Archer Trevor, Kostrzewa Richard M
Department of Psychology, University of Gothenburg, 405 30, Gothenburg, Sweden,
Neurotox Res. 2015 Oct;28(3):268-80. doi: 10.1007/s12640-015-9543-y. Epub 2015 Jul 15.
Schizophrenia spectrum disorders are characterized by symptom profiles consisting of positive and negative symptoms, cognitive impairment, and a plethora of genetic, epigenetic, and phenotypic biomarkers. Assorted animal models of these disorders and clinical neurodevelopmental indicators have implicated neurodegeneration as an element in the underlying pathophysiology. Physical exercise or activity regimes--whether aerobic, resistance, or endurance--ameliorate regional brain and functional deficits not only in affected individuals but also in animal models of the disorder. Cognitive deficits, often linked to regional deficits, were alleviated by exercise, as were quality-of-life, independent of disorder staging and risk level. Apoptotic processes intricate to the etiopathogenesis of schizophrenia were likewise attenuated by physical exercise. There is also evidence of manifest benefits endowed by physical exercise in preserving telomere length and integrity. Not least, exercise improves overall health and quality-of-life. The notion of scaffolding as the outcome of physical exercise implies the "buttressing" of regional network circuits, neurocognitive domains, anti-inflammatory defenses, maintenance of telomeric integrity, and neuro-reparative and regenerative processes.
精神分裂症谱系障碍的特征是症状表现包括阳性和阴性症状、认知障碍以及大量的遗传、表观遗传和表型生物标志物。这些障碍的各种动物模型和临床神经发育指标表明神经退行性变是潜在病理生理学的一个因素。体育锻炼或活动方案——无论是有氧运动、阻力运动还是耐力运动——不仅能改善受影响个体的局部脑功能和功能缺陷,也能改善该疾病动物模型的这些情况。与局部缺陷相关的认知缺陷通过锻炼得到缓解,生活质量也是如此,且与疾病分期和风险水平无关。精神分裂症病因发病机制中复杂的凋亡过程同样因体育锻炼而减弱。也有证据表明体育锻炼在维持端粒长度和完整性方面具有明显益处。最重要的是,锻炼能改善整体健康和生活质量。将体育锻炼的结果视为搭建支架意味着对局部网络回路、神经认知领域、抗炎防御、端粒完整性的维持以及神经修复和再生过程的“支撑”。