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研究生: 陳玉英
論文名稱: 等速肌力訓練對細胞激素的影響
指導教授: 方進隆
Fang, Chin-Lung
曾哲明
Tseng, Jer-Ming
學位類別: 博士
Doctor
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2000
畢業學年度: 88
語文別: 中文
論文頁數: 129
論文種類: 學術論文
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  • 本研究的主要目的是探討六週等速肌力訓練對白血球分泌細胞激素:白血球間素1β(IL-1β)、腫瘤壞死因子α(TNF-α)、白血球間素6(IL-6)和干擾素γ(IFN-γ)的影響,並分析細胞激素在單次及前後兩次激烈的等速肌力測驗後的變化。
    本研究以三十八名自願參與的健康大學男生為研究對象,利用Cybex 6000等速肌力訓練儀進行最大肌力測驗及最大肌肉疲勞指數測驗,並進行六週不同肌肉收縮型態的等速肌力訓練。受試者分為離心訓練、向心訓練及控制組,訓練組參加六週(每週三次共十八次)等速離心或向心肌力訓練。採自肘前靜脈的血液樣本,經白血球分離、培養程序,收集以LPS刺激培養的白血球細胞懸浮液,並利用ELISA 進行細胞激素濃度分析。
    本研究用SAS(Statistical Analysis System)統計套裝軟體進行資料整理及統計分析,結果發現:
    1. 單次激烈的等速肌力測驗前後,白血球上清液中IL-1β及TNF-α濃度略升,但未達顯著水準。而IL-6及IFN-γ濃度下降,IFN-γ減低的現象達顯著水準(t=-2.06*, p<0.05)。
    2. IL-6、IFN-γ高反應型與低反應型對單次激烈的等速肌力測驗刺激產生不同的變化。高反應型受試者,肌力測驗後濃度下降(IL-6 t=-2.11*,p<0.05; IFN-γ t=-2.44*, p<0.05)。低反應型受試者上清液中濃度增加,但只有IL-6達顯著水準(IL-6 t=2.70*,p<0.05; IFN-γt=1.81, p>0.05)。
    3. 間隔三週第二次激烈的等速肌力測驗對白血球分泌四種細胞激素的影響較第一次的運動刺激小。TNF-α影響顯著 (F=9.80,p<0.05)
    4. 六週等速向心或離心的肌力訓練,對白血球上清液中IL-1β、TNF-α、IL-6及 IFN-γ濃度影響不顯著。
    綜合本研究結果發現,單次激烈的等速肌力測驗對白血球分泌IL-1β、TNF-α及IL-6有不同程度的影響但不顯著,對IFN-γ則有抑制的效果。前後兩次的激烈運動刺激對TNF-α有影響,第二次的刺激所引起的細胞激素濃度顯著比第一次低。六週不同等速肌力訓練方式,可能受到肌肉適能差異、個人適應能力或環境變因的影響,對白血球分泌四種細胞激素:IL-1β、TNF-α、IL-6和IFN-γ濃度的影響不大。六週離心的肌力訓練並沒有明顯損傷肌肉或造成嚴重的發炎反應。

    關鍵詞:
    等速肌力訓練、離心收縮、向心收縮、細胞激素、
    白血球間素1β、腫瘤壞死因子α、白血球間素6、干擾素γ

    The purposes of this study were to investigate the effects of long-term isokinetic strength training on the levels of cytokine which contains Interleukin 1β(IL-1β),Tumor necrosis factorα(TNF-α), Interleukin-6(IL-6), and Interferones g (IFN-g). The study further extended to investigate the differences of acute on cytokine separately after strenuous isokinetic strength test were taken.
    Thirty-eight university male students who had not received any special training was recruited as the subjects for this study. They were divided into three different groups: eccentric, concentric and controls. The eccentric and concentric groups had received 18 times (3 d/wk; 6 wk) isokinetic strength training. Blood samples were taken from antecubital vein. Cytokine concentration in the supernatant were measured by enzyme-linked immunosorbent assay (ELISA). The results were concluded as the following.
    1. There were no significant difference of the effect on the concentration of IL-1β and TNF-α after the acute isokinetic strength test were taken.The concentration of IL-6 and IFN-g secreted by leukocyte were reduced, but only IFN-g decreased significantly, (t=-2.06*,p<0.05), after the intensive isokinetic strength test .
    2. The isokinetic strength test made two different reactions types on the cytokine to different results. The ability of leukocyte’s secretion apparently decreased on the high reaction of IL-6 and IFN-g type group (IL-6 t=-2.11*,p<0.05; IFN-g t=-2,44*,p<0.05). However, the ability of leukocyte’s secretion was increased , but only IL-6 made significant difference (IL-6 t=2.70*,p<0.95; IFN-g t=1.81, p>0.05) on the low reaction of IL-6 and IFN-g type group.
    3. The effects of cytokine levels from the intensive isokinetic strength tests on the first and the second time (after three weeks) were compared separately, and found the effect of the second time was more significant than that of on the first time, and TNF-α showed apparently different(F=9.80,p<0.05).
    4. There were no significant difference on the levels of the cytokine, IL-1β, TNF-α, IL-6, and IFN-g, after concentric and eccentric training were taken for 6 wk separately.
    It was concluded that the maximal isokinetic strength test of single violent one made a slight effect on IL-1β,TNF-α, and IL-6, but it made a restraint on IFN-g, it is probable that the subject possessed different reactions of their leukocyte secretion.
    The concentrations of cytokine on the second violent exercise stimulation was lower than that on the first time. The 6 wk isokinetic strength training, either concentric or eccentric, made no significantly effect on the concentration of IL-1β, TNF-α, IL-6, and IFN-g .

