身体活动和疲劳症状:神经典型成年人和患有慢性多症状疾病的人
Alex Boruch1,2, Grace Branchaw1,2, Patrick J O'Connor3
1Research Service, William S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Current topics in behavioral neurosciences
|July 22, 2024
概括
身体活动在健康的成年人中增加了能量,但在患有慢性多症状疾病 (CMI) 的人中加剧了疲劳. 需要更多的研究来了解运动的影响和长期COVID和ME/CFS等疾病的潜在益处.
科学领域:
- 运动生理学 运动生理学
- 神经科学是一个神经科学.
- 慢性疾病研究 慢性疾病研究
背景情况:
- 低至中等强度的体力活动通常会提高神经类型个体的能量水平.
- 相反,患有慢性多症状疾病 (CMI) 的个人,包括长期COVID,海湾战争疾病 (GWI) 和肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS),在类似的运动后经常经历疲劳增加.
- 由于有限的数据,定期的中等强度体力活动对CMI中疲劳和能量的长期影响尚未得到充分证实.
研究的目的:
- 审查当前对运动对神经类型成年人和CMI患者疲劳和能量的急性和慢性影响的理解.
- 探索这些人群中运动引起的疲劳或能量增强的潜在机制.
- 强调需要进一步研究运动作为潜在的CMI疾病修饰治疗的必要性.
主要方法:
- 文献综述和综合现有关于身体活动,疲劳和能量水平的研究.
- 在神经类型人群和被诊断患有CMI的个体之间比较运动反应.
- 对与炼和疲劳相关的拟议的神经生物学和病理生理机制的分析.
主要成果:
- 神经类型的成年人通常在急性炼后报告过渡性能量改善,在定期中等强度活动时,疲劳和活力的适度改善.
- 患有CMI的个体在急性炼后经常经历疲劳恶化的情况,在短期的定期活动中报告的改善有限或没有显著改善.
- 在CMI中,运动对慢性影响的数据不足以得出最终的结论.
结论:
- 运动在神经类型个体和CMI患者之间引起了不同能量和疲劳水平的反应.
- 驱动这些对比效应的机制尚不清楚,但可能涉及神经,免疫和自主系统内的复杂相互作用.
- 进一步的研究至关重要,以确定慢性体力活动是否可以作为一种有益的,对CMI患者的疾病修饰干预措施.
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