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评估心力衰竭患者两种不同运动强度的炎症反应。

Evaluation of the inflammatory response to two different intensities of exercise in individuals with heart failure.

机构信息

Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Inflammation. 2012 Apr;35(2):509-15. doi: 10.1007/s10753-011-9339-z.

Abstract

The aim of this study is to compare the response of interleukin-6 (IL-6) and soluble tumor necrosis factor alpha receptor 1 (s-TNFr1) to two submaximal intensities of exercise in individuals with heart failure (HF). Thirty-two HF individuals aged 45.53 ± 9.41 years, classes II and III of the New York Heart Association (NYHA) classification underwent two sessions of exercise at low and moderate intensities with blood analysis at baseline, exercise and after exercise. The differences were evaluated by Friedman test and factorial ANOVA. Alpha = 5% was considered. No difference in IL-6 was detected for low intensity. At moderate intensity, there was a significant increase after exercise. The s-TNFr1 increased in moderate-intensity exercise and went back to baseline levels after it. A session of moderate-intensity exercise is better than low-intensity exercise at promoting positive immediate inflammatory responses in individuals with HF class II and III of the NYHA.

摘要

本研究旨在比较白细胞介素-6(IL-6)和可溶性肿瘤坏死因子受体 1(s-TNFr1)对心力衰竭(HF)患者两种亚最大强度运动的反应。32 名年龄 45.53±9.41 岁、纽约心脏协会(NYHA)分级 II 和 III 级的 HF 患者分别进行低强度和中等强度的两次运动,在基线、运动中和运动后进行血液分析。采用 Friedman 检验和析因方差分析进行差异评估。考虑到α=5%。低强度运动时 IL-6 无差异。在中等强度运动时,运动后显著增加。s-TNFr1 在中等强度运动中增加,运动后恢复到基线水平。对于 NYHA 分级 II 和 III 的 HF 患者,中等强度运动比低强度运动更能促进即刻的正向炎症反应。

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