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An insightful comparison of the current neuroimmune mechanism(s) with the thoughts of differential syndromes from traditional Chinese medicine for the treatment of MDD
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100100
Jiyi Xu , Yi Zhang , Lei Li , Xiaodong Zhao , Feilong Huang , Jing Du
Major depressive disorder (MDD) is a common disease affecting 300 million people worldwide. Current drugs are ineffective for at least 30 % of the patients. Novel and personalized medication is needed urgently. Cumulative studies suggest that the neuroinflammation of the glial cells, particularly NOD-like receptor thermal protein domain associated protein 3 (NLRP3) inflammasome activation and subsequent regulation of synaptic functions may be the key for the pathophysiology and treatment of MDD. In this review, we delve to compare the modern mechanism of MDD treatment with the theories of differential symptoms for personalized treatment of the ancient decoctions from traditional Chinese Medicine (TCM). Interestingly, the mechanisms of MDD treatment from Western and TCM theories overlap to a nexus on regulating neuro-immune signaling pathways, including NLRP 3 inflammasome, cytokine expressions and synaptic functions. In this review, we have summarized 8 differential syndromes and 10 decoctions for the TCM treatment of MDD in modulation of immune system and synaptic functions. The neuroimmune modulation of the 10 decoctions for the treatment MDD from TCM are amazingly similar towards the anti-inflammatory effects and enhancing synaptic functions. The comparison of theories and therapies from Western medicine and TCM may contribute to the development of more effective and safer medication for MDD.
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引用次数: 0
School-based yoga intervention for internet resilience and holistic well-being of adolescents
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100102
Reshu , Surendra Kumar , Ashutosh Rathi

Background

In today’s educational milieu, rising mental and physical health issues among adolescents pose an imperative concern for schools. While yoga has shown growing therapeutic benefits, research addressing emerging concerns—such as internet addiction, and associated cognitive and sleep disorders—remains underexplored, especially in the post-COVID-19 era and within school curricula.

Objective

This pilot, randomized-controlled trial with high school students aimed to validate a concise, 25-minute yogic intervention tailored for adolescent well-being in academic settings.

Measures

Quantitative assessment tools included the Academic Anxiety Scale for Children, Concentration Questionnaire, Internet Addiction Test, Insomnia Severity Index, and General Health Questionnaire.

Results

Over a three-month period, students who practiced yoga reported marked improvements in internet resilience, academic anxiety, concentration, and insomnia symptoms (all p < 0.0001). Additionally, they showed significant reductions in general health complaints (e.g., headaches, stomach aches), with p-values ranging from p < 0.05 to p < 0.001. Conversely, the control group showed no significant changes, except for a worsening of internet addiction.

Conclusion

These findings suggest that even brief, consistent yoga practice can yield substantial benefits, advocating for its integration into school curricula to promote a healthier, more resilient generation of learners.
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引用次数: 0
Fu-Fang-Li-Shao Pill alleviates neuroinflammation through blocking TLR4/MyD88/MAPKs pathway in chronic migraine rats
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100105
Jianmei Yang , Yining Gu , Guang Yang , Waimao Gao , Lei Chen , Yiyun Bao , Kai Meng , Lingyan Zhu , Tengteng Zhou , Xingyu Wang , Ying Xu
Neuroinflammation is supposed to be a crucial factor in the pathophysiology of migraine, which is caused by intracranial vasodilation and the release of vasoactive peptides. Fu-Fang-Li-Shao Pill (FFLSP), a prescription composed of Tribulus terrestris, Radix Paeoniae Alba, Radix Puerariae, Radix Salviae Miltiorrhizae, White Chrysanthemum, Uncariae Ramulus Cum Uncis, Concha Margaritifera, Fructus Viticis, Angelica Dahurica and Mentha Haplocalyx Briq, is an effective proved recipe for migraine patients which is developed by Shanghai Xuhui District Central Hospital. However, the pharmacological mechanisms of FFLSP in relieving migraine are not well understood. This study aims to assess the therapeutic effect of FFLSP on chronic migraine and to elucidate the underlying mechanisms. In our study, through the repeated subcutaneous injection of nitroglycerin (NTG), an animal model of chronic migraine was established which showed migraine-like symptoms such as head pain, ear redness and irritability. Here, NTG-induced chronic migraine rats were used to evaluate the inhibitory effect of FFLSP on neuroinflammation by conducting behavioral tests and molecular biology analyses. We observed that FFLSP possesses an excellent ability to relieve chronic migraine. FFLSP treatment was able to inhibit vasodilation by decreasing c-Fos and CGRP expressions in dura mater and trigeminal ganglion. Moreover, headache alleviation of NTG-induced migraine rats was decided by the inhibition of neuroinflammatory responses through FFLSP’s interruptive effect on the TLR4/MyD88/MAPKs pathway. FFLSP should be attentively considered as a potential therapeutic agent for chronic migraine by blocking inflammatory signal pathway in dura mater and trigeminal ganglion.
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引用次数: 0
Impact of a residential yoga and naturopathy intervention on blood glucose and diabetes related risk factors in patients with type 2 diabetes mellitus: A retrospective study
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100101
A. Mooventhan , L. Nivethitha , K. Kahlil Subramanian , A. Vijay , N. Manavalan

