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  4. Changes in oxidized LDL during a half marathon in athletes with spinal cord injuries

Changes in oxidized LDL during a half marathon in athletes with spinal cord injuries

Spinal Cord Series and Cases, 2017 · DOI: 10.1038/scsandc.2017.15 · Published: May 11, 2017

Spinal Cord InjuryGeneticsRehabilitation

Simple Explanation

This study investigates how exercise affects the balance of oxidants and antioxidants, as well as oxidized low-density lipoprotein (oxLDL) levels, in individuals with spinal cord injuries (SCI). Researchers measured adrenaline, markers of oxidant/antioxidant balance (d-ROMs and BAP), and oxLDL levels in athletes with cervical SCI (CSCI) and lower SCI (LSCI) before, immediately after, and 1 hour after a wheelchair half marathon. The study found that exercise did not increase d-ROMs or the d-ROMs/BAP ratio in either CSCI or LSCI subjects, and the lack of increase in plasma oxLDL was not due to the lack of adrenaline response to exercise.

Study Duration
Not specified
Participants
8 subjects with cervical spinal cord injury (CSCI) and 9 subjects with lower lesion of SCI (lower SCI (LSCI))
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    OxLDL levels remained stable throughout the study in both LSCI and CSCI subjects, despite adrenaline levels increasing in LSCI athletes after the half marathon.
  • 2
    BAP values increased in response to exercise only in LSCI subjects and were significantly higher than in CSCI subjects immediately after the race.
  • 3
    Baseline d-ROMs levels were higher than normal in both SCI groups, suggesting increased ROS production in SCI individuals, but did not change significantly with exercise.

Research Summary

This study examined the effects of a wheelchair half marathon on adrenaline, oxidant/antioxidant balance, and oxLDL levels in athletes with cervical (CSCI) and lower (LSCI) spinal cord injuries. The results indicated that exercise did not increase oxidative stress markers (d-ROMs) or oxLDL levels in either group, but BAP (antioxidant potential) increased in LSCI subjects after exercise. The study suggests that the exercise intensity of a half marathon is not excessive for SCI subjects in terms of redox balance, and adrenaline plays a minor role in LDL oxidation during exercise.

Practical Implications

Exercise Intensity

Half marathon exercise intensity appears appropriate for maintaining redox balance in SCI athletes.

Adrenaline Role

Adrenaline may not be a primary driver of LDL oxidation during exercise in SCI individuals.

Antioxidant Response

LSCI athletes exhibit a more pronounced antioxidant response to exercise compared to CSCI athletes.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of VO2max and heart rate measurements during the race
  • 3
    Exclusion of female athletes

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