assumption. They assume that the relationship between change in adiposity and change in HDL-cholesterol in men who have lost fat by running is the same as the cross-sectional difference in HDL-cholesterol between naturally fat and lean sedentary men. Regression slopes for HDL-cholesterol versus adiposity during and at the end of 1 year of running in 35 initially sedentary men suggest this assumption is incorrect; the increase in HDL-cholesterol that accompanies weight loss (-4.28 +/- 1.01 mg/100 mL per kg/m2) is considerably greater than the increase in HDL-cholesterol that is associated with lower adiposity cross-sectionally (-0.78 +/- 0.46 mg/100 mL per kg/m2). These results suggest the following theory: long-distance runners have the HDL metabolism of men who are below their sedentary set-point weight rather than the HDL metabolism of men who are naturally lean without exercising or dieting. This theory was applied to data from 23 published comparisons between long-distance runners and sedentary men.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗
PubMed1990

Changes in lipoprotein subfractions during diet-induced and exercise-induced weight loss in moderately overweight men.

We studied separately the effects of weight loss by calorie restriction (dieting) and by calorie expenditure (primarily, running) on lipoprotein subfraction concentrations in sedentary, moderately overweight men assigned at random into three groups as follows: exercise without calorie restriction (n = 46), calorie restriction without exercise (n = 42), and control (n = 42). Plasma lipoprotein mass concentrations were measured by analytic ultracentrifugation for flotation rates (F0(1.20), S0f) within high density lipoprotein (HDL) (F0(1.20) 0-9), low density lipoprotein (LDL) (S0f 0-12), intermediate density lipoprotein (IDL) (S0f 12-20), and very low density lipoprotein (VLDL) (S0f 20-400) particle distributions. Particle diameter and flotation rate of the most abundant LDL species were determined by nondenaturing polyacrylamide gradient gel electrophoresis and analytic ultracentrifugation, respectively. During the 1-year trial, the exercisers ran (mean +/- SD) 15.6 +/- 9.1 km/wk, and the dieters ate 340 +/- 71 fewer kilocalories per day than at baseline. Total body weight was reduced significantly more in dieters (-7.2 +/- 4.1 kg) and exercisers (-4.0 +/- 3.9 kg) than controls (0.6 +/- 3.7 kg). As compared with mean changes in controls, the exercisers and dieters significantly increased HDL2 mass (48.6% and 47.1%, respectively), decreased VLDL mass (-23.9% and -25.5%), and increased LDL peak particle diameter (2.4 and 3.2 A). When adjusted to an equivalent change in body mass index by analysis of covariance, 1) exercise-induced and diet-induced weight loss produced comparable mean changes in the mass of small LDL and VLDL, and in LDL peak particle diameter; 2) the exercisers versus control group difference in HDL2 was attributed to the exercisers' reduced body mass index; and 3) HDL2 increased significantly less in dieters than in exercisers. In dieters, low calorie intake might mitigate the effects of weight loss on HDL2.

Adult↗
PubMed1990

Identifying the predominant peak diameter of high-density and low-density lipoproteins by electrophoresis.

Particle size distributions of high-density (HDL) and low-density (LDL) lipoproteins, obtained by polyacrylamide gradient gel electrophoresis, exhibit apparent predominant and minor peaks within characteristic subpopulation migration intervals. In the present report, we show that identification of such peaks as predominant or minor depends on whether the particle size distribution is analyzed according to migration distance or particle size. The predominant HDL peak on the migration distance scale is frequently not the predominant HDL peak when the distribution is transformed to the particle size scale. The potential physiologic importance of correct identification of the predominant HDL peak within a gradient gel electrophoresis profile is suggested by our cross-sectional study of 97 men, in which diameters associated with the predominant peak, determined using migration distance and particle size scales, were correlated with plasma lipoprotein and lipid parameters. Plasma concentrations of HDL-cholesterol, triglycerides, and apolipoproteins A-I and B correlated more strongly with the predominant peak obtained using the particle size scale than the migration distance scale. The mathematical transformation from migration distance to particle diameter scale had less effect on the LDL distribution. The additional computational effort required to transform the HDL-distribution into the particle size scale appears warranted given the substantial changes it produces in the gradient gel electrophoresis profile and the strengthening of correlations with parameters relevant to lipoprotein metabolism.

Adult↗
PubMed1990

Weight set-point theory predicts HDL-cholesterol levels in previously obese long-distance runners.

I have proposed that long-distance runners have the high-density lipoprotein (HDL) cholesterol metabolism of men who are below their sedentary weight set-point. This hypothesis was tested by correlating HDL-cholesterol levels with other variables in 33 long-distance runners who ran at least 24 km/week. The most significant determinant of the runners' plasma HDL-cholesterol concentrations was the difference between the runners' current weight and their self-reported greatest weight (r = -0.50, P less than 0.0001). HDL-cholesterol levels were highest in previously-obese runners who had lost the most weight, i.e. highest in those who were the furthest below their presumed weight set-point. Plasma HDL-cholesterol concentrations were unrelated to training level, running performance, current weight and upper-body obesity. Although these results do not prove homeostatic regulation of weight at a set point, they do suggest that deviations from sedentary weight affect metabolism. Moreover, with respect to male runners elevating their HDL-cholesterol concentrations, these results suggest, 'tis better to have been fat and lost than to have never been fat at all.

