Acute Impact of Recovery on the Restoration of Cellular Immunological Homeostasis

In view of the growing amount of (intense) training in competitive sports, quick recovery plays a superior role in performance restoration. The aim of the present study was to compare the effects of active versus passive recovery during high-intensity interval training (HIIT) and sprint interval training (SIT) protocols on acute alterations of circulating blood cells. Twelve male triathletes/cyclists performed 1) a HIIT consisting of 4×4 min intervals, 2) a SIT consisting of 4×30s intervals, separated by either active or passive recovery. Blood samples were collected immediately before and at 0', 30', 60' and 180' (minutes) post-exercise. Outcomes comprised leukocytes, lymphocytes, neutrophils, mixed cell count, platelets, cellular inflammation markers (neutrophil/lymphocyte-ratio (NLR), platelet/lymphocyte-ratio (PLR)), and the systemic immune-inflammation index (SII). In view of HIIT, passive recovery attenuated the changes in lymphocytes and neutrophils compared to active recovery. In view of SIT, active recovery attenuated the increase in leukocytes, lymphocytes and absolute mixed cell count compared to passive recovery. Both protocols, independent of recovery, significantly increased NLR, PLR and SII up to 3h of recovery compared to pre-exercise values. The mode of recovery influences short-term alterations in the circulating fraction of leukocytes, lymphocytes, neutrophils and the mixed cell count, which might be associated with different hormonal and metabolic stress responses due to the mode of recovery.

[1]  M. Silvestrini,et al.  Neutrophil-to-Lymphocyte Ratio in Acute Cerebral Hemorrhage: a System Review , 2018, Translational Stroke Research.

[2]  W. Bloch,et al.  Impact of high-intensity and high-volume exercise on short-term perturbations in the circulating fraction of different cell types. , 2015, The Journal of sports medicine and physical fitness.

[3]  C. Zinner,et al.  Effects of acid–base balance and high or low intensity exercise on VEGF and bFGF , 2011, European Journal of Applied Physiology.

[4]  B. Sperlich,et al.  Effects of bicarbonate ingestion and high intensity exercise on lactate and H+-ion distribution in different blood compartments , 2010, European Journal of Applied Physiology.

[5]  W. Bloch,et al.  Acute Metabolic, Hormonal, and Psychological Responses to Different Endurance Training Protocols , 2013, Hormone and Metabolic Research.

[6]  G. Davison Innate immune responses to a single session of sprint interval training. , 2011, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[7]  S. Strømme,et al.  Active recovery and post-exercise white blood cell count, free fatty acids, and hormones in endurance athletes , 2001, European Journal of Applied Physiology.

[8]  G. Zararsiz,et al.  Neutrophil to Lymphocyte Ratio Predicts Poor Prognosis in Ischemic Cerebrovascular Disease , 2014, Journal of clinical laboratory analysis.

[9]  Nicholas H. Gist,et al.  Sprint Interval Training Effects on Aerobic Capacity: A Systematic Review and Meta-Analysis , 2014, Sports Medicine.

[10]  C. Zinner,et al.  Effect of high- and low-intensity exercise and metabolic acidosis on levels of GH, IGF-I, IGFBP-3 and cortisol. , 2010, Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society.

[11]  Sandeep Raha,et al.  Short‐term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance , 2006, The Journal of physiology.

[12]  D. Nance,et al.  Autonomic innervation and regulation of the immune system (1987–2007) , 2007, Brain, Behavior, and Immunity.

[13]  John P Campbell,et al.  Debunking the Myth of Exercise-Induced Immune Suppression: Redefining the Impact of Exercise on Immunological Health Across the Lifespan , 2018, Front. Immunol..

[14]  Mary E. Nevill,et al.  Effects of active recovery on power output during repeated maximal sprint cycling , 1996, European Journal of Applied Physiology and Occupational Physiology.

[15]  J. Davis,et al.  Effects of brief, heavy exertion on circulating lymphocyte subpopulations and proliferative response. , 1992, Medicine and science in sports and exercise.

[16]  Yanmei Xu,et al.  Two new inflammatory markers associated with disease activity score‐28 in patients with rheumatoid arthritis: Albumin to fibrinogen ratio and C‐reactive protein to albumin ratio , 2018, International immunopharmacology.

[17]  S. Lattanzi,et al.  Monomeric C-Reactive Protein and Cerebral Hemorrhage: From Bench to Bedside , 2018, Front. Immunol..