Background

Diabetes mellitus is a group of metabolic illnesses characterised by elevated blood sugar levels brought on by abnormalities in insulin action, production, or both. Previous studies indicate that integrated yoga and naturopathy (IYN) intervention may be useful in the prevention of type-2 diabetes mellitus (T2DM). But there is no known retrospective study with a larger sample size has examined the impact of IYN on blood glucose in T2DM. Thus, the aim of this study was to find the impact of a residential IYN on blood glucose level and other diabetes-related risk factors in patients with T2DM.

Materials and methods

A retrospective study design was adopted in which data between August 2019 and October 2022 were screened from hospital inpatient record. A total of 407 eligible patients’ data were included. Subject received IYN. Their baseline and post assessment parameter were extracted from medical record and data were analyzed using SPSS, Version-16.

Results

There was a significant reduction in fasting blood glucose, post-prandial blood glucose, weight, body mass index, hip circumference, waist circumference, waist-hip ratio, mid-arm circumference, mid-thigh circumference, perceived stress scale score, blood pressure, pulse rate, mean arterial pressure, rate pressure product and double pressure product in the post-test compared to its’ respective pre-test assessments following yoga and naturopathy intervention.

Conclusion

Residential yoga and naturopathy intervention have potential therapeutic impact in reducing blood glucose and its diabetes related risk factors in patients with T2DM. However, prospective randomized controlled trials are recommended to warrant the results of the study.
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引用次数: 0
Does lateral habenula mediate effects of gestational stress on rat maternal behavior?
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100098
Bo Wang , Ming Li
This exploratory study investigated the neural substrate underlying the effect of gestational stress on rat maternal behavior. We tested the hypothesis that the lateral habenula (LHb)-centered neural circuitry (e.g., raphe, ventral tegmental area, nucleus accumbens, etc.) mediates the maternal disruptive effect of gestational stress. Pregnant Sprague-Dawley rats were subjected to daily 30-min restraining stress from approximately gestation day (GD) 5 to 21, white noise from GD 5 to 12 and mild foot shock from GD 13 to 21. Maternal behavior in the home cage and pup retrieval on an elevated plus maze (EPM) were observed during the first postpartum week. The gestational stress reduced body weight gain of stressed females, and reduced time that they spent outside of the nest, a sign of increased maternal anxiety and hypervigilant parenting style. On the open arms of EPM, the stressed dams showed higher frequently sniffing pups than non-stressed ones. Testing with pups (pup exposure) on the EPM decreased c-Fos expression in the LHb in the non-stressed control dams, but it increased c-Fos expression in the dorsal and medial raphe regions of the control dams. Gestational stress reduced this pup effect in all three regions, implying that gestational stress attenuated the ability of pup exposure to activate the maternally relevant brain regions. Our findings indicate that gestational stress may act upon the LHb (as a putative center that mediates negative emotion) and its downstream projection sites (i.e., dorsal and median raphe) to compromise the quality of maternal care.
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引用次数: 0
Prevention and early intervention strategies for perinatal mental health disorders mediated by neuroimmune modulation and anti-inflammatory mechanisms through non-invasive transcranial magnetic stimulation: A narrative review
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100103
Yoshihiro Noda , Shinichiro Nakajima
Perinatal mental health disorders, including postpartum depression (PPD), affect approximately 20 % of females during pregnancy and the postpartum period; however, are often undiagnosed and untreated. Traditional treatments, such as antidepressants, have limitations, particularly in terms of safety and efficacy during pregnancy. Recent advancements in brain stimulation therapies, such as repetitive transcranial magnetic stimulation (rTMS), offer promising non-invasive alternatives that may be safer and more effective in treating PPD. rTMS therapy uses magnetic pulses to stimulate the brain areas associated with psychiatric disorders without systemic side effects or the need for anesthesia, making it safe for pregnant patients. This review aims to provide a narrative overview of the potential of rTMS neuromodulation from a neuroimmune–neuroendocrine–neuroinflammatory perspective with a focus on perinatal depression. rTMS exerts its antidepressant effects by indirectly modulating neuroimmune and anti-inflammatory processes, with few maternal side effects and no fetal risks, as is common with pharmacotherapy. Perinatal mental health disorders may arise from abnormalities in the inflammatory and immune system homeostasis, which are influenced by hormonal changes during the perinatal period. Neuroinflammation, driven by cytokines and immune cells crossing the blood–brain barrier, plays a significant role. The interaction between the central and peripheral nervous systems is crucial for neuroinflammation and immune responses. The neurotransmitters produced by neurons and immune cells regulate the immune responses and inflammation, emphasizing the importance of neuroendocrine–immune system interactions. Immune-mediated inflammatory diseases cause chronic inflammation due to the dysregulation of the immune response, affecting the central nervous system in conditions such as perinatal depression or long COVID (post-COVID-19 syndrome). rTMS therapy can potentially reduce or ameliorate the pathophysiology of neurological and neuropsychiatric disorders by modulating the neuroimmune interactions, reducing inflammation, and promoting neuronal protection and repair, thereby highlighting its potential for managing neuroinflammation and related symptoms.
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引用次数: 0
The interaction of second trimester prenatal maternal inflammation and psychosocial stress on offspring depressive symptoms in adolescence 妊娠中期产前母体炎症和心理社会压力对子代青春期抑郁症状的相互作用
Pub Date : 2024-12-01 DOI: 10.1016/j.bbii.2024.100096
Rachel H. Furlan , Madeline R. Pike , Emily Lipner , Elizabeth C. Breen , Barbara A. Cohn , Piera M. Cirillo , Nickilou Y. Krigbaum , Ann M. Kring , Thomas M. Olino , Lauren B. Alloy , Lauren M. Ellman

