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身体活动、免疫与感染。

Physical activity, immunity and infection.

机构信息

Immunonutrition Research Group, Department of Metabolism and Nutrition, Spanish National Research Council (CSIC), Madrid, Spain.

出版信息

Proc Nutr Soc. 2010 Aug;69(3):390-9. doi: 10.1017/S0029665110001795. Epub 2010 Jun 23.

Abstract

During the last few decades, scientific evidence has confirmed a wide range of health benefits related to regular physical activity. How physical activity affects the immune function and infection risk is, however, still under debate. Commonly, intensive exercise suppresses the activity and levels of several immune cells, while other immune functions may be stimulated by moderate physical activity. With this knowledge, the understanding of the relationship between different levels of physical activity on the immune function has been raised as a potential tool to protect health not only in athletes but also in the general population; the mechanisms that translate a physically active lifestyle into good health continue to be investigated. Reviewing the literature, although several outcomes (i.e. the mechanisms by which different levels and duration of physical activity programmes affect numerous cell types and responses) remain unclear, given that the additional benefits encompass healthy habits including exercise, the use of physical activity programmes may result in improved health of elderly populations. Moderate physical activity or moderate-regulated training may enhance the immune function mainly in less fit subjects or sedentary population and the pre-event fitness status also seems to be an important individual factor regarding this relationship. Although adequate nutrition and regular physical activity habits may synergistically improve health, clinical trials in athletes using nutritional supplements to counteract the immune suppression have been inconclusive so far.Further research is necessary to find out to what extent physical activity training can exert an effect on the immune function.

摘要

在过去的几十年中,科学证据已经证实了定期进行身体活动对健康有广泛的益处。然而,身体活动如何影响免疫功能和感染风险仍存在争议。通常情况下,剧烈运动抑制了几种免疫细胞的活性和水平,而适度的身体活动可能会刺激其他免疫功能。有了这些知识,人们对不同水平的身体活动对免疫功能的关系的理解已经提高,认为这是一种既能保护运动员健康又能保护一般人群健康的潜在工具;将积极的生活方式转化为健康的机制仍在研究中。回顾文献,虽然一些结果(即不同水平和持续时间的身体活动方案影响众多细胞类型和反应的机制)仍不清楚,但由于额外的益处包括健康的习惯,包括运动,因此使用身体活动方案可能会改善老年人群的健康。适度的身体活动或适度调节的训练可能主要增强身体不太健康或久坐不动的人群的免疫功能,赛前体能状态似乎也是这种关系的一个重要个体因素。尽管充足的营养和定期的身体活动习惯可能会协同提高健康水平,但迄今为止,运动员使用营养补充剂来对抗免疫抑制的临床试验尚无定论。需要进一步研究,以确定身体活动训练在多大程度上可以对免疫功能产生影响。

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