研究生: |
戴雨婷 |
---|---|
論文名稱: |
不同月經週期從事單次衰竭運動對白血球及淋巴細胞亞群之影響 |
指導教授: | 徐孟達 |
學位類別: |
碩士 Master |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2012 |
畢業學年度: | 100 |
語文別: | 中文 |
論文頁數: | 62 |
中文關鍵詞: | 女性激素 、免疫細胞 、濾泡期 、黃體期 |
論文種類: | 學術論文 |
相關次數: | 點閱:168 下載:10 |
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運動影響人體免疫功能變化的可能因素包括運動型態、受試者年齡與體能狀況等,甚至於性別也可能會造成影響。而在免疫系統方面研究亦證實,人體免疫細胞中的T細胞、巨噬細胞具有雌激素受體。由於雌激素是重要的女性激素之一,在女性體內雌激素濃度會隨著不同月經週期產生波動。因此,本研究主要探討女性在不同月經週期從事衰竭運動測驗對於白血球數目與淋巴細胞亞群比例之影響,以期盼本研究結果能夠提供女性作為在運動時健康保健的參考資訊。本實驗共招募10名規律月經週期女性為受試者,但完成實驗全程者共8人(平均年齡為21.66±1.29歲;平均身高為164.38±6.26公分;平均體重為56.81±6.01公斤)。所有受試者在月經週期之濾泡中期以及黃體中期各進行一次原地踏車衰竭運動測驗,結果發現:1.雌激素濃度在黃體中期顯著高於濾泡中期(23.48±17.88 pg/ml VS. 0.78±0.23 pg/ml,p< .05)。2.單核球數目在濾泡中期運動後立即顯著高於運動前(p< .05),在黃體期運動前後則沒有差異(p> .05)。3.總白血球、淋巴球數目以及淋巴細胞亞群(T_h細胞、T_c細胞、B細胞以及NK細胞)比例在不同月經週期從事衰竭運動前後沒有差異(p> .05)。4.總白血球數目在黃體期顯著高於濾泡期(p< .05)。5.總白血球數、淋巴球數目、T_h細胞及NK細胞比例在運動後立即顯著提升(p< .05),而T_c細胞、B細胞比例在運動前後則無差異(p> .05)。由結果可發現白血球數目在不同月經週期確實存在著差異,但單次衰竭運動前後卻沒有顯著差異存在,其原因可能為受試者差異較大所致,建議未來探討相關研究可以增加受試者人數,同時增加整個運動期間女性激素濃度採血樣本,以進一步了解各項免疫細胞數值是否和女性激素具有相關性。
一、 中文部分
王政光、林玄原、洪小芳、楊舒如、張弘志、張瑞宏等 (譯) (2004)。免疫學。 臺北縣中和市 : 九州圖書。(Goldby, R. A., Kindt T. J., Osbrne, B. A., & Kuby, 2003)
林鉅勝、唐憶淨、黃曉峰、劉丕(2005)。女性月經週期及實用避孕方法。基
層醫學,20(5),124-129。
高曉明(2007)。免疫學入門。台北縣新店市:藝軒圖書出版社。
曾哲明(2005)。免疫學。臺北縣中和市 : 新文京開發。
蔣聖祥、王家忠(2008)。運動對人體免疫功能的影響研究。巢湖學院學報,10 (6),128-131。
簡辰霖、簡盟月、吳英黛(2008)。雌激素在血管與心肌的作用。物理治療,33
(5),325-334。
蕭安廷(2007)。基礎體溫表在婦科陰道出血的應用。中醫婦科醫學雜誌,9,3
2-34。
二、 西文部分
Angstwurm, M. W., Gartner, R., & Ziegler-Heitbrock, H. W. (1997). Cyclic plasma IL-6 levels during normal menstrual cycle. Cytokine, 9, 370-374.
Bento, C. A., Hygino, J., Andrade, R. M., Saramago, C. S., Silva, R. G., Silva, A. A.,
Linhares, U. C., Brindeiro, R., Tanuri, A., Rosenzwajg, M., Klatzmann, D., Andrade, A.F. (2009). IL-10-secreting T cells from HIV-infected pregnant women down regulate HIV-1 replication: effect enhanced byantiretroviral treatment. Journal of Acquired Immune Deficiency Syndromes, 23, 9-18.
Bird, M. D., Karavitis, J., & Kovacs, E. J. (2008). Sex differences and estrogen modulation of the cellular immune response after injury. Cell Immunology, 252, 57-67.
Bouman, A., Moes, H., Heineman, M. J., De Leij, L. F., & Faas, M. M. (2001). The immune response during the luteal phase of the ovarian cycle: increasing sensitivity of human monocytes to endotoxin. Fertility and Sterility, 76, 555-559.
Brines, R., Hoffman-Goetz , L., & Pedersen, B. K. (1996).Can you exercise to make your immune system fitter? Immunology Today, 17(6), 252-254.
