Effect of intense exercise on inflammatory cytokines and growth mediators in adolescent boys

Dan Nemet1, Youngman Oh, Ho-Seong Kim

  • 1Center for the Study of Health Effects of Exercise in Children, University of California, Irvine, College of Medicine, Orange, California 92868, USA.

Pediatrics
|October 3, 2002
PubMed

Insights

Intense exercise in adolescent boys causes a catabolic state by increasing inflammatory cytokines and decreasing anabolic mediators. This finding helps explain the paradox of initial growth resistance during exercise training.

Area of Science:

  • Pediatric Exercise Physiology
  • Sports Medicine
  • Endocrinology

Background:

  • Exercise typically promotes growth and development in children.
  • However, early training phases can paradoxically induce a catabolic, growth hormone (GH)-resistant state.
  • This study investigates the role of inflammatory cytokines in this phenomenon.

Purpose of the Study:

  • To test the hypothesis that acute exercise stimulates proinflammatory cytokines.
  • To examine the impact of these cytokines on the GH-IGF-I axis in adolescents.
  • To understand the mechanisms behind the paradoxical catabolic response to exercise.

Main Methods:

  • Eleven healthy adolescent males (14-18.5 years) participated.
  • A single 1.5-hour wrestling practice session was conducted.
  • Blood samples were collected pre- and post-exercise.

Main Results:

  • Significant decreases in anabolic mediators like insulin-like growth factor-I (IGF-I) and insulin were observed.
  • Profound increases in proinflammatory cytokines, including interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha), and interleukin-1beta (IL-1beta), were found.
  • Elevated IGF-binding protein-1 and increased IGF-binding protein-3 proteolysis were also noted, indicating complex regulatory responses.

Conclusions:

  • An intense exercise bout in male adolescents induces a catabolic state characterized by reduced anabolic factors.
  • This state is associated with significant increases in inflammatory cytokines.
  • These findings provide a potential explanation for the initial paradoxical catabolism observed in exercise training programs for children.
Abstract

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