Background

Higher second trimester (T2) prenatal maternal inflammation (PNMI) and prenatal maternal psychosocial stress have been shown to independently contribute to offspring depression risk. Similarly, interactions between sources of inflammation and maternal daily life stress in T2, previously have been associated with increased offspring adolescent depressive symptoms. We aimed to extend previous findings by examining the potential interaction between exposure to higher T2 PNMI and maternal daily life stress on offspring depressive symptoms in adolescence.

Methods

614 mother-offspring dyads from the Child Health and Development Studies (CHDS) had data available for T2 maternal serum interleukin (IL)-6, IL-8, IL-1 receptor antagonist (IL-1ra), and soluble TNF receptor-II (sTNF-RII), presence/absence of maternal reported daily life stress coded from interviews primarily conducted in T2, and adolescent offspring (ages 15–18 years) depressive symptoms assessed via self-report. Interactions were evaluated using hierarchical multiple regressions, controlling for maternal education.

Results

Maternal daily life stress interacted with higher serum levels of maternal T2 IL-6 and T2 IL-8 to predict adolescent offspring depressive symptoms. Higher IL-6 and higher IL-8 were only associated with offspring depression in the presence of daily life stress. Maternal T2 IL-1ra and sTNF-RII were not associated with offspring adolescent depressive symptoms.

