Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/89624
PIRA download icon_1.1View/Download Full Text
Title: Does aerobic exercise induced-analgesia occur through hormone and inflammatory cytokine-mediated mechanisms in primary dysmenorrhea?
Authors: Kannan, P 
Cheung, KK 
Lau, BWM 
Issue Date: Feb-2019
Source: Medical hypotheses, Feb. 2019, v. 123, p. 50-54
Abstract: The popular accepted explanation for the pathogenesis of primary dysmenorrhea is elevated levels of uterine prostaglandins. Aetiological studies report that production of prostaglandins is controlled by the sex hormone progesterone, with prostaglandins and progesterone displaying an inverse relationship (i.e. increased progesterone levels reduce prostaglandin levels). Pro-inflammatory cytokines (interleukin-6 [IL-6] and tumor necrosis factor-alpha [TNF-α]) are also implicated in the pathogenesis of primary dysmenorrhea. High-intensity aerobic exercise is effective for decreasing pain quality and intensity in women with primary dysmenorrhea. However, why and how aerobic exercise is effective for treatment of primary dysmenorrhea remain unclear. Our preliminary non-randomized controlled pilot study to examine the effects of high-intensity aerobic exercise on progesterone, prostaglandin metabolite (13,14-dihydro-15-keto-prostaglandin F2 alpha (KDPGF2α), TNF-α, and pain intensity found increases in progesterone and decreases in KDPGF2α, TNF-α, and pain intensity following high-intensity aerobic exercise relative to no exercise. Given these promising preliminary findings, as well as what is known about the pathogenesis of primary dysmenorrhea, we propose the following scientific hypothesis: high-intensity aerobic exercise utilizes hormone (progesterone) and inflammatory cytokine-mediated mechanisms to reduce the pain associated with primary dysmenorrhea.
Publisher: Churchill Livingstone
Journal: Medical hypotheses 
ISSN: 0306-9877
EISSN: 1532-2777
DOI: 10.1016/j.mehy.2018.12.011
Rights: © 2018 Elsevier Ltd. All rights reserved
©2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Medical_Hypothesis_Manuscript_Accepted.pdfPre-Published version1.02 MBAdobe PDFView/Open
Open Access Information
Status open access
File Version Final Accepted Manuscript
Access
View full-text via PolyU eLinks SFX Query
Show full item record

Page views

72
Citations as of May 22, 2022

Downloads

32
Citations as of May 22, 2022

SCOPUSTM   
Citations

16
Citations as of May 20, 2022

WEB OF SCIENCETM
Citations

13
Citations as of May 19, 2022

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.