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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.
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.
Objective:
Exercise can enhance growth and development in children, but recent investigations have revealed an intriguing paradox. Namely, the early (4-5 weeks) response to training programs in children lead to a catabolic, growth hormone (GH)-resistant state rather than the expected anabolic activation of the GH-->insulin-like growth factor-I (IGF-I) axis. This paradox led us to hypothesize that single bouts of exercise in children could stimulate proinflammatory cytokines known to inhibit directly anabolic activity of the GH-->IGF-1 axis (interleukin [IL]-6, IL-1beta, and tumor necrosis factor-alpha [TNF-alpha]).
Methods:
Eleven healthy high school-age boys, age 14 to 18.5 years, performed a single, typical, 1.5-hour wrestling practice session. Blood was sampled before and after the session.
Results:
We found significant decreases in anabolic mediators: total IGF-I (-11.2 +/- 2.3%), bound IGF-I (-11.2 +/- 2.4%), and insulin (-42 +/- 10%. However, there was no change in unbound IGF-I. Remarkable increases were found in proinflammatory cytokines IL-6 (795 +/- 156%), TNF-alpha (30 +/- 12%), and IL-1beta (286 +/- 129%) and in IGF-binding protein-1 (835 +/- 234%), which itself is stimulated by inflammatory cytokines and is known to inhibit IGF-I. Evidence for compensatory mechanisms to counter the antianabolic inflammatory response to acute exercise were also noted: IL-1ra increased (80 +/- 20%) and IGF-binding protein-3 proteolysis (which can maintain unbound, biologically active IGF-I despite losses in total IGF-I) increased significantly (101 +/- 39%) as well.
Conclusions:
These data demonstrate that an intense exercise bout in male adolescents leads to reductions in anabolic mediators and profound increases in inflammatory cytokines. This might explain the development of what seems to be a paradoxical catabolic state in the initial phases of exercise training programs.
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