[18]  K. Häkkinen,et al.  Predictors of individual adaptation to high‐volume or high‐intensity endurance training in recreational endurance runners , 2016, Scandinavian Journal of Medicine & Science in Sports.

[19]  P. Shek,et al.  Cortisol Response to Exercise and Post-Exercise Suppression of Blood Lymphocyte Subset Counts , 1996, International journal of sports medicine.

[20]  R. Nagatomi Alteration in blood leukocyte profile due to exercise and its implication , 2013 .

[21]  S. Berthoin,et al.  Effect of short recovery intensities on the performance during two Wingate tests. , 2007, Medicine and science in sports and exercise.

[22]  D. Costill,et al.  Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration. , 1974, Journal of applied physiology.

[23]  T. Karlsen,et al.  Aerobic high-intensity intervals improve VO2max more than moderate training. , 2007, Medicine and science in sports and exercise.

[24]  A. Maisel,et al.  Effect of prolonged catecholamine infusion on immunoregulatory function: implications in congestive heart failure. , 1995, Journal of the American College of Cardiology.

[25]  Douglas Carroll,et al.  The Acute Stress-Induced Immunoenhancement Hypothesis , 2007, Exercise and sport sciences reviews.

[26]  W. Bloch,et al.  Effects of High Intensity Training and High Volume Training on Endothelial Microparticles and Angiogenic Growth Factors , 2014, PloS one.

[27]  Qi Zhou,et al.  Systemic Immune-Inflammation Index Predicts Prognosis of Patients with Esophageal Squamous Cell Carcinoma: A Propensity Score-matched Analysis , 2016, Scientific Reports.

[28]  S. Hooper,et al.  The open window of susceptibility to infection after acute exercise in healthy young male elite athletes. , 2010, Exercise immunology review.

[29]  A. Koch IMMUNE RESPONSE TO EXERCISE , 2010 .

[30]  D. Nieman Immune response to heavy exertion. , 1997, Journal of applied physiology.

[31]  B. Pedersen,et al.  Effects of an acute bolus growth hormone infusion on the human immune system. , 1993, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme.

[32]  A. Lardner The effects of extracellular pH on immune function , 2001, Journal of leukocyte biology.

[33]  D. Spierer,et al.  Effects of active vs. passive recovery on work performed during serial supramaximal exercise tests. , 2004, International journal of sports medicine.

[34]  J. Volek,et al.  Immune responses to resistance exercise. , 2012, Exercise immunology review.

[35]  B. Stricker,et al.  Reference values for white blood-cell-based inflammatory markers in the Rotterdam Study: a population-based prospective cohort study , 2018, Scientific Reports.

[36]  B. Pedersen,et al.  Effects of exercise on lymphocytes and cytokines , 2000, British journal of sports medicine.

[37]  M. Silvestrini,et al.  Neutrophil-to-lymphocyte ratio improves outcome prediction of acute intracerebral hemorrhage , 2018, Journal of the Neurological Sciences.

[38]  G. Kitas,et al.  The Platelet-to-Lymphocyte Ratio as an Inflammatory Marker in Rheumatic Diseases , 2019, Annals of laboratory medicine.

[39]  W. Bloch,et al.  Effects of active vs. passive recovery during Wingate-based training on the acute hormonal, metabolic and psychological response. , 2013, Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society.

[40]  W. Kindermann,et al.  Mobilization of circulating leucocyte and lymphocyte subpopulations during and after short, anaerobic exercise , 2004, European Journal of Applied Physiology and Occupational Physiology.

[41]  Active vs. passive recovery during high-intensity training influences hormonal response. , 2013, International journal of sports medicine.

[42]  G. Atkinson,et al.  Ethical Standards in Sport and Exercise Science Research: 2020 Update , 2019, International Journal of Sports Medicine.

[43]  S. Strømme,et al.  Active recovery reduces the decrease in circulating white blood cells after exercise. , 2000, International journal of sports medicine.

[44]  W. Kindermann,et al.  Circulating leucocyte and lymphocyte subpopulations before and after intensive endurance exercise to exhaustion , 2004, European Journal of Applied Physiology and Occupational Physiology.

[45]  D. Keast,et al.  Influence of Exercise‐Induced Plasma Volume Changes on the Interpretation of Biochemical Data Following High‐Intensity Exercise , 1997, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[46]  W. Kindermann,et al.  The Acute Immune Response to Exercise: What Does It Mean? , 1997, International journal of sports medicine.