簡易檢索 / 詳目顯示

研究生: 洪紹倫
HUNG SHAO-LUN
論文名稱: 身體活動量對老年人白血球數目及淋巴細胞亞群之影響
Influence of Physical Activity on Leukocyte Counts and Lymphocyte Subsets for Elderly
指導教授: 徐孟達
Hsu, Meng-Da
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2011
畢業學年度: 99
語文別: 中文
論文頁數: 61
中文關鍵詞: 身體活動量免疫淋巴球細胞
英文關鍵詞: physical activity, immune, lymphocyte
論文種類: 學術論文
相關次數: 點閱:168下載:20
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 目的:本研究旨在探討不同身體活動量的老年人體內周邊血球數量及比例,淋巴細胞亞群比例是否有其差異性。方法:27位健康老年人(男性10位,平均年齡67.10 ± 2.64歲;女性17位,平均年齡68.82 ± 3.47歲),依老年人身體活動量表(PASE)將全體受試者分為高身體活動量、中身體活動量及低身體活動量三組,比較周邊血液中血球的數量及比例,淋巴細胞亞群CD3+、CD3+CD4+、CD3+CD8+、CD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+、CD4+CD45RO+、CD8+CD45RA+、CD8+CD45RO+的比例及CD4+/CD8+的比值之差異性,所得數據以獨立樣本單因子變異數進行分析。結果:發現高身體活動量組有顯著較高的淋巴球比例及單核球的比例(p< .05),而嗜中性球的數量及比例則顯著較低(p< .05)。而在淋巴細胞亞群部分,在中身體活量組與高身體動量組中,CD3+CD8+、CD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+、CD8+CD45RA+有升高趨勢,而CD3+、CD3+CD4+、CD4+/CD8+ratio值、CD4+CD45RO+、CD8+CD45RO+有下降趨勢,且中等身體活動量組的老人較其他兩組有較高的CD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+的比例及較低的CD3+比例(p< .05),表示身體活動量過高時會對老年人體內的產生免疫抑制現象,因此適度的身體活動可能較可以減緩免疫的老化現象。

    Objective: This research aims at looking into the difference in quantity and percentages of peripheral mononuclear blood cells and the percentage of their lymphocytes subsets of elderly with different level of physical activities. Method: 27 healthy elderly are invited to be our participants. (10 Men, Average age: 67.10 ± 2.64 years old, 17 women, Average age: 68.82 ± 3.47 years old) According to the difference in PASE of these participants, they are divided into three groups. Namely, high level of physical activities, medium level of physical activities and low level of physical activities. Independent event one-way analysis of variance is used to analyze the quantity and percentage of peripheral mononuclear blood cells and lymphocytes subsets( percentage of CD3+、CD3+CD4+、CD3+CD8+、CD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+、CD4+CD45RO+、CD8+CD45RA+、CD8+CD45RO+ and difference in ratio of CD4+/CD8+). Findings: It is found that there are significantly larger percentages of the peripheral mononuclear blood cells and monocyte of the participants classified as High Level of Physical Activities Group.(p< .05) while the amount and percentage of neutrophil is significantly lower(p< .05). Among the lymphocytes subsets, the ratio of CD3+CD8+、CD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+、CD8+CD45RA+、shows the tendency to increase while that of CD3+、CD3+CD4+、CD4+/CD8+、CD4+CD45RO+、CD8+CD45RO+shows the tendency to decrease following the increase in level of physical activities of the participants. The participants of the Medium Level of Physical Activities have a higher percentage inCD3-CD19+、CD3-CD16+CD56+、CD4+CD45RA+and a lower percentage in CD3+(p< .05). These findings reflect that the exceed level of physical activities of elderly will weaken their immunity. On the other hand, the appropriate amount of physical exercises can possibly slow down the aging of their immune system.

