Inflammatory response to exercise in a pancreatic-cancer patient: A case report

Journal article

Pedrinolla, Anna, Ardigo, Luca Paolo, Salvagno, Gian Luca, Volti, Giovanni Li, Caveggion, Elena, Mambrini, Andrea, Mazzi, Paola, Cormie, Prue, Guidi, Gian Cesare and Schena, Federico. (2016). Inflammatory response to exercise in a pancreatic-cancer patient: A case report. Pancreatic Disorders and Therapy (online). 6(4), pp. 1 - 8. https://doi.org/10.4172/2165-7092.1000176
AuthorsPedrinolla, Anna, Ardigo, Luca Paolo, Salvagno, Gian Luca, Volti, Giovanni Li, Caveggion, Elena, Mambrini, Andrea, Mazzi, Paola, Cormie, Prue, Guidi, Gian Cesare and Schena, Federico
Abstract

Background: Pancreatic-adenocarcinoma is relatively uncommon, but has been proven to be an unyielding adversity. Although it is known the importance of exercise in improving quality of life in cancer patients, currently there are no available data identifying the inflammatory-response during exercise in pancreatic-cancer patients undergoing chemotherapy.
Methods: A control-supported case study was performed on a 67 yr old man diagnosed with stage IV pancreaticcancer. Two 24-hour non-stop ultra-endurance walking races (24 hr Walk) completed by the patient prior to cancerdiagnosis (No Chemo, 6 months prior to the diagnosis) and after cancer-diagnosis during chemotherapy (Chemo) were compared. Comparison to control-participants without cancer (n=2, Ctrl 1 and Ctrl 2) was also conducted. Throughout 24 hr Walk blood-samples were collected every 6 hours and analyzed for intereukin-1β (IL-1β), interleukin-1ra (IL-1ra), interleukin-6 (IL-6), interleukin-8 (IL-8), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), monochemoattractant protein-1 (MCP-1), C-reactive protein (CRP), alanine aminotransferase (ALT), pancreatic amylase (AmylP), and albumin. All training performed since the cancer-diagnosis was monitored.
Results: No adverse events occurred neither during 24 hr walks nor during the training. The number of walk per week, distance, and speed diminished following the diagnosis of pancreatic-cancer. Changes in IL-1β, IL-6, IL-8, IL-10, TNF-α, MCP-1, ALT, AmylP, and albumin did not differ between No Chemo and Chemo. IL-1ra decreased in No Chemo, but increased in Chemo. CRP increased in both No Chemo and Chemo, and in the controls as well. Changes in ALT and AmylP in Ctrl 1 and Ctrl 2 differed to both No Chemo and Chemo.
Conclusions: Understanding the inflammatory-response to exercise in cancer-patients may be useful to design and delivery adapted exercise-programs in this growing population. The inflammatory-response, hepatic, and pancreatic functionality during prolonged-exercise were not exacerbated by concurrent chemotherapy in a pancreatic-cancer patient.

Year2016
JournalPancreatic Disorders and Therapy (online)
Journal citation6 (4), pp. 1 - 8
PublisherOMICS Publishing Group
ISSN2165-7092
Digital Object Identifier (DOI)https://doi.org/10.4172/2165-7092.1000176
Open accessOpen access
Page range1 - 8
Research GroupMary MacKillop Institute for Health Research
Publisher's version
License
Place of publicationUnited States of America
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Appleby, Brendyn, Newton, Robert U. and Cormie, Prue. (2012). Changes in strength over a 2-year period in professional Rugby Union players. Journal of Strength and Conditioning Research. 26(9), pp. 2538 - 2546. https://doi.org/10.1519/JSC.0b013e31823f8b86
The relationship between isometric force-time curve characteristics and club head speed in recreational golfers
Leary, Brian K., Statler, Jason, Hopkins, Britton, Fitzwater, Rachael, Kesling, Tucker, Lyon, Jacob, Phillips, Brett, Bryner, Randell W., Cormie, Prue and Haff, Gregory G.. (2012). The relationship between isometric force-time curve characteristics and club head speed in recreational golfers. Journal of Strength and Conditioning Research. 26(10), pp. 2685 - 2697. https://doi.org/10.1519/JSC.0b013e31826791bf
Principles of athlete testing
Newton, Robert U., Cormie, Prue and Cardinale, Marco. (2011). Principles of athlete testing. In In Cardinale, Marco, Newton, Rob and Nosaka, Kazunori (Ed.). Strength and conditioning : Biological principles and practical applications pp. 255-270 Wiley-Blackwell.
