Tuna Z, Duger T, Atalay-Guzel N, Aral A, Basturk B, Haznedaroglu S, Goker B. Aerobic exercise improves oxidant-antioxidant balance in patients with rheumatoid arthritis.
J Phys Ther Sci 2015;
27:1239-42. [PMID:
25995597 PMCID:
PMC4434018 DOI:
10.1589/jpts.27.1239]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Accepted: 12/25/2014] [Indexed: 12/17/2022] Open
Abstract
[Purpose] Although oxidative stress is known to be present in rheumatoid arthritis (RA),
the effects of exercise on oxidative parameters are unknown. The aim of this study was to
investigate the effects of acute aerobic exercise on serum oxidant and antioxidant levels
in patients with RA. [Subjects and Methods] Sixteen patients with RA and 10 age-matched
healthy volunteers participated in this study. All participants wore polar telemeters and
walked on a treadmill for 30 minutes at a speed eliciting 60–75% of maximal heart rates.
Blood samples were obtained before, immediately and 24 hours after exercise and
malondialdehyde (MDA) and total sulfhydrile group (RSH) levels were measured. [Results]
Both groups had similar heart rates during the test but the treadmill speed of the RA
patients was significantly lower than that of the healthy volunteers. Serum MDA levels
were lower than in both groups immediately after exercise, with greater decrements in the
RA patients than controls. MDA levels returned to baseline 24 hours after the exercise
only in the controls; they remained low in the RA patients. There was a slight increase in
serum RSH levels after exercise compared to baseline in both groups. [Conclusion] Moderate
intensity treadmill exercise did not have any adverse effect on the oxidant-antioxidant
balance. The results suggest that such an exercise may be safely added to the
rehabilitation program of RA for additional antioxidant effects. Morever, this antioxidant
environment is maintained longer in RA patients.
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