    目次 中文摘要....................................................i 英文摘要...................................................ii 謝誌.....................................................iii 目次......................................................iv 圖目次...................................................vii 表目次..................................................viii 第壹章 緒論  第一節、前言..............................................1  第二節、問題背景...........................................2  第三節、研究目的...........................................4  第四節、研究假設...........................................4  第五節、研究範圍...........................................4  第六節、研究限制...........................................5  第七節、研究重要性.........................................5  第八節、名詞操作定義.......................................5 第貳章、文獻探討  第一節、免疫系統與免疫細胞..................................7  第二節、老化對體內免疫細胞之影響............................12 第三節、老年人身體活動量評估之研究............................15 第四節、身體活動對老年人體內免疫細胞之影響.....................16  第五節、本章總結..........................................20 第参章、研究方法與步驟  第一節、研究對象..........................................21  第二節、實驗設計..........................................21  第三節、實驗日期..........................................21  第四節、實驗地點..........................................22  第五節、實驗流程..........................................22  第六節、實驗儀器..........................................24  第七節、實驗方法與步驟.....................................24  第八節、資料分析與處理.....................................29 第肆章、結果  第一節、受試者基本資料.....................................30  第二節、不同身體活動量分組受試者基本資料.....................31  第三節、不同身體活動老年人免疫細胞數量及比例之狀態............31 第伍章、討論與結論  第一節、討論.............................................36  第二節、結論.............................................43 參考文獻  中文部分.................................................45  外文部分.................................................47 附錄一:受試者須知..........................................53 附錄二:受試者同意書........................................54 附錄三:健康狀況調查表......................................55 附錄四:參加者基本資料......................................56 附錄五:老年人身體活動量表...................................58 圖目次 圖3-5-1:實驗流程..........................................22 圖3-7-1:流式細胞儀分析淋巴細胞及亞群.........................27 圖3-7-2:流式細胞儀分析淋巴細胞及亞群.........................27 圖3-7-3:流式細胞儀分析淋巴細胞及亞群.........................27 圖3-7-4:流式細胞儀分析淋巴細胞及亞群.........................27 表目次 表3-7-1:PASE計分及加權指數對照表............................25 表4-1-1:全體受試者基本資料.................................30 表4-1-2:全體受試者身體活動量得分表..........................30 表4-2-1:不同身體活動量分組基本資料..........................31 表4-3-1:不同身體活動量老年人周邊血液中血球數目及比例之狀態.....32 表4-3-2:不同身體活動量老年人T淋巴細胞及其亞群之狀態...........33 表4-3-3:不同身體活動量老年人B細胞比例之狀態..................33 表4-3-4:不同身體活動量老年人自然殺手細胞比例之狀態............34 表4-3-5:不同身體活動量老年人輔助型純真細胞、輔助型記憶細胞、胞 殺型純真細胞及胞殺型記憶細胞比例之差異........................35

    中文部分
    王聖予,陳建和(2002)。免疫學。台北:藝軒。

    王素敏(1997)。老人的休閒滿意及其休閒教育取向之研究。未出版之碩士論文,國立高雄師範大學,高雄。

    內政部統計處(2000)。民國89年台閩地區老人狀況調查摘要分析。台北:內政部。

    行政院經濟建設委員會(2008)。中華民國臺灣民國97 年至145 年人口推計。台北:行政院經濟建設委員會。

    吳佳儀(2002)。社區老人睡眠品質與身體活動、憂鬱之相關性探討。未出版碩士論文,國立臺灣大學,臺北市。

    吳秋燕(2003)。老年人身體活動、心肺適能與生活品質之相關研究。未出版碩士論文,國立臺灣師範大學,臺北市。

    吳淑瓊、林惠生(1999)。台灣功能障礙老人家庭照護者的全國概況剖析。中華衛誌,18,44-53。

    孟云霞、俞德彩、楊準(2006)。老年人T淋巴細胞亞群變化的相關因素分析。包頭醫學院學報,24(4),401-401。

    高順生、趙樹林(2006)。運動免疫學。台北:諾亞。

    高曉明(2004)。免疫學入門。台北:藝軒。

    教育部教育社會司(1991)。老人教育。台北:師大書苑。

    曾哲明(2005)。免疫學。台北:新文京開發。

    曾明朗、甘能斌、薛淑琳(2005)。運動與淋巴免疫細胞及調節機制初探。中華體育季刊,20(1),12-22。

    葉清華、薛淑琳(1998)。運動與老化。大專體育,36,73-77。

    單穎、姜東、李淑云、王維忠(2007)。老年人細胞亞群的Meta分析。中國老年學雜誌,27,1905-1907。

    盛軍、郭養浩、杜德群、孟春(2004)。記憶性T細胞的形成與特點。生命科學研究,8(4),117-121。

    歐恬維(2010)。不同身體活動量老年女性體適能與心智功能之比較。未出版碩士論文,國立台灣師範大學,臺北市。

    劉慶峰、王福生(2005)。人體抗病毒免疫反應中T細胞亞群的特點與意義。細胞與分子免疫學雜誌,21,20-22。

    劉韵蟬、馬莉(2009)。老年人呼吸道感染患者外周血細胞免疫表型分析。貴陽醫學學報,343(1),47-49。

    外文部分
    Alberti, S., Cevenini, E., Ostan, R., Capri, M., Salvioli, S., Bucci, L., Ginaldi, L., Martinis, M. D., Franceschi, C., & Monti, D. (2006). Age-dependent modifications of Type 1 and Type 2 cytokines within virgin and memory CD4+ T cells in humans. Mechanisms of Ageing and Development, 127, 560-566.

