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  4. Impact of exercise training on oxidative stress in individuals with a spinal cord injury

Impact of exercise training on oxidative stress in individuals with a spinal cord injury

Eur J Appl Physiol, 2010 · DOI: 10.1007/s00421-010-1398-6 · Published: April 3, 2010

Spinal Cord InjuryGeneticsRehabilitation

Simple Explanation

This study investigates the impact of exercise on oxidative stress in individuals with spinal cord injuries (SCI). Oxidative stress, an imbalance between antioxidants and free radicals, is linked to increased cardiovascular risk in SCI patients. The study compares oxidative stress levels between SCI and able-bodied individuals and examines the effects of functional electrical stimulation (FES) exercise on oxidative stress in SCI patients. The study found no significant differences in baseline oxidative stress levels between SCI and able-bodied individuals. However, a correlation was observed between fitness levels and oxidative stress in SCI patients, suggesting that higher fitness levels are associated with improved oxidative status. Despite the potential vascular benefits of FES exercise, the study concludes that the exercise stimulus was insufficient to alter oxidative stress levels in individuals with SCI. Further research with modified exercise protocols and higher intensities may be necessary to improve (anti)oxidative status.

Study Duration
8 weeks
Participants
9 SCI individuals, 9 able-bodied controls
Evidence Level
Level II, Intervention Study

Key Findings

  • 1
    Baseline levels of oxidative stress and antioxidative capacity were similar between individuals with SCI and able-bodied subjects, suggesting a preserved (anti)oxidative status in SCI under basal conditions.
  • 2
    A significant correlation was found between fitness level and oxidative stress in SCI individuals, indicating that higher fitness levels are related to a better oxidative status.
  • 3
    FES exercise, both a single bout and 8 weeks of training, did not significantly alter oxidative stress or antioxidative capacity levels in individuals with SCI, suggesting the stimulus was insufficient.

Research Summary

This study compared oxidative stress levels between individuals with SCI and able-bodied subjects and assessed the impact of FES exercise on oxidative stress in SCI patients. The results showed no significant differences in baseline oxidative stress levels between the two groups, suggesting a preserved (anti)oxidative balance in SCI. A correlation was found between fitness level and oxidative stress in SCI individuals, implying that higher fitness levels may contribute to improved oxidative status. However, FES exercise, as implemented in the study, did not significantly alter oxidative stress levels in SCI patients. The study concludes that the FES exercise stimulus was insufficient to induce changes in the (anti)oxidative balance in subjects with an SCI. Future studies with modified exercise protocols or higher intensities may be needed to elicit changes in oxidative stress levels in this population.

Practical Implications

Exercise Recommendations

Encourage individuals with SCI to maintain or improve their upper-body physical fitness to prevent high levels of oxidative stress.

Future Research

Explore modified FES exercise protocols or higher intensities to determine if they can effectively alter oxidative stress levels in individuals with SCI.

Cardiovascular Risk Reduction

Further investigate the direct relationship between oxidative stress levels and cardiovascular risk in individuals with SCI.

Study Limitations

  • 1
    Local measurements of (anti)oxidative status in muscle tissue are preferred over blood analysis
  • 2
    The study used maximal workload to represent physical fitness due to technical issues with oxygen uptake measurements
  • 3
    The relatively small sample size unlikely confounded our results

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