Department of Food Science and Nutrition, University of Minnesota, Saint Paul, MN 55108, USA.
Med Sci Sports Exerc. 2011 Jun;43(6):1002-9. doi: 10.1249/MSS.0b013e3182059eda.
Regular exercise has been shown to protect against breast cancer risk, and one possible mechanism is through a reduction in inflammation. The purpose of this study was to examine the effects of 16 wk of aerobic exercise training on adipokines and inflammatory markers in healthy young women.
Participants were 319 sedentary women aged 18-30 yr, with body mass index of 18-40 kg · m, randomized to an exercise intervention or no exercise for approximately 16 wk. Adiponectin, leptin, C-reactive protein (CRP), and amyloid A (AA) were measured at baseline and after 16 wk. Adiponectin was measured by enzyme-linked immunosorbent assay, and AA, CRP, and leptin were measured by multiplex bead array assays.
Exercise significantly decreased CRP levels in the exercise group compared with the control group (-1.41 mg · L in exercisers vs -0.005 mg · L in controls, P = 0.040), and this effect was largely driven by changes in CRP that occurred in the obese exercisers. There was no effect of exercise on levels of SAA, adiponectin, or leptin. There was also no effect of exercise on stress and depression scores. Neither change in percent body fat nor change in fitness influenced the effects of exercise on these inflammatory markers.
This study demonstrated that a 16-wk aerobic exercise program significantly decreased levels of CRP in young women, especially in those who were obese. There was no evidence that this effect was mediated by changes in perceived stress, percent body fat, or fitness. These findings suggest that adopting an exercise routine early in life may decrease future risk of breast cancer and other chronic diseases in obese women.
有研究表明,有规律的运动可降低乳腺癌风险,其作用机制之一可能是减轻炎症。本研究旨在观察 16 周有氧运动训练对健康年轻女性脂联素和炎症标志物的影响。
研究对象为 319 名年龄在 18-30 岁、体质量指数为 18-40kg/m2、久坐不动的女性,将其随机分为运动干预组和不运动对照组,干预时间约为 16 周。分别于基线和 16 周后测量脂联素、瘦素、C 反应蛋白(CRP)和淀粉样蛋白 A(AA)。采用酶联免疫吸附法测定脂联素,采用多指标微球免疫分析法测定 AA、CRP 和瘦素。
与对照组相比,运动组 CRP 水平显著下降(运动组下降 1.41mg/L,对照组下降 0.005mg/L,P=0.040),这一效果主要归因于肥胖运动者 CRP 的变化。运动对 SAA、脂联素和瘦素水平无影响。运动对压力和抑郁评分也无影响。体脂百分比的变化和体适能的变化均不影响运动对这些炎症标志物的影响。
本研究表明,16 周有氧运动方案可显著降低年轻女性 CRP 水平,尤其是肥胖女性。没有证据表明这一效果是通过感知压力、体脂百分比或体适能的变化来介导的。这些发现提示,年轻时养成运动习惯可能会降低肥胖女性未来罹患乳腺癌和其他慢性病的风险。