    American College of Sports Medicine (1998). ACSM Position:Exercise and Physical Activity for Older Adults. Medicine & Science in Sports & Exercise, 30(6), 992-1008.

    Bonnefoy, M., Kostka, T., Patricot, M. C., Berthouze, S. E., Mathian, B., & Lacour, J. R. (1998). Physical activity and ehydroepiandrosterone sulphate, insulin-like growth factor I and testosterone in healthy active elderly people. Age &Aging, 27, 745-751.

    Born, J., Uthgenannt, D., Dodt, C., Nunninghoff, D., Ringvolt, E., Wagner, T., & Fehm, H. L. (1995). Cytokine production and lymphocyte subpopulations in aged humans.An assessment during nocturnal sleep. Mechanisms of ageing, 84, 113-126.

    Burns, E. A., Lum, L. G., Seigneuret, M.C., Giddings, B.R., & Goodwin, J.S. (1990). Decreased specific antibody synthesis in old adults: decreased potency of antigen specific B cells with aging. Mechanisms of Ageing and Development, 53, 229-241.

    Buyukyazi, G. (2004). Differences in the cellular and humeral immune system between sedentary and endurance-trained elderly males. Science & Sports, 19(3), 130-135.

    Bruunsgaard, H., & Pedersen, B. K. (2000). Effects of exercise on the immune system in the elderly population. Immunology and Cell Biology, 78, 523-531.

    Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness:Definitions and distinctions for health–related research. Public Health Reports, 100(2), 126-131.

    Clement, L. T., Vink, P. E., & Bradley, G. E. (1990). Novel immunoregulatory functions of phenotypically distinct subpopulations of CD4+ cells in the human neonate. The Journal of Immunology, 145 (1), 102-108.

    Cossarizza, A., Ortolani, C., Paganelli, R., Barbieri, D., Monti, D., Sansoni, P., Fagiolo, U., Castellani, G., Bersani, F., Londei, M., & Franceschi, C. (1996).CD45 isoforms expression on CD4 and CD8 T cells throughout life from newborns to centenarians implications for T cell memory. Mechanisms of Ageing and Development, 86(3), 173-195.

    Drela, N., Kozdron, E., & Szczypiorski, P. (2004). Moderate exercise may attenuate some aspects of immunosenescence. Bio Med Central geriatrics, 4(8), 1-7.Edward, J. T., Vicki, A. F., & Douglas, A.W. (1993). Kinship and family support in Taiwan. Research on Aging, 15(4), 465-86.

    Ernst, D. N., Weigle, O., & Hobbs, M.V. (1995). Aging and lymphokine gene expression by T cell subsets. Nutrition Reviews, 53, 18-26.

    Fahey, J. L., Schnelle, J. F., Boscardin, J., Thomas, J. K., Gorre, M. E., Aziz, N., Sadeghi, H., & Nishanian, P. (2000). Distinct categories of immunologic changes in frail elderly. Mechanisms of Ageing and Development, 115(1), 1-20.

    Fulop, T., Komaromi, I., Foris, G., Worum, I., & Leovey, A. (1986). Age-dependent variations of intralysosomal release from human PMN leukocytes under various stimuli. Immunobiology, 171, 302-310.

    Glement, L. T. (1992). soforms of the CD45 common leukocyte antigen family: Markers for human T-cell differentiation. Journal of Clinical Immunology, 12(1), 1-10.

    Holger, G., Barbara, S., & Wilfried, K. (1993). Age-related increase of CD45RO+ lymphocytes in physically active adults. European Journal of Immunology, 23(10), 2704-2706.

    Imlach, S., McBreen, S., Shirafuji, T., Leen, C., Bell, J. E., & Simmonds, P. (2001). Activated Peripheral CD8 Lymphocytes Express CD4 In Vivo and Are Targets for Infection by Human Immunodeficiency Virus Type 1. Journal of Virology, 75, 4091-4102.

    Janeway, C. J. (1992). The T Cell Receptor as a Multicomponent Signalling Machine: CD4/CD8 Coreceptors and CD45 in T Cell Activation. Annual Review of Immunology, 10, 74-76.