Conclusion

The interaction of the adverse impacts of maternal daily life stress and higher maternal IL-6 and/or IL-8 levels during the second trimester may contribute significantly to exacerbate depression risk in adolescent offspring. These results have potential implications for multiple targets of future early intervention and prevention research.
背景较高的妊娠中期(T2)产前母体炎症(PNMI)和产前母体心理社会压力已被证明是导致后代抑郁风险的独立因素。同样,T2期炎症源和母亲日常生活压力之间的相互作用与后代青少年抑郁症状的增加有关。我们的目的是通过研究暴露于较高T2 PNMI和母亲日常生活压力对后代青春期抑郁症状的潜在相互作用来扩展先前的研究结果。方法来自儿童健康与发展研究(CHDS)的614对母子有T2母体血清白细胞介素(IL)-6、IL-8、IL-1受体拮抗剂(IL-1ra)和可溶性TNF受体- ii (sTNF-RII)的数据,主要在T2进行的访谈中记录的母体报告的日常生活压力的存在/缺失,以及通过自我报告评估青春期后代(15-18岁)抑郁症状的数据。在控制母亲教育的情况下,使用分层多元回归评估相互作用。结果母亲日常生活压力与较高的血清T2 IL-6和T2 IL-8水平相互作用,预测青少年后代抑郁症状。高IL-6和高IL-8仅在存在日常生活压力的情况下与后代抑郁相关。母体T2 IL-1ra和sTNF-RII与后代青少年抑郁症状无关。结论妊娠中期母亲日常生活压力的不良影响与较高的IL-6和/或IL-8水平的相互作用可能会显著加剧青春期后代的抑郁风险。这些结果对未来的早期干预和预防研究具有潜在的意义。
{"title":"The interaction of second trimester prenatal maternal inflammation and psychosocial stress on offspring depressive symptoms in adolescence","authors":"Rachel H. Furlan ,&nbsp;Madeline R. Pike ,&nbsp;Emily Lipner ,&nbsp;Elizabeth C. Breen ,&nbsp;Barbara A. Cohn ,&nbsp;Piera M. Cirillo ,&nbsp;Nickilou Y. Krigbaum ,&nbsp;Ann M. Kring ,&nbsp;Thomas M. Olino ,&nbsp;Lauren B. Alloy ,&nbsp;Lauren M. Ellman","doi":"10.1016/j.bbii.2024.100096","DOIUrl":"10.1016/j.bbii.2024.100096","url":null,"abstract":"<div><h3>Background</h3><div>Higher second trimester (T2) prenatal maternal inflammation (PNMI) and prenatal maternal psychosocial stress have been shown to independently contribute to offspring depression risk. Similarly, interactions between sources of inflammation and maternal daily life stress in T2, previously have been associated with increased offspring adolescent depressive symptoms. We aimed to extend previous findings by examining the potential interaction between exposure to higher T2 PNMI and maternal daily life stress on offspring depressive symptoms in adolescence.</div></div><div><h3>Methods</h3><div>614 mother-offspring dyads from the Child Health and Development Studies (CHDS) had data available for T2 maternal serum interleukin (IL)-6, IL-8, IL-1 receptor antagonist (IL-1ra), and soluble TNF receptor-II (sTNF-RII), presence/absence of maternal reported daily life stress coded from interviews primarily conducted in T2, and adolescent offspring (ages 15–18 years) depressive symptoms assessed via self-report. Interactions were evaluated using hierarchical multiple regressions, controlling for maternal education.</div></div><div><h3>Results</h3><div>Maternal daily life stress interacted with higher serum levels of maternal T2 IL-6 and T2 IL-8 to predict adolescent offspring depressive symptoms. Higher IL-6 and higher IL-8 were <em>only</em> associated with offspring depression in the presence of daily life stress. Maternal T2 IL-1ra and sTNF-RII were not associated with offspring adolescent depressive symptoms.</div></div><div><h3>Conclusion</h3><div>The interaction of the adverse impacts of maternal daily life stress and higher maternal IL-6 and/or IL-8 levels during the second trimester may contribute significantly to exacerbate depression risk in adolescent offspring. These results have potential implications for multiple targets of future early intervention and prevention research.</div></div>","PeriodicalId":100197,"journal":{"name":"Brain Behavior and Immunity Integrative","volume":"8 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anti-inflammatory effects of quercetin in lipopolysaccharide-activated cortical astrocytes 槲皮素在脂多糖激活的大脑皮层星形胶质细胞中的抗炎作用
Pub Date : 2024-11-22 DOI: 10.1016/j.bbii.2024.100095
Arpita R. Dave , Prakash P. Pillai
