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  4. Effects of intensity-matched exercise at different intensities on inflammatory responses in able-bodied and spinal cord injured individuals

Effects of intensity-matched exercise at different intensities on inflammatory responses in able-bodied and spinal cord injured individuals

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2020.1752976 · Published: January 1, 2021

Spinal Cord InjuryGeneticsRehabilitation

Simple Explanation

This study aimed to compare how exercise at different intensities affects inflammation in people with spinal cord injuries (SCI) compared to able-bodied (AB) individuals. They measured inflammatory substances in the blood before, immediately after, and 30 minutes after exercise. Participants completed three exercise sessions at different intensities matched to their fitness levels. The AB group used a regular treadmill, while the SCI group used a wheelchair-adapted treadmill. The key finding was that individuals with SCI showed a weaker anti-inflammatory response to exercise compared to AB individuals at the same relative intensity. This suggests people with SCI may need more intense exercise to get the same benefits.

Study Duration
Not specified
Participants
8 able-bodied and 9 spinal cord injured paraplegic individuals
Evidence Level
Non-Randomized Controlled Trial

Key Findings

  • 1
    The SCI group had higher levels of interleukin-2 (IL-2) and lower levels of interleukin-4 (IL-4) and interleukin-10 (IL-10) at all measurement times compared to the AB group.
  • 2
    In the AB group, interleukin-6 (IL-6) increased immediately after exercise at ventilatory threshold 1 (VT1) intensity compared to baseline.
  • 3
    Interleukin-1 receptor antagonist (IL-1ra) was higher immediately after exercise at VT1, 15% above VT1 and 30 min after 15% below VT1 in the AB group.

Research Summary

This study compared the effects of intensity-matched acute exercise on inflammatory markers between able-bodied (AB) and spinal cord injured (SCI) individuals. SCI individuals exhibited a consistently attenuated acute systemic anti-inflammatory cytokine response compared to AB individuals at the same relative exercise intensity. The findings suggest that SCI individuals may need to perform physical exercise at a higher volume or energy expenditure to obtain similar anti-inflammatory benefits as AB individuals.

Practical Implications

Exercise Prescription for SCI

Individuals with SCI may require higher exercise volumes or energy expenditures to achieve similar anti-inflammatory benefits compared to able-bodied individuals.

Targeted Anti-inflammatory Action

Understanding the attenuated inflammatory response in SCI individuals can help tailor exercise prescriptions for optimal health outcomes.

Potential Biomarkers

The observed differences in cytokine levels (IL-2, IL-4, IL-10, IL-6, IL-1ra) may serve as potential biomarkers to monitor the effectiveness of exercise interventions in SCI individuals.

Study Limitations

  • 1
    Small number of volunteers
  • 2
    Lack of a SCI group with low fitness level
  • 3
    Order of the exercise intensities

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