    Kazuhiro, S., Fuminori, K., Takayuki, A., Takao, A., Kai T., Takahiko, N., Shinya, K., & Ichiro, K. (2008). Effect of moderate exercise training on T-helper cell subpopulations in elderly people. Exercise immunology review, 14, 24 -37.

    Kutza, J., Kayed, D., & Murasko, D. M. (1995). Basal natural killer cell activity of young versus elderly humans.The Journals of Gerontology: Series A, 50(3), 110-116.

    Mackinodan, T., & Hirokawa, K. (1985). Relations between Normal Aging and Disease. New York: Raven.

    Mittler, R. S., Rankin, B.M., & Kiener, P. A. (1991). Physical associations between CD45 and CD4 or CD8 occur as late activation events in antigen receptor-stimulated human T cells.The Journal of Immunology, 147(10), 3434-3440.

    Miller, R. A. (1994). Aging and immune function: Cellular and biochemical analyses. Experimental Gerontology, 29(1), 21-35.

    Miller, R. A. (1995). Handbook of Physiology (Section 11:Aging). London: Oxford.

    Milton, H. A., Alberto, J. D., & Valeria, M. N. (2006). The effects of long-term endurance training on the immune and endocrine systems of elderly men the role of cytokines and anabolic hormones. Immunity &Aging, 3:9.

    Nieman, D.C. (2003). Current perspective on exercise immunology. Current Sports Medicine Reports, 2(5), 239-242.

    Peake, J., & Suzuki, K. (2004). Neutrophil activation, antioxidant supplements and exercise-induced oxidative stress. Exercise immunology, 10, 129-141.
    Perter, C. L. (1996). Generation of T cell memory. Current Opinion in Immunology, 8(3), 327-330.

    Ravaglia, G., Forti, P., Maioli, F., Pratelli, L., Vettori, C., Bastagli, L., Mariani, E., Facchini, A., & Cucinotta, D. (2001). Regular moderate intensity physical activity and blood concentrations of endogenous anabolic hormones and thyroid hormones in aging men. Mechanisms of Ageing and Developmwnt, 122, 191-203.

    Stephen, P. P., Pratip, K. C., & Mario, R. (2004). Seventeen-colour flow cytometry:unravelling the immune system. Nature Reviews Iimmunology , 4(8), 648-655.

    Song, L., Kim, Y.H., Chopra, R.K., Proust, J.J., Nagel, J.E., Nordin, A.A., & Adler, W.H. (1993). Age-related effects in T cell activation and proliferation. Experimental Gerontology, 28, 313-321.

    Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity Scale for the Elderly (PASE) : Development and evaluation. Journal of Clinical Epidemiology, 46(2), 153-162.

    Wilmore, J. H., & Costill, D. L. (1999). Cardiovascular control during exercise. Exercise in hypobaric, hyperbaric, and microgravity environments. In: Wilmore JH, Costill DL (eds) Physiology of sport and exercise. Human Kinetics, Champaign, Ill., 206-243, 333-380.

    Woods, J. A., Ceddia, M. A., Zack, M. D., Lowder, T. W., & Lu, Q. (2003). Exercise training increases the näive to memory T cell ratio in old mice. Brain, Behavior, and Immunity, 17(5), 384-392.

    Woods, J. A., Ceddia, M. A., Wolters, B.W., Evans, J. K., Lu,Q. & McAuley, E. (1999). Effects of 6 months of moderate aerobic exercise training on immune function in the elderly. Mechanisms of Ageing and Development, 109(1), 1-19.

    Woods, J. A., Evans, J. K., Wolters, B. W., Ceddia, M. A. & McAuley, E. (1998). Effects of maximal exercise on natural killer cell function and responsiveness to interferon-α in the young and old. Mechanisms of Ageing and Development, 53, 430-437.

    Woods, J. A., Lowder, T. W., & Keylock, K.T. (2002). Can exercise training improve immune function in the aged? Annals of the New York Academy of Sciences, 959, 117-137.

    Tarazona, R., Solana, R., Ouyang, Q., & Pawelec, G. (2002). Basic biology and clinical impact of immunosenescence. Experimental Gerontology, 38(1), 183-189.

    Yan, H., Kuroiwa, A., Tanaka, H., Shindo, M., Kiyonaga, A., & Nagayama, A. (2001). Effect of moderate exercise on immune senescence in men. European Journal of Applied Physiology, 86, 105-111.

    下載圖示
    QR CODE