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运动与癫痫的关联后果。

Exercise-linked consequences on epilepsy.

机构信息

Gonçalo Moniz Institute, Oswaldo Cruz Foundation (FIOCRUZ), Bahia, Brazil.

Post-Graduate Program in Medicine and Health, Faculty of Medicine, Federal University of Bahia, Bahia, Brazil.

出版信息

Epilepsy Behav. 2021 Aug;121(Pt A):108079. doi: 10.1016/j.yebeh.2021.108079. Epub 2021 May 28.

Abstract

OBJECTIVE

Epilepsy is a brain disorder that leads to seizures and neurobiological, cognitive, psychological, and social consequences. Physical inactivity can contribute to worse epilepsy pathophysiology. Here, we review how physical exercise affects epilepsy physiopathology.

METHODS

An extensive literature search was performed and the mechanisms of physical exercise on epilepsy were discussed. The search was conducted in Scopus and PubMed. Articles with relevant information were included. Only studies written in English were considered.

RESULTS

The regular practice of physical exercise can be beneficial for individuals with neurodegenerative diseases, such as epilepsy by decreasing the production of pro-inflammatory and stress biomarkers, increasing socialization, and reducing the incidence of epileptic seizures. Physical exercise is also capable of reducing the symptoms of depression and anxiety in epilepsy. Physical exercise can also improve cognitive function in epilepsy. The regular practice of physical exercise enhances the levels of brain-derived neuro factor (BDNF) in the hippocampi, induces neurogenesis, inhibits oxidative stress and reactive gliosis, avoids cognitive impairment, and stimulates the production of dopamine in the epileptic brain.

CONCLUSION

Physical exercise is an excellent non-pharmacological tool that can be used in the treatment of epilepsy.

摘要

目的

癫痫是一种导致癫痫发作和神经生物学、认知、心理和社会后果的脑部疾病。身体活动不足会导致更严重的癫痫病理生理学。在这里,我们回顾了体育锻炼如何影响癫痫病理生理学。

方法

进行了广泛的文献检索,并讨论了体育锻炼对癫痫的作用机制。在 Scopus 和 PubMed 中进行了搜索。纳入了有相关信息的文章。只考虑用英文书写的研究。

结果

定期进行体育锻炼对癫痫等神经退行性疾病患者有益,可减少促炎和应激生物标志物的产生,增加社交活动,减少癫痫发作的发生。体育锻炼还可以减轻癫痫患者的抑郁和焦虑症状。体育锻炼还可以改善癫痫患者的认知功能。定期进行体育锻炼可增强海马体中的脑源性神经营养因子 (BDNF) 水平,诱导神经发生,抑制氧化应激和反应性神经胶质增生,避免认知障碍,并刺激癫痫大脑中多巴胺的产生。

结论

体育锻炼是一种极好的非药物治疗工具,可用于治疗癫痫。

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