    keywords:Isokinetic strength training ; Eccentric training;
    Concentric training; Cytokine; Interleukin-1β(IL-1β);
    Tumor Necrosis Factor-α(TNF-α); Interleukin-6 (IL-6)
    Interferon g (INF- g)

    中文摘要 Ⅰ 英文摘要 Ⅲ 謝誌 Ⅴ 目次 Ⅶ 表次 Ⅹ 圖次 XI 第壹章 緒論 一、 前言 1 二、 問題背景 2 三、 研究目的 6 四、 研究虛無假設 6 五、 名詞操作性定義 7 六、 研究範圍與限制 9 第貳章 文獻探討 一、 肌力訓練 10 二、 免疫系統、細胞激素與運動 13 三、 白血球間素1β與運動訓練的關係 16 四、 白血球間素6與運動訓練的關係 20 五、 腫瘤壞死因子α與運動訓練的關係 24 六、 干擾素γ與運動訓練的關係 28 七、 本章總結 31 第參章 研究方法與步驟 一、 研究對象 32 二、 實驗設計 32 三、 肌力訓練方法與實施程序 35 (一) 肌力訓練儀器 35 (二) 等速肌力訓練儀的儀器校正 36 (三) 測驗速度與疲勞次數之先前研究 36 (四) 最大肌力測驗 36 (五) 最大肌肉疲勞次數測驗 37 (六) 六週等速向心與離心肌力訓練 37 四、 血液抽取程序 38 五、 白血球分離及培養程序 38 六、 細胞激素分析 39 七、 資料處理 39 第肆章 結果 一、 受試者基本資料 41 二、 單次激烈的等速肌力測驗前後細胞激素的變化 42 三、 前後兩次等速肌力測驗後細胞激素的變化 52 四、 六週等速肌力訓練對細胞激素的影響 54 第伍章 討論 一、 單次激烈的等速肌力測驗對細胞激素的影響 64 二、 前後兩次等速肌力測驗對細胞激素的影響 68 三、 六週等速肌力訓練對細胞激素的影響 69 四、 綜合討論 76 第陸章 結論與建議 一、 結論 78 二、 建議 80 參考文獻 82 附錄 附錄一:受試者須知 91 附錄二:受試者同意書 92 附錄三:健康情況調查表 93 附錄四:受試者實驗期間生活問卷 94 附錄五:白血球分離程序 95 附錄六:IL-1β的ELISA分析 101 附錄七:TNF-α的ELISA分析 106 附錄八:IL-6的ELISA分析 112 附錄九:IFN-γ的ELISA分析 118 附錄十:受試者基本資料 121 附錄十一:受試者手最大肌力測量紀錄表 122 附錄十二:受試者腳最大肌力測量紀錄表 123 附錄十三:六週肌力訓練IL-1β基本資料表 124 附錄十四:六週肌力訓練TNF-α基本資料表 125 附錄十五:六週肌力訓練IL-6基本資料表 126 附錄十六:六週肌力訓練IFN-γ基本資料表 127 表次 表一:IL-1β與運動訓練相關文獻一覽表(In vivo) 18 表二:IL-1β與運動訓練相關文獻一覽表(In vitro) 19 表三:IL-6與運動訓練相關文獻一覽表(In vivo) 22 表四:IL-6與運動訓練相關文獻一覽表(In vitro) 23 表五:TNF-α與運動訓練相關文獻一覽表(In vivo) 26 表六:TNF-α與運動訓練相關文獻一覽表(In vitro) 27 表七:IFN-γ與運動訓練相關文獻一覽表(In vivo) 29 表八:IFN-γ與運動訓練相關文獻一覽表(In vitro) 30 表九:全體受試者基本資料表 41 表十:受試者最大肌力測驗資料表 42 表十一:肌力測驗前後四種細胞激素資料表 43 表十二:細胞激素高低反應組濃度變化t考驗摘要表表 44 表十三:細胞激素高低反應組χ2考驗摘要表 49 表十四:兩次肌力測驗對細胞激素的影響變異數摘要表 53 表十五:受試者IL-1β基本資料表 55 表十六:IL-1β混合設計二因子變異數分析摘要表 56 表十七:受試者TNF-α基本資料表 57 表十八:TNF-α混合設計二因子變異數分析摘要表 58 表十九:受試者IL-6基本資料表 59 表二十:IL-6混合設計二因子變異數分析摘要表 61 表廿一:受試者IFN-γ基本資料表 62 表廿二:IFN-γ混合設計二因子變異數分析摘要表 63 圖次 圖一:第一階段實驗設計流程 33 圖二:第二階段實驗設計流程 34 圖三:最大肌力測驗對IL-1β濃度的影響 44 圖四:最大肌力測驗對TNF-α濃度的影響 44 圖五:最大肌力測驗對IL-6濃度的影響 45 圖六:最大肌力測驗對IFN-γ濃度的影響 45 圖七:高低反應組IL-1β的變化 47 圖八:高低反應組TNF-α的變化 47 圖九:高低反應組IL-6的變化 48 圖十:高低反應組IFN-γ的變化 48 圖十一:高低反應組IL-1β增減人數百分比 50 圖十二:高低反應組TNF-α增減人數百分比 50 圖十三:高低反應組IL-6增減人數百分比 51 圖十四:高低反應組IFN-γ增減人數百分比 51 圖十五:不同訓練階對各組IL-1β濃度變化 56 圖十六:不同訓練階對各組TNF-α濃度變化 58 圖十七:不同訓練階對各組IL-6濃度變化 60 圖十八:不同訓練階段對各組IFN-γ濃度變化 63

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