Dysregulated neuroinflammation is a hallmark of multiple neurodegenerative diseases, characterized by increased pro-inflammatory cytokines, and reduced anti-inflammatory cytokines, and is mediated by resident astrocytes. Previous studies have demonstrated the neuroprotective effects of quercetin hydrate, a plant flavonoid, however, limited studies exist showing the targets of quercetin in astrocytes. Here, we demonstrate the anti-inflammatory effects of quercetin hydrate at the gene expression level and the involvement of signalling pathway molecules. The rat primary cortical astrocytes were preincubated with different concentrations of quercetin (25–200 μM) followed by lipopolysaccharide (LPS) stimulation. Semi-quantitative PCR analysis showed the therapeutic potential of quercetin by decreasing the gene expression of pro-inflammatory cytokines (IL-1β, IL-6), and Cyclooxygenase-2, and increasing Hemeoxygenase-1 in LPS-stimulated astrocytes. By Immunoblotting analysis, we document the modulatory effects of quercetin on phospho p38 and phospho ERK1/2 in LPS-stimulated astrocytes. The study indicates the anti-inflammatory effects of quercetin against inflammatory responses in astrocytes.
神经炎症失调是多种神经退行性疾病的特征之一,其特点是促炎细胞因子增加,而抗炎细胞因子减少,并由驻留的星形胶质细胞介导。以前的研究已经证明了槲皮素水合物(一种植物黄酮类化合物)的神经保护作用,但是显示槲皮素在星形胶质细胞中的靶点的研究还很有限。在这里,我们证明了槲皮素水合物在基因表达水平上的抗炎作用以及信号通路分子的参与。先用不同浓度的槲皮素(25-200 μM)预孵育大鼠原代皮质星形胶质细胞,然后用脂多糖(LPS)刺激。半定量 PCR 分析表明,槲皮素可降低 LPS 刺激的星形胶质细胞中促炎细胞因子(IL-1β、IL-6)和环氧化酶-2 的基因表达,增加血氧合酶-1 的基因表达,因而具有治疗潜力。通过免疫印迹分析,我们记录了槲皮素对 LPS 刺激的星形胶质细胞中磷酸 p38 和磷酸 ERK1/2 的调节作用。这项研究表明,槲皮素对星形胶质细胞的炎症反应具有抗炎作用。
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引用次数: 0
Harmonious Healing: Advances in Music Therapy and other Alternative Therapy for Depression and Beyond 和谐治愈音乐疗法和其他替代疗法在抑郁症及其他方面的进展
Pub Date : 2024-11-15 DOI: 10.1016/j.bbii.2024.100094
Yu Liu, Kyra Bi, Sierra Hodges, Jian Kong
Depression is a widespread mental health disorder that imposes significant challenges on individuals and society. Recently, the role of music in mental health has gained significant attention, with growing research and clinical application emphasizing its therapeutic benefits. This review examines the clinical evidence and recent advancements in music therapy as an adjunctive treatment for depression, with a focus on Traditional Chinese Medicine (TCM) Five-Element Music Therapy, Singing Bowl Music Therapy, and Vagus Nerve Music Therapy. These music modalities utilize sound and vibration to elicit psychological and physiological benefits, including reductions in depression, anxiety, and stress. Furthermore, their applications extend to managing other health conditions such as sleep disturbances, cardiovascular health, chronic pain, and cognitive dysfunction. Integrating music therapy with conventional and complementary interventions, including acupuncture, meditation, yoga, and AI, may optimize therapeutic outcomes. This review underscores the potential of music therapy as a valuable and integrative approach in the treatment of depression and other health conditions. Nevertheless, further research is needed to clarify the underlying mechanisms, standardize therapeutic protocols, compare different music therapies, and assess long-term efficacy through large-scale trials.
抑郁症是一种普遍存在的精神疾病,给个人和社会带来了巨大的挑战。最近,音乐在心理健康中的作用受到了广泛关注,越来越多的研究和临床应用强调了音乐的治疗功效。本综述探讨了音乐疗法作为抑郁症辅助疗法的临床证据和最新进展,重点关注中医五行音乐疗法、唱钵音乐疗法和迷走神经音乐疗法。这些音乐疗法利用声音和振动来激发心理和生理方面的益处,包括减轻抑郁、焦虑和压力。此外,它们还可用于控制其他健康状况,如睡眠障碍、心血管健康、慢性疼痛和认知功能障碍。将音乐疗法与针灸、冥想、瑜伽和人工智能等传统和辅助干预措施相结合,可优化治疗效果。本综述强调了音乐疗法作为治疗抑郁症和其他健康问题的一种有价值的综合方法的潜力。然而,还需要进一步的研究来阐明其潜在机制,规范治疗方案,比较不同的音乐疗法,并通过大规模试验评估其长期疗效。
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引用次数: 0
The effects of exercise therapy on immune cells and function in patients with overweight or obesity: A systematic review 运动疗法对超重或肥胖症患者免疫细胞和功能的影响:系统综述
Pub Date : 2024-11-04 DOI: 10.1016/j.bbii.2024.100093
Maria Syed , Chetan Parmar , Sjaak Pouwels

