http://nnr.sagepub.com/content/31/1/65?etoc
- Anna E. Mattlage, PhD1
- Michael A. Rippee, MD1
- Michael G. Abraham, MD1
- Janice Sandt, MS2
- Sandra A. Billinger, PhD1⇑
- 1University of Kansas Medical Center, Kansas City, KS, USA
- 2University of Kansas Hospital, Kansas City, KS, USA
- Sandra A. Billinger, University of Kansas Medical Center, Department of Physical Therapy and Rehabilitation Science, 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66160, USA. Email: sbillinger@kumc.edu
Abstract
Background. Insulin-like growth factor-1 (IGF-1) is neuroprotective after stroke and is regulated by insulin-like binding protein-3
(IGFBP-3). In healthy individuals, exercise and improved aerobic fitness (peak oxygen uptake; peak VO2)
increases IGF-1 in circulation. Understanding the relationship between
estimated prestroke aerobic fitness and IGF-1 and
IGFBP-3 after stroke may provide insight into the
benefits of exercise and aerobic fitness on stroke recovery.
Objective. The purpose of this study was to determine the relationship of IGF-1 and IGFBP-3 to estimated prestroke peak VO2 in individuals with acute stroke. We hypothesized that (1) estimated prestroke peak VO2 would be related to IGF-1 and IGFBP-3 and (2) individuals with higher than median IGF-1 levels will have higher estimated
prestroke peak VO2 compared to those with lower than median levels.
Methods. Fifteen individuals with acute stroke had blood sampled within 72 hours of hospital admission. Prestroke peak VO2
was estimated using a nonexercise prediction equation. IGF-1 and
IGFBP-3 levels were quantified using enzyme-linked immunoassay.
Results. Estimated prestroke peak VO2 was significantly related to circulating IGF-1 levels (r = .60; P = .02) but not IGFBP-3. Individuals with higher than median IGF-1 (117.9 ng/mL) had significantly better estimated aerobic
fitness (32.4 ± 6.9 mL kg−1 min−1) than those with lower than median IGF-1 (20.7 ± 7.8 mL kg−1 min−1; P = .03).
Conclusions.
Improving aerobic fitness prior to stroke may be beneficial by
increasing baseline IGF-1 levels. These results set the groundwork
for future clinical trials to determine whether
high IGF-1 and aerobic fitness are beneficial to stroke recovery by
providing
neuroprotection and improving function.
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