Skip to main content
Log in

Effect of exercise on the plasma BDNF levels in elderly women with knee osteoarthritis

  • Short Communication
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Knee osteoarthritis is a common disease in the elderly population worldwide. The alleviation of the symptoms associated with this disease can be achieved with physical exercise that induces a cascade of molecular and cellular processes. Of the neurotrophins, brain-derived neurotrophic factor (BDNF) appears to be the most affected by physical activity. Moreover, BDNF seems to have a negative modulatory role in inflammation, and its production by skeletal muscle cells or by cells of the immune system drives the immunoprotective role of physical activity in situations of chronic inflammation. Therefore, the aim of this study was to evaluate plasma BDNF concentrations in elderly individuals presenting with knee osteoarthritis. To accomplish this, sixteen volunteers (mean age 67 ± 4.41 years) presenting with clinically and radiographically diagnosed knee osteoarthritis were evaluated during acute exercise (1 session of 20 min on a treadmill) and after chronic exercise (12 weeks of aerobic training, consisting of a 50-min walk 3 times per week). Additionally, both a functional assessment (during a 6-min walk) and a pain perception assessment were performed at the start and at the end of physical exercises (training). The plasma BDNF concentrations were measured by ELISA. For the population studied, acute exercise increased the levels of BDNF only before the 12-week training period (p < 0.001). Moreover, the training augmented the plasma concentrations of BDNF (p < 0.0001) and improved clinical parameters (functional p < 0.001; pain perception p < 0.01).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT (2011) Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med 155(11):725–732. doi:10.1059/0003-4819-155-11-201112060-00004

    Article  PubMed Central  PubMed  Google Scholar 

  2. Martel-Pelletier J (2004) Pathophysiology of osteoarthritis. Osteoarthritis Cartilage 12(Suppl A):S31–S33

    Article  PubMed  Google Scholar 

  3. Goldring MB, Otero M (2011) Inflammation in osteoarthritis. Curr Opin Rheumatol 23(5):471–478. doi:10.1097/BOR.0b013e328349c2b1

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Haseeb A, Haqqi TM (2013) Immunopathogenesis of osteoarthritis. Clin Immunol 146(3):185–196. doi:10.1016/j.clim.2012.12.011

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Wu Q, Henry JL (2012) Functional changes in muscle afferent neurones in an osteoarthritis model: implications for impaired proprioceptive performance. PLoS ONE 7(5):e36854. doi:10.1371/journal.pone.0036854

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Peixoto JG, Dias JM, Dias RC, da Fonseca ST, Teixeira-Salmela LF (2011) Relationships between measures of muscular performance, proprioceptive acuity, and aging in elderly women with knee osteoarthritis. Arch Gerontol Geriatr 53(2):e253–e257. doi:10.1016/j.archger.2011.05.008

    Article  PubMed  Google Scholar 

  7. Binder DK (2004) The role of BDNF in epilepsy and other diseases of the mature nervous system. Adv Exp Med Biol 548:34–56

    Article  CAS  PubMed  Google Scholar 

  8. Yamamoto H, Gurney ME (1990) Human platelets contain brain-derived neurotrophic factor. J Neurosci 10(11):3469–3478

    CAS  PubMed  Google Scholar 

  9. Lindsay RM (1994) Neurotrophic growth factors and neurodegenerative diseases: therapeutic potential of the neurotrophins and ciliary neurotrophic factor. Neurobiol Aging 15(2):249–251

    Article  CAS  PubMed  Google Scholar 

  10. Makar TK, Trisler D, Sura KT, Sultana S, Patel N, Bever CT (2008) Brain derived neurotrophic factor treatment reduces inflammation and apoptosis in experimental allergic encephalomyelitis. J Neurol Sci 270(1–2):70–76. doi:10.1016/j.jns.2008.02.011

    Article  CAS  PubMed  Google Scholar 

  11. Correia PR, Scorza FA, Gomes da Silva S, Pansani A, Toscano-Silva M, de Almeida AC, Arida RM (2011) Increased basal plasma brain-derived neurotrophic factor levels in sprint runners. Neurosci Bull 27(5):325–329

    Article  CAS  PubMed  Google Scholar 

  12. Pedersen BK (2011) Exercise-induced myokines and their role in chronic diseases. Brain Behav Immun 25(5):811–816. doi:10.1016/j.bbi.2011.02.010

    Article  CAS  PubMed  Google Scholar 

  13. Zoladz JA, Pilc A, Majerczak J, Grandys M, Zapart-Bukowska J, Duda K (2008) Endurance training increases plasma brain-derived neurotrophic factor concentration in young healthy men. J Physiol Pharmacol 59(Suppl 7):119–132