Brown, A. S., Davis, M. J., Murphy, E. A., Carmichael, D. M., Ghaffar, A., & Mayer, P. E. (2004). Gender differences in viral infection after repeated exercise stress. Medicine and Science in Sports and Exercise, 36(8), 1290-1295.
Brown A. S., Davis, M. J., Murphy, E. A., Carmichael, D. M., Ghaffar, A., & Mayer, P. E. (2007). Susceptibility to HSV-1 infection and exercise stress in female mice: role of estrogen. Journal of Applied Physiology, 103, 1592-1597.
Chao, K. H., Wu, M. Y., Chen, M. J., Hung, C. C., Ho, H. N. (2006). Impact of the menstrual cycle on immunologic markers in HIV-infected Taiwanese women. Taiwanese Journal of Obstetrics and Gynecology, 45 (1), 42-47.
Edwards, K. M., Burns, V. E., Ring, C., & Carroll, D. (2006). Individual differences in the interleukin-6 response to maximal and submaximal exercise tasks. Journa of
Sports Science, 24(8), 855-858.
Enomoto, L. M., Kloberdanz, K. J., Mack, D. G., Elizabeth, D., Weinberg, A. (2007).
Ex vivo effect of estrogen and progesterone compared with dexamethasone on
cell-mediated immunity of HIV-infected and uninfected. . Journal of Acquired Immune Deficiency Syndromes, 45, 137-143
Faas, M., Bouman, A., Moesa, H., Heineman, M. J., De, L. L. & Schuiling, G. (2000). The immune response during the luteal phase of the ovarian cycle: a Th2-type response? Fertility and Sterility, 74, 1008-1013.
Ferrandez, M. D., & De La Fuente, M. (1999). Effects of age, sex, and physical exercise on the phagocytic process of murine peritoneal macrophages. Acta Physiologica
Scandinavica, 166, 47-53.
Frisina, J. P., Gaudieri, T., Cable, T., Keast, D., Palmer, T. N. (1994). Effects of Acute Exercise on Lymphocyte Subsets and Metabolic Activity. International Journal of Sports Medicine,15 (1), 36-41.
Fry, R. W., Morton, A. R., Crawford, G. P. M., & Keast, D. (1992). Cell numbers and in vitro responses of leucocytes and lymphocyte subpopulations following maximal exercise and interval training sessions of different intensities. European Journal of Applied physiology,64 (3), 218-227.
Giron – Gonzalea, J. A., Moral, F. J., Elvira, J., Garcia-Gil, D., Guerrero, F., Gavilan, I., & Escobar, L. (2000). Consistent production of a higher TH1:TH2 cytokine ratio by stimulated T cells in men compared to women. European Journal of Endocrinology, 143(1), 31-36.
Gustafsson, J. A. (2000). Novel aspects of estrogen actions. Journal of the Society for Gynecologic Investigation, 7(Supplement 1), S8-9.
Iversen P. O., Stokland A., Rolstad B., & Benestad H. B. (1994). Adrenaline-induced leukocytosis: recruitment of blood cells from rat spleen, bone marrow and lymphatics. European journal of applied physiology and occupational physiology, 68 (3), 219-227.
Knöferl, M. W., Jarrar, D., Angele, M. K., Ayala, A., Schwacha, M. G., Bland, K. I., & Chaudry,I.H.(2001). 17beta-Estradiol normalizes immune responses in ovariectomized females after trauma-hemorrhage. American Journal of Physiology - Lung Cellular and Molecular Physiology, 281, C1131-C1138.
Mackinnon, L., Ginn, E., & Seymour, G. (1993). Temporal relationship between decreased Salivary IgA and upper respiratory tract infection in elite athletes.
Australian Journal of Science and Medicine in Sport, 25 (4), 94-99.
Miyazaki, H., Oh-ishi, S., Ookawara, T., Kizaki, T., Toshinai, K., Haga, S., Ji, L. L.,&
Ohno, H. (2001). Strenuous endurance training in humans reduces oxidative stress following exhausting exercise. European Journal of Applied Physiology, 84, 1-6.
Navalta, J. S., Sedlock, D. A., Park , K. S., & McFarlin, B. K. (2007). Neither gender nor menstrual cycle phase influences exercise-induced lymphocyte apoptosis in untrained subjects. Applied Physiology, Nutrition, and Metabolism, 32, 481-486
Nieman, D. C. (1994a). Exercise, upper respiratory tract infection, and the immune
system. Medicine and Science in Sports and Exercise, 26(2), 128-39.
Nieman, D. C. (1994b). Exercise, infection, and immunity. International Journal of Sports Medicine, 15 (3), S131-S141.
Nieman, D. C. (2000a). Special feature for the Olympics: Effects of exercise on the
immune system. Immunology and Cell Biology, 78(5), 496-501.