Influence of muscle-tendon unit structure on rate of force development during the squat, countermovement, and drop jumps
Earp, Jacob E., Kraemer, William J., Cormie, Prue, Volek, Jeffery S., Maresh, Carl M., Joseph, Michael and Newton, Robert U.. (2011). Influence of muscle-tendon unit structure on rate of force development during the squat, countermovement, and drop jumps. Journal of Strength and Conditioning Research. 25(2), pp. 340 - 347. https://doi.org/10.1519/JSC.0b013e3182052d78
Developing maximal neuromuscular power: Part 1 - Biological basis of maximal power production
Cormie, Prue, McGuigan, Michael R. and Newton, Robert U.. (2011). Developing maximal neuromuscular power: Part 1 - Biological basis of maximal power production. Sports Medicine. 41(1), pp. 17 - 38. https://doi.org/10.2165/11537690-000000000-00000
Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial
Galvao, Daniel, Taaffe, D R, Cormie, P, Spry, Nigel, Chambers, Suzanne, Peddle-McIntyre, C, Baker, Michael, Denham, James, Joseph, David and Groom, Geoff. (2011). Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial. BMC Cancer. 11(13), pp. 517 - 523. https://doi.org/10.1186/1471-2407-11-517
Developing maximal neuromuscular power: Part 2 training considerations for improving maximal power production
Cormie, Prue, McGuigan, Michael R. and Newton, Robert U.. (2011). Developing maximal neuromuscular power: Part 2 training considerations for improving maximal power production. Sports Medicine. 41(2), pp. 125 - 146. https://doi.org/10.2165/11538500-000000000-00000
Influence of strength on magnitude and mechanisms of adaptation to power training
Cormie, Prue, McGuigan, Michael and Newton, Robert U.. (2010). Influence of strength on magnitude and mechanisms of adaptation to power training. Medicine and Science in Sports and Exercise. 42(8), pp. 1566 - 1581. https://doi.org/10.1249/MSS.0b013e3181cf818d
Changes in the eccentric phase contribute to improved stretch-shorten cycle performance after training
Cormie, Prue, McGuigan, Michael and Newton, Robert U.. (2010). Changes in the eccentric phase contribute to improved stretch-shorten cycle performance after training. Medicine and Science in Sports and Exercise. 42(9), pp. 1731 - 1744. https://doi.org/10.1249/MSS.0b013e3181d392e8
Adaptations in athletic performance after ballistic power versus strength training
Cormie, Prue, McGuigan, Michael and Newton, Robert U.. (2010). Adaptations in athletic performance after ballistic power versus strength training. Medicine and Science in Sports and Exercise. 42(8), pp. 1582 - 1598. https://doi.org/10.1249/MSS.0b013e3181d2013a
Muscle deoxygenation during repeated sprint running: Effect of active vs. Passive recovery
Buchheit, M., Cormie, Prue, Abbiss, Chris R., Ahmaidi, S., Nosaka, K and Laursen, P B.. (2009). Muscle deoxygenation during repeated sprint running: Effect of active vs. Passive recovery. International Journal of Sports Medicine. 30(6), pp. 418 - 425. https://doi.org/10.1055/s-0028-1105933
Power-time, force-time, and velocity-time curve analysis of the countermovement jump: Impact of training
Cormie, Prue, McBride, Jeffrey M. and McCaulley, Grant O.. (2009). Power-time, force-time, and velocity-time curve analysis of the countermovement jump: Impact of training. Journal of Strength and Conditioning Research. 23(1), pp. 177 - 186. https://doi.org/10.1519/JSC.0b013e3181889324
Acute hormonal and neuromuscular responses to hypertrophy, strength and power type resistane exercise
McCaulley, Grant O., McBride, Jeffrey M., Cormie, Prue, Hudson, Matthew B., Nuzzo, James L., Quindry, John C. and Triplett, N. Travis. (2009). Acute hormonal and neuromuscular responses to hypertrophy, strength and power type resistane exercise. European Journal of Applied Physiology. 105(5), pp. 695 - 704. https://doi.org/10.1007/s00421-008-0951-z
Comparison of methods to quantify volume during resistance exercise
McBride, Jeffrey M., McCaulley, Grant O., Cormie, Prue, Nuzzo, James L., Cavill, Michael J. and Triplett, N. Travis. (2009). Comparison of methods to quantify volume during resistance exercise. Journal of Strength and Conditioning Research. 23(1), pp. 106 - 110. https://doi.org/10.1519/JSC.0b013e31818efdfe
Does an optimal load exist for power training?
