Abstract

AIMS: To determine the effect of Mat Pilates on serum levels of interleukin-10 and brain-derived neurotrophic factor in women with multiple sclerosis.METHODS: Thirty women with multiple sclerosis with mild to moderate disability were recruited and randomly divided into equal Pilates training and Control groups. Patients in the training group accomplished a Pilates program three times a week for eight weeks. The Control group maintained their routine lifestyle. The serum level of interleukin-10 and brain-derived neurotrophic factor were measured before and after the protocol. The differences between groups were assessed by using analysis of covariance test to compare post-tests by considering covariate pre-tests (assuming a p-value <0.05 as significant).RESULTS: There were no significant changes in interleukin-10 (13.09±5.36 ng/ml in the Pilates training group compared to 13.21±4.76 ng/ml in the Control group, p= 0.81), whereas an increase in brain-derived neurotrophic factor was observed after eight-week Pilates training (11550.14±2619.60 ng/ml in the Pilates training group compared to 9664.35±3161.66 ng/ml in the Control group, p= 0.03).CONCLUSIONS: The results suggest that the intensity and duration of this protocol was not related to significant changes in interleukin-10, but was followed by an increase in brain-derived neurotrophic factor in these patients. Based on this finding, physical activity according to the individual’s ability is recommended for patients with multiple sclerosis, in parallel with drug therapy.

Highlights

  • Cytokines have a crucial role in the pathogenesis of multiple sclerosis (MS) an inflammatory disease so that pro-inflammatory cytokines exacerbate MS, and anti-inflammatory cytokines improve it [1]

  • There were no significant changes in interleukin-10 (13.09 ± 5.36 ng/ml in the Pilates training group compared to 13.21 ± 4.76 ng/ml in the Control group, p = 0.81), whereas an increase in brain-derived neurotrophic factor was observed after eight-week Pilates training (11550.14 ± 2619.60 ng/ml in the Pilates training group compared to 9664.35 ± 3161.66 ng/ml in the Control group, p = 0.03)

  • We found no difference in the serum concentration of IL-10 after eighth-week Mat Pilates program

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Summary

Introduction

Cytokines have a crucial role in the pathogenesis of multiple sclerosis (MS) an inflammatory disease so that pro-inflammatory cytokines exacerbate MS, and anti-inflammatory cytokines improve it [1]. IL-10 therapy is an effective treatment method for neuro-immune diseases [1]. IL-10 has an important role in immune and inflammatory responses which are regulated by growth and /or differentiation of B cell, T helper cell, and T regulatory cell [3]. IL-6, as a myokine released by contracting the skeletal muscle, causing an increase in IL-10 [5, 6]. Contraction of skeletal muscle is another major source of IL-10 and leads to its increase during moderate exercise [7]

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