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阻力训练对乳腺癌康复后久坐不动的女性免疫功能和炎症标志物的影响:一项随机对照试验。

The effect of resistance training on markers of immune function and inflammation in previously sedentary women recovering from breast cancer: a randomized controlled trial.

作者信息

Hagstrom Amanda D, Marshall Paul W M, Lonsdale Chris, Papalia Shona, Cheema Birinder S, Toben Catherine, Baune Bernhard T, Fiatarone Singh Maria A, Green Simon

机构信息

School of Science and Technology, University New England, Armidale, NSW, Australia.

School of Science and Health, Western Sydney University, Campbelltown, Australia.

出版信息

Breast Cancer Res Treat. 2016 Feb;155(3):471-82. doi: 10.1007/s10549-016-3688-0. Epub 2016 Jan 28.

Abstract

The purpose of this randomized controlled trial was to determine the effects of resistance training (RT) on markers of inflammation and immune function in breast cancer survivors. Thirty-nine breast cancer survivors were randomly assigned to a RT (n = 20) or control (n = 19) group. RT performed supervized exercise three times per week. Natural killer cell (NK) and natural killer T-cell (NKT) function, and markers of inflammation (serum TNF-α, IL-6, IL-10, and CRP) were measured before and after training. Changes in NK and NKT cell function were analyzed using ANCOVA, with the change score the dependent variable, and the baseline value of the same variable the covariate. Effect sizes (ES) were calculated via partial eta-squared. We found a significant reduction, and large associated ESs, in the RT group compared to the control group for change in NK cell expression of TNF-α (p = 0.005, ES = 0.21) and NKT cell expression of TNF-α (p = 0.04, ES = 0.12). No differences were observed in any serum marker. Significant improvements in all measurements of strength were found in RT compared to control (p < 0.001; large ESs ranging from 0.32 to 0.51). These data demonstrate that RT has a beneficial effect on the NK and NKT cell expression of TNF-α indicating that RT may be beneficial in improving the inflammatory profile in breast cancer survivors.

摘要

这项随机对照试验的目的是确定抗阻训练(RT)对乳腺癌幸存者炎症和免疫功能标志物的影响。39名乳腺癌幸存者被随机分为RT组(n = 20)或对照组(n = 19)。RT组每周进行三次有监督的锻炼。在训练前后测量自然杀伤细胞(NK)和自然杀伤T细胞(NKT)功能以及炎症标志物(血清TNF-α、IL-6、IL-10和CRP)。使用协方差分析(ANCOVA)分析NK和NKT细胞功能的变化,将变化分数作为因变量,同一变量的基线值作为协变量。效应大小(ES)通过偏η²计算。我们发现,与对照组相比,RT组中TNF-α在NK细胞中的表达变化(p = 0.005,ES = 0.21)以及TNF-α在NKT细胞中的表达变化(p = 0.04,ES = 0.12)有显著降低,且伴有较大的相关效应大小。在任何血清标志物中均未观察到差异。与对照组相比,RT组在所有力量测量方面均有显著改善(p < 0.001;效应大小较大,范围为0.32至0.51)。这些数据表明,RT对TNF-α在NK和NKT细胞中的表达有有益影响,这表明RT可能有助于改善乳腺癌幸存者的炎症状况。

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