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心血管疾病、重要器官纤维化以及与高强度和/或高运动量运动训练相关的慢性炎症:老年人和/或中年癌症治疗患者中剧烈体育活动的双刃剑效应

Cardiovascular Diseases, Vital Organ Fibrosis, and Chronic Inflammation Associated with High-Intensity and/or High-Volume Exercise Training: Double-Edged Sword Effects of Vigorous Physical Activity in Elderly People and/or in Middle-Age Cancer-Therapy-Treated Patients.

作者信息

Guertin Pierre A

机构信息

Department of Neurosciences, Faculty of Medicine, Laval University, Québec, QC G1V 0A6, Canada.

出版信息

J Funct Morphol Kinesiol. 2025 Jan 15;10(1):33. doi: 10.3390/jfmk10010033.

Abstract

Cardiotoxicity, cardiovascular diseases (CVDs), hypertension, hepatotoxicity, and respiratory problems occurring several months to several years post-chemotherapy and/or radiotherapy are increasingly documented by scientists and clinicians. Anthracyclines, for example, were discovered in the late 1960s to be dose-dependently linked to induced cardiotoxicity, which frequently resulted in cardiomyopathy and heart failure. Most of those changes have also been associated with aging. While it is well known that exercise can slow down cellular aging processes, lessen the effects of chemotherapy, improve the effectiveness of cancer treatments, and prevent health problems in the general population, it remains unclear how exercise volume or intensity may affect the overall benefits of physical activity on health. For instance, higher rates of sudden cardiac arrest or coronary artery calcification have been found in marathon and ultra-marathon runners. Several additional pathological consequences have also been reported recently on many organs of those athletes. This review reports the most recent evidence suggesting that excessive intensity and/or volume may have deleterious effects on health. These findings are in clear contrast with the popular belief that all forms of physical activity can generally reduce the pathological changes associated with aging or cancer therapies. In conclusion, high-intensity training (HIT) and/or high-volume training (HVT) should not be recommended for middle-age and elderly people who have had cancer therapies or not in order to avoid an exacerbation of the consequences of aging or long-term cancer treatment effects on vital organ structures and functions.

摘要

科学家和临床医生越来越多地记录到化疗和/或放疗后数月至数年出现的心脏毒性、心血管疾病(CVD)、高血压、肝毒性和呼吸问题。例如,20世纪60年代末发现蒽环类药物与诱导的心脏毒性存在剂量依赖性关联,这经常导致心肌病和心力衰竭。其中大多数变化也与衰老有关。虽然众所周知运动可以减缓细胞衰老过程、减轻化疗的影响、提高癌症治疗的效果并预防普通人群的健康问题,但运动的量或强度如何影响体育活动对健康的总体益处仍不清楚。例如,在马拉松和超级马拉松运动员中发现了较高的心脏骤停或冠状动脉钙化发生率。最近还报道了这些运动员许多器官的其他一些病理后果。本综述报告了最新证据,表明过度的强度和/或量可能对健康产生有害影响。这些发现与普遍认为所有形式的体育活动通常都能减少与衰老或癌症治疗相关的病理变化的观点形成鲜明对比。总之,不应该建议接受过或未接受过癌症治疗的中年和老年人进行高强度训练(HIT)和/或高容量训练(HVT),以避免衰老后果或长期癌症治疗对重要器官结构和功能的影响加剧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538c/11755580/ec4d33cf1596/jfmk-10-00033-g001.jpg

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