Cormie, Prue and Flanagan, Sean P.. (2008). Does an optimal load exist for power training? Strength and Conditioning Journal. 30(2), pp. 67 - 69. https://doi.org/10.1519/SSC.0b013e31816a8776
Trunk muscle activity during stability ball and free weight exercises
Nuzzo, James L., McCaulley, Grant O., Cormie, Prue, Cavill, Michael J. and McBride, Jeffrey M.. (2008). Trunk muscle activity during stability ball and free weight exercises. Journal of Strength and Conditioning Research. 22(1), pp. 95 - 102. https://doi.org/10.1519/JSC.0b013e31815ef8cd
Influence of preactivity and eccentric muscle activity on concentric performance during vertical jumping
McBride, Jeffrey M., McCaulley, Grant O. and Cormie, Prue. (2008). Influence of preactivity and eccentric muscle activity on concentric performance during vertical jumping. Journal of Strength and Conditioning Research. 22(3), pp. 750 - 757. https://doi.org/10.1519/JSC.0b013e31816a83ef
Relationship between countermovement jump performance and multijoint isometric and dynamic tests of strength
Nuzzo, James L., McBride, Jeffrey M., Cormie, Prue and McCaulley, Grant O.. (2008). Relationship between countermovement jump performance and multijoint isometric and dynamic tests of strength. Journal of Strength and Conditioning Research. 22(3), pp. 699 - 707. https://doi.org/10.1519/JSC.0b013e31816d5eda
Power-time, force-time, and velocity-time curve analysis during the jump squat: Impact of load
Cormie, Prue, McBride, Jeffrey M. and McCaulley, Grant O.. (2008). Power-time, force-time, and velocity-time curve analysis during the jump squat: Impact of load. Journal of Applied Biomechanics. 24(2), pp. 112 - 120. https://doi.org/10.1123/jab.24.2.112
Neuromuscular and endocrine responses of elite players during an Australian rules football season
Cormack, Stuart John, Newton, Robert U., McGuigan, Michael R. and Cormie, Prue. (2008). Neuromuscular and endocrine responses of elite players during an Australian rules football season. International Journal of Sports Physiology and Performance. 3(4), pp. 439 - 453. https://doi.org/10.1123/ijspp.3.4.439
The influence of body mass on calculation of power during lower-body resistance exercises
Cormie, Prue, McBride, Jeffrey M. and McCaulley, Grant O.. (2007). The influence of body mass on calculation of power during lower-body resistance exercises. Journal of Strength and Conditioning Research. 21(4), pp. 1042 - 1049. https://doi.org/10.1519/R-21636.1
Mechanical efficiency during repetitive vertical jumping
McCaulley, Grant O., Cormie, Prue, Cavill, Michael J., Nuzzo, James L., Urbiztondo, Zea G. and McBride, Jeffrey M.. (2007). Mechanical efficiency during repetitive vertical jumping. European Journal of Applied Physiology. 101(1), pp. 115 - 123. https://doi.org/10.1007/s00421-007-0480-1
Optimal loading for maximal power output during lower-body resistance exercises
Cormie, Prue, McCaulley, Grant O., Triplett, N. Travis and McBride, Jeffrey M.. (2007). Optimal loading for maximal power output during lower-body resistance exercises. Medicine and Science in Sports and Exercise. 39(2), pp. 340 - 349. https://doi.org/10.1249/01.mss.0000246993.71599.bf
Methodological concerns for determining power output in the jump squat
Cormie, Prue, Deane, Russell and McBride, Jeffrey M.. (2007). Methodological concerns for determining power output in the jump squat. Journal of Strength and Conditioning Research. 21(2), pp. 424 - 430. https://doi.org/10.1519/R-19605.1
Power versus strength-power jump squat training: Influence on the load-power relationship
Cormie, Prue, McCaulley, Grant O. and McBride, Jeffrey M.. (2007). Power versus strength-power jump squat training: Influence on the load-power relationship. Medicine and Science in Sports and Exercise. 39(6), pp. 996 - 1003. https://doi.org/10.1097/mss.0b013e3180408e0c
Validation of power measurement techniques in dynamic lower body resistance exercises
Cormie, Prue, McBride, Jeffrey M. and McCaulley, Grant O.. (2007). Validation of power measurement techniques in dynamic lower body resistance exercises. Journal of Applied Biomechanics. 23(2), pp. 103 - 118. https://doi.org/10.1123/jab.23.2.103
Acute effects of whole-body vibration on muscle activity, strength, and power
Cormie, Prue, Deane, Russell, Triplett, N. Travis and McBride, Jeffrey M.. (2006). Acute effects of whole-body vibration on muscle activity, strength, and power. Journal of Strength and Conditioning Research. 20(2), pp. 257 - 261. https://doi.org/10.1519/R-17835.1
Isometric squat force output and muscle activity in stable and unstable conditions
McBride, Jeffrey M., Cormie, Prue and Deane, Russell. (2006). Isometric squat force output and muscle activity in stable and unstable conditions. Journal of Strength and Conditioning Research. 20(4), pp. 915 - 918. https://doi.org/10.1519/R-19305.1
Anthropometric and physical abilities profiles: US National Skeleton Team.
Sands, William A., Smith, L. Sarah L., Kivi, Derek M. R., McNeal, Jeni R., Dorman, Jason, Stone, Michael H. and Cormie, Prue. (2005). Anthropometric and physical abilities profiles: US National Skeleton Team. Sports Biomechanics. 4(2), pp. 197 - 214. https://doi.org/10.1080/14763140508522863