The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma

Background: Multiple myeloma, a malignancy of plasma cells, often involves the disruption of vitamin D metabolism. Vitamin D, acting through its receptor (VDR), affects transcription factors like FOXO and sirtuins, which regulate cellular processes. The impact of physical activity on these markers i...

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Main Authors: Olga Czerwińska-Ledwig, Małgorzata Żychowska, Artur Jurczyszyn, Joanna Kryst, Adrianna Dzidek, Roxana Zuziak, Anna Jurczyszyn, Anna Piotrowska
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Language:English
Published: MDPI AG 2024-12-01
Series:Current Oncology
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Online Access:https://www.mdpi.com/1718-7729/31/12/587
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author Olga Czerwińska-Ledwig
Małgorzata Żychowska
Artur Jurczyszyn
Joanna Kryst
Adrianna Dzidek
Roxana Zuziak
Anna Jurczyszyn
Anna Piotrowska
author_facet Olga Czerwińska-Ledwig
Małgorzata Żychowska
Artur Jurczyszyn
Joanna Kryst
Adrianna Dzidek
Roxana Zuziak
Anna Jurczyszyn
Anna Piotrowska
author_sort Olga Czerwińska-Ledwig
collection DOAJ
description Background: Multiple myeloma, a malignancy of plasma cells, often involves the disruption of vitamin D metabolism. Vitamin D, acting through its receptor (VDR), affects transcription factors like FOXO and sirtuins, which regulate cellular processes. The impact of physical activity on these markers in multiple myeloma patients is unclear. Therefore, the objective of this study was to evaluate the effects of a 6-week training program on these parameters. Material and methods: The study was completed by 30 patients, including 16 in the Nordic walking training group (TG) and 14 in the control group (non-exercising, CG). All participants underwent a thorough medical interview before starting the project. Venous blood samples were collected from all participants four times—at baseline, after 3 weeks, after 6 weeks, and after 9 weeks (follow-up). The serum concentrations of sirtuin 1, sirtuin 3, Foxo3a, vitamin D receptor (VDR), 25(OH)D3, and 1,25(OH)2D were determined. Body composition, physical fitness, and physical activity level were assessed at baseline and after 6 weeks. Results: No statistically significant changes were observed in the serum levels of sirtuins, the FOXO3a protein, and 1,25(OH)2D. A statistically significant difference was observed in the levels of VDR for both time and group factors, but this was not confirmed in the post hoc test. Vitamin 25(OH)D3 level increased significantly in the study group with time. Conclusions: The applied 6-week Nordic walking training cycle positively affected the level of vitamin 25(OH)D3 but did not influence the rest of the biochemical parameters studied. The obtained results also indicate that the applied intervention is safe for patients and does not interfere with body composition.
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spelling doaj-art-1ab767065f704e2ead68873e0e1e0dfa2024-12-27T14:20:04ZengMDPI AGCurrent Oncology1198-00521718-77292024-12-0131127960797010.3390/curroncol31120587The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple MyelomaOlga Czerwińska-Ledwig0Małgorzata Żychowska1Artur Jurczyszyn2Joanna Kryst3Adrianna Dzidek4Roxana Zuziak5Anna Jurczyszyn6Anna Piotrowska7Institute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, PolandFaculty of Health Sciences and Physical Culture, Biological Fundation of Physical Culture, Kazimierz Wielki University in Bydgoszcz, 85-064 Bydgoszcz, PolandPlasma Cell Dyscrasia Center, Department of Hematology, Faculty of Medicine, Jagiellonian University Medical College, 31-501 Krakow, PolandInstitute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, PolandInstitute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, PolandInstitute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, PolandFaculty of Medicine, Jagiellonian University Medical College, 31-501 Krakow, PolandInstitute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, PolandBackground: Multiple myeloma, a malignancy of plasma cells, often involves the disruption of vitamin D metabolism. Vitamin D, acting through its receptor (VDR), affects transcription factors like FOXO and sirtuins, which regulate cellular processes. The impact of physical activity on these markers in multiple myeloma patients is unclear. Therefore, the objective of this study was to evaluate the effects of a 6-week training program on these parameters. Material and methods: The study was completed by 30 patients, including 16 in the Nordic walking training group (TG) and 14 in the control group (non-exercising, CG). All participants underwent a thorough medical interview before starting the project. Venous blood samples were collected from all participants four times—at baseline, after 3 weeks, after 6 weeks, and after 9 weeks (follow-up). The serum concentrations of sirtuin 1, sirtuin 3, Foxo3a, vitamin D receptor (VDR), 25(OH)D3, and 1,25(OH)2D were determined. Body composition, physical fitness, and physical activity level were assessed at baseline and after 6 weeks. Results: No statistically significant changes were observed in the serum levels of sirtuins, the FOXO3a protein, and 1,25(OH)2D. A statistically significant difference was observed in the levels of VDR for both time and group factors, but this was not confirmed in the post hoc test. Vitamin 25(OH)D3 level increased significantly in the study group with time. Conclusions: The applied 6-week Nordic walking training cycle positively affected the level of vitamin 25(OH)D3 but did not influence the rest of the biochemical parameters studied. The obtained results also indicate that the applied intervention is safe for patients and does not interfere with body composition.https://www.mdpi.com/1718-7729/31/12/587multiple myelomaphysical activitynordic walkingsirtuinsFOXO3avitamin D metabolites
spellingShingle Olga Czerwińska-Ledwig
Małgorzata Żychowska
Artur Jurczyszyn
Joanna Kryst
Adrianna Dzidek
Roxana Zuziak
Anna Jurczyszyn
Anna Piotrowska
The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
Current Oncology
multiple myeloma
physical activity
nordic walking
sirtuins
FOXO3a
vitamin D metabolites
title The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
title_full The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
title_fullStr The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
title_full_unstemmed The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
title_short The Influence of Nordic Walking Training on the Serum Levels of Sirtuins, FOXO3a, and Vitamin D Metabolites in Patients with Multiple Myeloma
title_sort influence of nordic walking training on the serum levels of sirtuins foxo3a and vitamin d metabolites in patients with multiple myeloma
topic multiple myeloma
physical activity
nordic walking
sirtuins
FOXO3a
vitamin D metabolites
url https://www.mdpi.com/1718-7729/31/12/587
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