Impact of dance classes on motor and cognitive functions and gut microbiota composition in multiple sclerosis patients: Randomized controlled trial

Louise Mária Adamová, Darina Slezáková, Ivan Hric, Libuša Nechalová, Genc Berisha, Peter Olej, Matej Chren, Adela Chlapcová, Adela Penesová, Michal Minár, Viktor Bielik
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Abstract

Evidence suggests that multiple sclerosis (MS) induces a decline in motor and cognitive function and provokes a shift in gut microbiome composition in patients. Therefore, the aim of the study was to explore the effect of dance classes on the motor and cognitive functions and gut microbiota composition of MS patients. In this randomized controlled trial, 36 patients were randomly divided into two groups: the experimental group (n = 18) and the passive control group (n = 18). Supervised rock and roll and sports dance classes were performed for 12 weeks at a frequency of two times a week. Before and after the intervention, fecal samples were taken and the motor and cognitive function assessments were completed. Fecal microbiota were categorized using primers targeting the V3–V4 region of 16S rDNA. Our results revealed significant differences in mobility performance (T25-FWT), attention and working memory (TMT B), and finger dexterity (9-HPT) within the experimental group. Furthermore, we reported favorable shifts in gut microbial communities (an increase in Blautia stercoris and a decrease in Ruminococcus torques) within the experimental group. In conclusion, our randomized control trial on the effects of 12-week dance classes in MS patients found significant improvements in motor and cognitive functions, with further moderate influence on gut microbiota composition.

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舞蹈课程对多发性硬化症患者运动和认知功能以及肠道微生物群组成的影响:随机对照试验
有证据表明,多发性硬化症(MS)会导致患者的运动和认知功能下降,并引发肠道微生物群组成的改变。因此,本研究旨在探讨舞蹈课程对多发性硬化症患者的运动和认知功能以及肠道微生物群组成的影响。在这项随机对照试验中,36 名患者被随机分为两组:实验组(18 人)和被动对照组(18 人)。实验组在监督下进行摇滚乐和体育舞蹈课程,为期 12 周,每周两次。在干预前后采集粪便样本,并完成运动和认知功能评估。使用针对 16S rDNA V3-V4 区域的引物对粪便微生物群进行分类。我们的结果显示,实验组在活动能力(T25-FWT)、注意力和工作记忆(TMT B)以及手指灵活性(9-HPT)方面存在明显差异。此外,我们还发现实验组的肠道微生物群落发生了有利的变化(Blautia stercoris 增加,Ruminococcus torques 减少)。总之,我们对多发性硬化症患者进行的为期 12 周的舞蹈课程效果随机对照试验发现,患者的运动和认知功能得到了显著改善,肠道微生物群组成也受到了适度影响。
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