    PubMed  Google Scholar 

  14. Coelho FM, Pereira DS, Lustosa LP, Silva JP, Dias JM, Dias RC, Queiroz BZ, Teixeira AL, Teixeira MM, Pereira LS (2011) Physical therapy intervention (PTI) increases plasma brain-derived neurotrophic factor (BDNF) levels in non-frail and pre-frail elderly women. Arch Gerontol Geriatr. doi:10.1016/j.archger.2011.05.014

    Google Scholar 

  15. Pereira DS, Zille de Queiroz B, Miranda AS, Rocha NP, Felicio DC, Mateo EC, Favero M, Coelho FM, Jesus-Moraleida F, Gomes Pereira DA, Teixeira AL, Maximo Pereira LS (2013) Effects of physical exercise on plasma levels of brain-derived neurotrophic factor and depressive symptoms in elderly women - a randomized clinical trial. Arch Phys Med Rehabil. doi:10.1016/j.apmr.2013.03.029

    Google Scholar 

  16. Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17(1):45–56

    CAS  PubMed  Google Scholar 

  17. Pires S, Oliveira A, Parreira V, Britto R (2007) Six-minute walk test at different ages and body mass indexes. Rev Bras Fisioter 11:147–151

    Article  Google Scholar 

  18. Chen MJ, Fan X, Moe ST (2002) Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J Sports Sci 20(11):873–899

    Article  PubMed  Google Scholar 

  19. Haaland DA, Sabljic TF, Baribeau DA, Mukovozov IM, Hart LE (2008) Is regular exercise a friend or foe of the aging immune system? A systematic review. Clin J Sport Med 18(6):539–548. doi:10.1097/JSM.0b013e3181865eec

    Article  PubMed  Google Scholar 

  20. Gustafsson G, Lira CM, Johansson J, Wisen A, Wohlfart B, Ekman R, Westrin A (2009) The acute response of plasma brain-derived neurotrophic factor as a result of exercise in major depressive disorder. Psychiatry Res 169(3):244–248. doi:10.1016/j.psychres.2008.06.030

    Article  CAS  PubMed  Google Scholar 

  21. Knaepen K, Goekint M, Heyman EM, Meeusen R (2010) Neuroplasticity—exercise-induced response of peripheral brain-derived neurotrophic factor: a systematic review of experimental studies in human subjects. Sports Med 40(9):765–801. doi:10.2165/11534530-000000000-00000

    Article  PubMed  Google Scholar 

  22. Cho HC, Kim J, Kim S, Son YH, Lee N, Jung SH (2012) The concentrations of serum, plasma and platelet BDNF are all increased by treadmill VO(2max) performance in healthy college men. Neurosci Lett. doi:10.1016/j.neulet.2012.05.025

    Google Scholar 

  23. Schabitz WR, Steigleder T, Cooper-Kuhn CM, Schwab S, Sommer C, Schneider A, Kuhn HG (2007) Intravenous brain-derived neurotrophic factor enhances poststroke sensorimotor recovery and stimulates neurogenesis. Stroke 38(7):2165–2172. doi:10.1161/STROKEAHA.106.477331

    Article  PubMed  Google Scholar 

  24. Komulainen P, Pedersen M, Hanninen T, Bruunsgaard H, Lakka TA, Kivipelto M, Hassinen M, Rauramaa TH, Pedersen BK, Rauramaa R (2008) BDNF is a novel marker of cognitive function in ageing women: the DR’s EXTRA Study. Neurobiol Learn Mem 90(4):596–603. doi:10.1016/j.nlm.2008.07.014

    Article  CAS  PubMed  Google Scholar 

  25. Vasto S, Candore G, Balistreri CR, Caruso M, Colonna-Romano G, Grimaldi MP, Listi F, Nuzzo D, Lio D, Caruso C (2007) Inflammatory networks in ageing, age-related diseases and longevity. Mech Ageing Dev 128(1):83–91. doi:10.1016/j.mad.2006.11.015

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by grant of: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG). The assistance of Brazilian Society of Physiology is gratefully acknowledged.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wellington F. Gomes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gomes, W.F., Lacerda, A.C.R., Mendonça, V.A. et al. Effect of exercise on the plasma BDNF levels in elderly women with knee osteoarthritis. Rheumatol Int 34, 841–846 (2014). https://doi.org/10.1007/s00296-013-2786-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-013-2786-0

Keywords

Navigation