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在接受他莫昔芬治疗的乳腺癌幸存者中,运动训练和停训对身体成分、肌肉力量以及血脂、炎症和氧化标志物的影响。

Exercise training and detraining effects on body composition, muscle strength and lipid, inflammatory and oxidative markers in breast cancer survivors under tamoxifen treatment.

机构信息

Laboratory of Cardiorespiratory and Metabolic Physiology, Faculty of Physical Education, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.

Nutrition Departament, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.

出版信息

Life Sci. 2021 Nov 1;284:119924. doi: 10.1016/j.lfs.2021.119924. Epub 2021 Sep 2.

Abstract

AIMS

The present study aimed to verify the effects of resistance training (RT) and successive detraining on body composition, muscle strength and lipid profile as primary outcome, and the oxidative stress and inflammatory markers as second outcome of postmenopausal Breast Cancer (BC) survivors undergoing tamoxifen (TA).

MAIN METHODS

Fourteen postmenopausal BC survivors underwent 12 weeks of resistance exercise training and subsequently 12 weeks of detraining. Anthropometric parameters, lipid profile, muscle strength, inflammatory cytokines and the oxidative stress markers, were assessed before, after the training period and after detraining period.

KEY FINDINGS

One-way ANOVA showed that fat mass decrease (39.4 ± 6.9 to 37.7 ± 6.8%) and free-fat mass increase (39.3 ± 4.9 to 40.3 ± 5.6%) after RT. Muscle strength increased in response to training but decreased after the detraining period. Triglycerides (156 ± 45 to 123 ± 43 mg/dL) and total cholesterol (202 ± 13 to 186 ± 16 mg/dL) decreased after the RT and HDL-cholesterol (47 ± 9 to 56 ± 9 mg/dL) increased after RT and remained higher (53 ± 10 mg/dL) than after detraining. IL-6 increases (24.65 ± 10.85 to 41.42 ± 22.88 pg/mL) and IL-17 (2.42 ± 0.32 to 1.69 ± 0.19 pg/mL), TBARS (1.91 ± 0.19 to 1.03 ± 0.1 μmol/L), SOD (24.65 ± 10.85 to 41.42 ± 22.88 U/gHb) and Catalase activity (445.9 ± 113.0 to 345.8 ± 81.7 k/gHb·s) reduced after RT and remained lower after detraining.

SIGNIFICANCE

Resistance exercise training improves health markers of BC survivors undergoing TA and detraining are not sufficient to reverse the positive effects in oxidative stress markers.

摘要

目的

本研究旨在验证抗阻训练(RT)和连续去训练对接受他莫昔芬(TA)治疗的绝经后乳腺癌(BC)幸存者的身体成分、肌肉力量和血脂谱等主要结果,以及氧化应激和炎症标志物等次要结果的影响。

方法

14 名绝经后 BC 幸存者接受了 12 周的抗阻运动训练,随后进行了 12 周的去训练。在训练前、训练后和去训练后评估了人体测量参数、血脂谱、肌肉力量、炎症细胞因子和氧化应激标志物。

主要发现

单因素方差分析显示,RT 后脂肪量减少(39.4±6.9 至 37.7±6.8%),游离脂肪量增加(39.3±4.9 至 40.3±5.6%)。肌肉力量对训练有反应,但在去训练后下降。甘油三酯(156±45 至 123±43mg/dL)和总胆固醇(202±13 至 186±16mg/dL)在 RT 后下降,高密度脂蛋白胆固醇(47±9 至 56±9mg/dL)在 RT 后增加,并保持在较高水平(53±10mg/dL),高于去训练后。IL-6 增加(24.65±10.85 至 41.42±22.88pg/mL)和 IL-17(2.42±0.32 至 1.69±0.19pg/mL),TBARS(1.91±0.19 至 1.03±0.1μmol/L),SOD(24.65±10.85 至 41.42±22.88U/gHb)和 Catalase 活性(445.9±113.0 至 345.8±81.7k/gHb·s)在 RT 后下降,并在去训练后保持较低水平。

意义

抗阻运动训练可改善接受 TA 治疗的 BC 幸存者的健康指标,而去训练不足以逆转氧化应激标志物的积极影响。

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