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Physical activity in asthma control and its immune modulatory effect in asthmatic preschoolers

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机构: [1]Univ Zurich, Swiss Inst Allergy & Asthma Res SIAF, Herman Burchard Str 9, CH-7265 Davos, Wolfgang, Switzerland [2]Swiss Res Inst Sports Med SRISM, Davos, Switzerland [3]Davos Hosp, Dept Sports Med, Davos, Switzerland [4]Capital Med Univ, Beijing TongRen Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China [5]Natl & Kapodistrian Univ Athens, Allergy Dept, Pediat Clin 2, Athens, Greece [6]Ghent Univ Hosp, Upper Airway Res Lab, Ghent, Belgium [7]Friedrich Alexander Univ FAU Erlangen Nurnberg, Univ Klinikum Erlangen, Dept Mol Pneumol, Erlangen, Germany [8]Wuhan Univ, Dept Allergol, Zhongnan Hosp, Wuhan, Peoples R China [9]Univ Turku, Dept Pediat & Adolescent Med, Turku, Finland [10]Turku Univ Hosp, Turku, Finland [11]Univ Oulu, Med Res Ctr, PEDEGO Res Unit, Oulu, Finland [12]Oulu Univ Hosp, Dept Pediat & Adolescent Med, Oulu, Finland [13]Cent Univ Hosp, Dept Immunol Rheumatol & Allergy, Lodz, Poland [14]Capital Med Univ, Beijing TongRen Hosp, Dept Allergy, Beijing, Peoples R China [15]Univ Manchester, Div Infect Immun & Resp Med, Manchester, Lancs, England [16]Christine Kuhne Ctr Allergy Res & Educ, Davos, Switzerland
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关键词: asthma cytokines immune modulation physical activity PreDicta

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Background The impact of physical activity on immune response is a hot topic in exercise immunology, but studies involving asthmatic children are scarce. Our aims were to examine whether there were any differences in the level of physical activity and daily TV attendance, to assess its role on asthma control and immune responses to various immune stimulants. Methods Weekly physical activity and daily television attendance were obtained from questionnaires at inclusion of the PreDicta study. PBMC cultures were stimulated with phytohemagglutinin (PHA), R848, poly I:C, and zymosan. A panel of cytokines was measured and quantified in cell culture supernatants using luminometric multiplex immunofluorescence beads-based assay. Results Asthmatic preschoolers showed significantly more TV attendance than their healthy peers (58.6% vs. 41.5% 1-3 h daily and only 25.7% vs. 47.2% <= 1 h daily) and poor asthma control was associated with less frequent physical activity (PA) (75% no or occasional activity in uncontrolled vs. 20% in controlled asthma; 25% >= 3 times weekly vs. 62%). Asthmatics with increased PA exhibited elevated cytokine levels in response to polyclonal stimulants, suggesting a readiness of circulating immune cells for type 1, 2, and 17 cytokine release compared to subjects with low PA and high TV attendance. This may also represent a proinflammatory state in high PA asthmatic children. Low physical activity and high TV attendance were associated with a decrease in proinflammatory cytokines. Proinflammatory cytokines were correlating with each other in in vitro immune responses of asthmatic children, but not healthy controls, this correlation was more pronounced in children with sedentary behavior. Conclusion Asthmatic children show more sedentary behavior than healthy subjects, while poor asthma control is associated with a substantial decrease in physical activity. Our results suggest that asthmatic children may profit from regular exercise, as elevated cytokine levels in stimulated conditions indicate an immune system prepared for responding strongly in case of different types of infections. However, it has to be considered that a hyperinflammatory state in high PA may not be beneficial in asthmatic children.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 1 区 过敏 1 区 免疫学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 过敏 1 区 免疫学
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出版当年[2020]版:
Q1 IMMUNOLOGY Q1 ALLERGY
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Q1 ALLERGY Q1 IMMUNOLOGY

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第一作者机构: [1]Univ Zurich, Swiss Inst Allergy & Asthma Res SIAF, Herman Burchard Str 9, CH-7265 Davos, Wolfgang, Switzerland [2]Swiss Res Inst Sports Med SRISM, Davos, Switzerland [3]Davos Hosp, Dept Sports Med, Davos, Switzerland
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通讯机构: [1]Univ Zurich, Swiss Inst Allergy & Asthma Res SIAF, Herman Burchard Str 9, CH-7265 Davos, Wolfgang, Switzerland [2]Swiss Res Inst Sports Med SRISM, Davos, Switzerland [16]Christine Kuhne Ctr Allergy Res & Educ, Davos, Switzerland
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