Exercise modulates the immune system in cardiorespiratory disease patients: Implications for clinical practice during the COVID-19 pandemic

Autor
Dixit, Snehil
Borghi-Silva, Audrey
Gular, Kumar
Reddy, Ravi Shankar
Nagaraj Kakaraparthi, Venkata
Leão-Ribeiro, Ivana
Tedla, Jaya Shanker
Girish, Srilatha
Fecha
2023Resumen
Background: Patients with cardiorespiratory problems often suffer from systemic inflammation. Stress due to
the disease and continuous inflammation can undermine the success of the rehabilitation program.
Objective: This review has been undertaken primarily to understand the effectiveness of exercise training on
the immune system in individuals undergoing cardiorespiratory rehabilitation and its implications for further management during the COVID-19 pandemic.
Methods: Assessors analyzed related studies identified in the MEDLINE, PROQUEST, PUBMED, Cochrane
Library, CINAHL, EMBASE, Google Scholar, Physiotherapy Evidence, and Science Direct databases. The studies
were divided into groups focused on the effect of exercise on blood leukocytes, the anti-inflammatory effect,
and the role of nutrition and exercise in resolving inflammation.
Results: Twenty-eight studies were included in this review. The number of studies included in each section
was as follows: the effects of exercise training on leukocytes in cardiorespiratory conditions (n = 8), antiinflammatory effect (n = 6), and the role of nutrition and exercise in resolving inflammation (n = 14). The bias
risk assessment showed poor internal validity; most included studies were assigned no and unclear
descriptors.
Conclusions: Substantive evidence is presented that emphasizes the role of moderate-intensity exercise in
boosting the immune system in patients with cardiorespiratory diseases. Exercise has anti-inflammatory
effects that are vital for overall well-being and resolving longstanding inflammation. Individuals with an
active lifestyle had a better pathogen immune response than more sedentary individuals. Our findings highlight the current need to investigate the long-term effects of cardiorespiratory rehabilitation programs.
Fuente
Heart and Lung, 57, 161-172Link de Acceso
Click aquí para ver el documentoIdentificador DOI
doi.org/10.1016/j.hrtlng.2022.09.019Colecciones
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