Nieman, D. C. (2000b). Exercise effects on systemic immunity. Immunology and Cell Biology, 78, 496–501.
Northoff, H., Symon, S., Zieker, D., Schaible, E., Schafer, K.,Thoma, S., Löffler, M., Abbasi, A., Simon, P., Niess, M. A., & Fehrenbach, E. (2008). Gender – and – menstrual phase dependent regulation of inflammatory gene expression in response to aerobic exercise. Exercise Immunology Review, 14, 86-103.
Olsen, N.J., & Kovacs, M. A. (1996). Gonadal steroids and immunity. Endocrine Reviews, 17, 369-384.
Pehlivanoglu, B., Bayrak, S., Gurel, E. I., Balkanci, Z. D. (2012). Effect of gender and menstrual cycle on immune system response to acute mental stress: apoptosis as a mediator. Neuroimmunomodulation, 19 (1), 25-32.
Redmond, J. E., Pieklo, M. C., Coughlin, M., Matthews, T. D., Paolone, V. J. (2009). The menstrual cycle effect on the immune system response to acute exercise. Medicine and Science in Sports and Exercise,41 (5), 99-100.
Samy, T. S., Schwacha, M. G., Cioffi, W. G., Bland,K. I., & Chaudry,I. H. (2000). Androgen and estrogen receptors in splenic T lymphocytes: effect of flutamide and trauma-hemorrhage. Shock, 14, 465-470.
Schouten, W. J., Verschuur, R., & Kemper, H. C. G. (1998). Habitual Physical Activity, Strenuous Exercise, and Salivary Immunoglobulin A Levels in Young Adults: The Amsterdam Growth and Health Study. International Journal of Sports Medicine, 9 (4), 289-293.
Shephard, R. J. (1997a).What is the optimal type of physical activity to enhance health? British Journal of Sports Medicine , 31(4), 277-84.
Shephard, R. J. (1997b). Physical activity, training and the immune response. Carmel, IN: Copper Publishing Group, 108-124.
Simpson, R. J., Florida-James, G. D., Whyte, G. P., Guy, K.(2006). The effects of intensive, moderate and downhill treadmill running on human blood lymphocytes expressing the adhesion/activation molecules CD54 (ICAM-1), CD18 (beta2 integrin) and CD53. European Journal of Applied Physiology, 97(1), 109-121.
Steensberg, A., Toft, A. D., Bruunsgaard, H., Sandmand, M., Halkjaer-Kristensen, J.,
& Pedersen, B. K. (2001). Strenuous exercise decreases the percentage of
type 1 T cells in the circulation. Journal of Applied physiology, 91(4), 1708- 1 712.
Timmons, B. W., Hamadeh, M. J., Devries, M. C., & Tarnopolsky, M. A. (2005). Influence of gender, menstrual phase, and oral contraceptive use on immunological changes in response to prolonged cycling. Journal of Applied Physiology, 99, 979-985.
Timmons, B. W., Tarnopolsky, M. A., Snider, D. P., & Bar-Or, O. (2006). Immunologcal changes in response to exercise: Influence of age, puberty, and gender. Medicine and Science in Sports and Exercise, 38(2), 293-304.
Timmons, B. W., Tarnopolsky, M. A., & Bar-Or, B. (2006). Sex based effects on the distribution of NK cell subsets in response to exercise and carbohydrate intake in adolescents. Journal of Applied Physiology, 100, 1513-1519.
Van der Pompe, G., Bernards, N., Kavelaars, A., Heijnen, C. (2001). An exploratory study into the effect of exhausting bicycle exercise on endocrine and immune responses in post-menopausal women: relationships between vigour and plasma cortisol concentrations and lymphocyte proliferation following exercise. International Journal of Sports Medicine, 22 (6), 447-453.
Vider, J., Lehtmaa, J., Kullisaar, T., Vihalemm, T., Zilmer, K., Kairane, K., Landõr, A., Karu, T., Zilmer, M. (2001). Acute immune response in respect to exercise-induced oxidative stress. Pesticide Biochemistry and Physiology, (101) 2011, 27-33.
Weinberg, A., Enomoto, L., Marcus, R., Canniff, J. (2011). Effect of menstrual cycle variation in female sex hormone on cellular immunity and regulation. Journal of Reproductive Immunology, 89 (1), 70-77.
Wiik, A., Glenmark, B., Ekman, M., Esbjornsson-Liljedahl, M., Johansson, O., Bodin, K.,
Enmark, E., & Jansson, E. (2003). Oestrogen receptor beta is expressed in adult human skeletal muscle both at the mRNA and protein level. Acta Physiologica
Scandinavica, 179, 381–387.
Woods, J. A., Davis, J. M., Smith, J. A., & Nieman, D. C. (1999). Exercise and cellular innate immune function. Medicine and Science in Sports and Exercise, 31(1), 57-66.