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Int J Sports Med 2018; 39(11): 867-874
DOI: 10.1055/a-0640-9063
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

Inflammatory Response 24 h Post-Exercise in Youth with Juvenile Idiopathic Arthritis

Emmanuelle Rochette
1   Centre Hospitalier Universitaire de Clermont-Ferrand, Pediatrie, Clermont-Ferrand, France
,
Etienne Merlin
1   Centre Hospitalier Universitaire de Clermont-Ferrand, Pediatrie, Clermont-Ferrand, France
,
Christophe Hourdé
2   Biology of Motricity Laboratory, Universite Savoie Mont-Blanc, Chambery, France
,
Bertrand Evrard
3   Centre Hospitalier Universitaire de Clermont-Ferrand, Laboratoire d'immunologie, Clermont-Ferrand, France
,
Bruno Peraira
4   Centre Hospitalier Universitaire de Clermont-Ferrand, DRCI, Clermont-Ferrand, France
,
Stephane Echaubard
1   Centre Hospitalier Universitaire de Clermont-Ferrand, Pediatrie, Clermont-Ferrand, France
,
Pascale Duché
5   Universite Clermont Auvergne, AME2P, Clermont-Ferrand, France
› Author Affiliations
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Publication History



accepted 23 May 2018

Publication Date:
17 August 2018 (online)

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Abstract

The aim of this study was to measure the impact, at 24 h post-exercise, of a single exercise bout on plasma inflammatory markers such as calprotectin, IL-6, sIL-6 R, sgp130 and the hypothalamic-pituitary-adrenal (HPA) axis in children with juvenile idiopathic arthritis (JIA).

Twelve children with JIA attended the laboratory on three consecutive days (control day, exercise day and 24 h post-exercise), including a 20-min exercise bout on a cycle-ergometer at 70% of max. HR at 8:30 a.m. on day 2. Plasma concentrations of calprotectin, IL-6, sIL-6 R, sgp130, cortisol, ACTH and DHEA were measured on venous blood samples taken every day.at rest and at 8:30, 8:50, 9:30, 10:30 a.m. and 12:00, 3:00, 5:30 p.m.

A single exercise bout increased plasma calprotectin 1.7-fold (p<0.001) but did not increase IL-6 and soluble IL-6 receptors in short-term post-exercise recovery. However, at 24 h post-exercise, calprotectin, IL-6 and its receptors had decreased compared to control-day levels. There was a transient 2-fold increase in post-exercise self-evaluated pain (p=0.03) that disappeared in the evening without repercussions the following day.

Physical activity in children with JIA results in a slight transient systemic inflammation but seems to be followed by counter-regulation at 24 h post-exercise with a decrease in proinflammatory markers.

Key words

pediatric - physical activity - S100A8/A9 - IL-6 - sgp130 - sIL-6 R
 

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