Adipose Tissue↗
PubMed1989

Amalgam margin breakdown caused by creep fatigue rupture.

This study was designed to determine whether the mechanical cyclic stressing that occurs during normal mastication contributes to margin breakdown of dental amalgam restorations. The method used appears to duplicate the mechanical stresses developed in vivo during mastication, as the result of tooth flexing. We evaluated one low-copper alloy--NTD--and three high-copper alloys--Dispersalloy, Phasealloy, and Tytin. We prepared simple amalgam restorations in a cavity centrally located in an aluminum beam. Each specimen received five periods of three-point cyclical loading (1.7 hertz, 4200 cycles at 37 degrees C). The margin area was subjected to SEM examination prior to and at the completion of each period of cycling. At the beginning of each period of cycling, beam deflection was set to establish a maximum theoretical stress of 1, 2, 4, 6, or 8 MPa. For all brands, cycling resulted in margin gap formation and surface wrinkling. Wrinkling in Dispersalloy occurred as a wide band of shallow wrinkles, whereas that in NTD occurred as a narrow band of deep wrinkles. At 21,000 cycles, very little void formation and fracturing had occurred in the Dispersalloy or NTD restorations. In contrast, the Phasealloy and Tytin restorations developed extensive fracturing even after 4200 cycles. Fracture surface analyses of Phasealloy and Tytin indicated that creep fatigue rupture was the fracture mechanism responsible for margin breakdown in these amalgam restorations, when subjected to cyclic compressive loading similar to that experienced during mastication.

Copper↗
PubMed1988

Changes in plasma lipids and lipoproteins in overweight men during weight loss through dieting as compared with exercise.

We studied separately the influence of two methods for losing fat weight on the levels of plasma lipids and lipoproteins in overweight sedentary men--decreasing energy intake without increasing exercise (diet), and increasing energy expenditure without altering energy intake (exercise, primarily running)--in a one-year randomized controlled trial. As compared with controls (n = 42), dieters (n = 42) had significant loss of total body weight (-7.8 +/- 0.9 kg [mean +/- SE]), fat weight (-5.6 +/- 0.8 kg), and lean (non-fat) weight (-2.1 +/- 0.5 kg) (P less than 0.001 for each variable), and exercisers (n = 47) had significant loss of total body weight (-4.6 +/- 0.8 kg) and fat weight (-3.8 +/- 0.7 kg) (P less than 0.001 for both variables) but not lean weight (-0.7 +/- 0.4 kg). Fat-weight loss did not differ significantly between dieters and exercisers. All subjects were discouraged from altering their diet composition; however, dieters and exercisers had slight reductions in the percentage of kilojoules derived from fat. As compared with the control group, both weight-loss groups had significant increases (P less than 0.01) in plasma concentrations of high-density lipoprotein (HDL) cholesterol (diet vs. exercise, 0.13 +/- 0.03 vs. 0.12 +/- 0.03 mmol per liter), HDL2 cholesterol (0.07 +/- 0.02 vs. 0.07 +/- 0.02 mmol per liter), and HDL3 cholesterol (0.07 +/- 0.02 vs. 0.06 +/- 0.02 mmol per liter) and significant decreases (P less than 0.05) in triglyceride levels (diet vs. exercise, -0.35 +/- 0.14 vs. -0.24 +/- 0.12 mmol per liter). Levels of total and low-density lipoprotein cholesterol were not significantly changed, relative to values in controls. None of these changes were significantly different between dieters and exercisers. Thus, we conclude that fat loss through dieting or exercising produces comparable and favorable changes in plasma lipoprotein concentrations.

Adult↗
PubMed1988

Dietary fat:carbohydrate ratio and obesity in middle-aged men.

Nutrient intakes from 7-d diet records were compared with hydrostatically determined body composition in 155 sedentary obese men aged 30-59 y. Percent body fats ranged from 18.6 to 40.3. The men ate (mean +/- SD) 2570 +/- 514 kcal/d: 15.6 +/- 2.6% from protein, 40.7 +/- 5.7% from fat, 37.5 +/- 6.9% from carbohydrate, and 6.2 +/- 6.0% from alcohol. Percent body fat correlated positively (p less than 0.05) with g/1000 kcal intake of total, saturated, and monounsaturated fatty acids and negatively with carbohydrates and plant protein. Total calories, number of meals, and distribution of calories were unrelated to percent body fat, total weight, or fat-free mass. The higher proportion of fat and carbohydrate in the diet may contribute to obesity in men. The modest caloric intake of these men and the lack of correlation between percent body fat and total calories suggest that calorie differences are not the major cause of the variations in obesity in these men.

Adipose Tissue↗