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1000 Titel
  • Transferring clinically established immune inflammation markers into exercise physiology: focus on neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and systemic immune-inflammation index
1000 Autor/in
  1. Walzik, David |
  2. Joisten, Niklas |
  3. Zacher, Jonas |
  4. Zimmer, Philipp |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-03-31
1000 Erschienen in
1000 Quellenangabe
  • 121(7):1803-1814
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00421-021-04668-7 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192383/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Over the last decades the cellular immune inflammation markers neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII = NLR × platelets) have emerged in clinical context as markers of disease-related inflammation and are now widely appreciated due to their integrative character. Transferring these clinically established inflammation markers into exercise physiology seems highly beneficial, especially due to the low temporal, financial and infrastructural resources needed for assessment and calculation. Therefore, the aim of this review is to summarize evidence on the value of the integrative inflammation markers NLR, PLR and SII for depiction of exercise-induced inflammation and highlight potential applications in exercise settings. Despite sparse evidence, multiple investigations revealed responsiveness of the markers to acute and chronic exercise, thereby opening promising avenues in the field of exercise physiology. In performance settings, they might help to infer information for exercise programming by reflecting exercise strain and recovery status or periods of overtraining and increased infection risk. In health settings, application involves the depiction of anti-inflammatory effects of chronic exercise in patients exhibiting chronic inflammation. Further research should, therefore, focus on establishing reference values for these integrative markers in athletes at rest, assess the kinetics and reliability in response to different exercise modalities and implement the markers into clinical exercise trials to depict anti-inflammatory effects of chronic exercise in different patient collectives.
1000 Sacherschließung
lokal Inflammation/immunology [MeSH]
lokal Training
lokal Invited Review
lokal Neutrophils [MeSH]
lokal Reference Values [MeSH]
lokal Lymphocyte Count [MeSH]
lokal Biomarkers/blood [MeSH]
lokal Humans [MeSH]
lokal Inflammation
lokal Severity of Illness Index [MeSH]
lokal Platelet Count [MeSH]
lokal Biomarker
lokal Exercise
lokal Physical activity
lokal Recovery
lokal Physical Exertion/immunology [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-9577-1435|https://orcid.org/0000-0002-9947-8746|https://orcid.org/0000-0002-9687-5746|https://orcid.org/0000-0001-9631-4503
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1000 Erstellt am 2023-04-28T15:03:54.659+0200
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