Background

Obesity is a global health challenge linked to chronic inflammation and numerous diseases. The immune dysregulation in obesity is characterized by increased pro-inflammatory cytokines and decreased anti-inflammatory cytokines. Exercise is known to modulate immune function and inflammation, but its specific effects on immune cells in overweight and obese individuals need further exploration. This systematic review aims to summarize the impact of exercise interventions on immune cells in this population.

Materials and methods

A systematic review was conducted according to the PRISMA guidelines. Articles were sourced from PubMed, SCOPUS, COCHRANE, and Ovid up to June 14, 2024. Keywords included "Exercise Therapy", "physical activity", "Immune System", "immune modulation", "Obesity", "overweight", and "adiposity". Studies were included if they involved overweight or obese individuals undergoing exercise therapy for more than three weeks and measured immune cell outcomes. Articles discussing only inflammatory markers or genetic pathways were excluded. Methodological quality was assessed using the Newcastle-Ottawa scale (NOS), and inter-rater agreement was calculated with Cohen’s kappa

Results

From 2571 articles, 12 studies met the inclusion criteria. Exercise interventions varied widely but generally included aerobic, resistance, high-intensity interval training (HIIT), and combined regimens. Results demonstrated significant reductions in pro-inflammatory cells (e.g., neutrophils, monocytes) and increased anti-inflammatory responses (e.g. immunoglobulins). High-intensity training showed substantial immunomodulatory effects, while moderate exercise was associated with enhanced immune function without suppression. We observed that neutrophils, monocytes, and lymphocytes were the primary immune cells showing significant changes in response to various exercise interventions. These changes strongly correlated with improvements in inflammatory markers such as CRP and IL-6, which were consistently reduced following regular exercise.

Conclusion

Given the variability in exercise interventions, it is crucial to develop standardized exercise recommendations that can be tailored to the needs of overweight and obese individuals, taking into account factors such as age, gender, and baseline health status. Exercise therapy significantly influences immune cell profiles in overweight and obese individuals, reducing chronic inflammation and enhancing immune function. High-intensity training is particularly effective in reducing pro-inflammatory markers, while moderate exercise supports overall immune health. Tailored exercise programs are crucial for optimizing these benefits, with future studies needed to refine exercise recommendations for this demographic.
背景肥胖是一项全球性的健康挑战,与慢性炎症和多种疾病有关。肥胖症免疫失调的特点是促炎细胞因子增加,而抗炎细胞因子减少。众所周知,运动可以调节免疫功能和炎症,但运动对超重和肥胖者免疫细胞的具体影响还需要进一步探讨。本系统综述旨在总结运动干预对该人群免疫细胞的影响。文章来自 PubMed、SCOPUS、COCHRANE 和 Ovid,截止日期为 2024 年 6 月 14 日。关键词包括 "运动疗法"、"体力活动"、"免疫系统"、"免疫调节"、"肥胖"、"超重 "和 "脂肪"。如果研究涉及接受运动疗法超过三周的超重或肥胖人群,并测量了免疫细胞的结果,则将其纳入研究范围。仅讨论炎症标记物或遗传途径的文章被排除在外。研究方法的质量采用纽卡斯尔-渥太华量表(NOS)进行评估,研究者之间的一致性采用科恩卡帕(Cohen's kappa)进行计算。运动干预方法多种多样,但一般包括有氧运动、阻力训练、高强度间歇训练(HIIT)和综合训练。研究结果表明,促炎症细胞(如中性粒细胞、单核细胞)明显减少,抗炎症反应(如免疫球蛋白)增加。高强度训练显示出显著的免疫调节效果,而中等强度的运动则与免疫功能的增强而非抑制有关。我们观察到,中性粒细胞、单核细胞和淋巴细胞是主要的免疫细胞,它们对各种运动干预措施的反应都发生了显著变化。这些变化与 CRP 和 IL-6 等炎症标志物的改善密切相关,在定期锻炼后,这些标志物持续降低。结论鉴于锻炼干预措施的差异性,制定标准化的锻炼建议至关重要,这些建议可根据超重和肥胖者的需求量身定制,并考虑年龄、性别和基线健康状况等因素。运动疗法能明显影响超重和肥胖者的免疫细胞特征,减少慢性炎症,增强免疫功能。高强度训练对减少促炎症指标尤为有效,而适度运动则有助于整体免疫健康。量身定制的运动计划对优化这些益处至关重要,未来的研究需要完善针对这一人群的运动建议。
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引用次数: 0
期刊
Brain Behavior and Immunity Integrative
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