and Ralph Paffenbarger,
all notable researchers, during these trials. A principal collaborator
in these trials was Dr. Ronald Krauss at Lawrence Berkeley National Laboratory
(LBNL), who was keenly interested in understanding how subclasses of lipoproteins
(the particles that transport cholesterol and triglyceride in the blood)
were affected by exercise, diet, drugs and other factors. Much of my involvement
in these trials was working with Dr. Krauss on lipoprotein subclasses.
In 1988 I was invited by Dr. Krauss to work with him at LBNL.
In the succeeding years I continued to work closely with Dr. Krauss
in studies of lipoprotein heterogeneity. In both high-density lipoproteins
(HDL) and low density lipoproteins (LDL) there is a spectrum of different
particles that can be identified from one-another by gradient gel electrophoresis.
These particle subclasses are important because they appear to convey
different degrees of cardiovascular disease risk. I have created statistical
methods for analyzing these particle distributions and have applied them
to studies of family members, diet, drugs, and physical activity.
In 1991 I started the National Runners' Health Study. Access to Runner's
World magazine subscribers was particularly helpful in creating the
cohort. I recruited over 55,000 runners by 1996, but lacked any real financial
support for this study. However, by 1995 work by Drs. Blair, Pate, Haskell,
Paffenbarger and others brought physical activity to a position of prominence
in preventive medicine. However, the guidelines for physical activity
by various organizations largely emphasized moderate-intensity activity
(such as brisk walking). Physician-supplied medical data collected on
the National Runners' Health Study suggested that much of the health benefits
from physical activity might require greater intensity and durations than
was being advocated by these guidelines. This led to a series of debates
between Steven Blair and myself regarding how much physical activity was
beneficial, and to funding by the National Heart, Lung, and Blood Institutes
for the National Runners' Health Study. This support also facilitated
the creation of a National Walkers' Health Study to test whether walking
and running were equally beneficial for reducing cancer and heart disease
risks. Additional funding by the Department of Defense covered the