physiology of training

Oxidative stress and exercise

By Dr. Danilo Bondi

In recent decades, the panorama of studies on the relationships between oxidative stress, wellness and sports performance has considerably expanded; before analyzing some aspects of this field it is however necessary to begin with two necessary explanatory premises.

The first concerns the definition of oxidative stress as an "imbalance between oxidants and antioxidants in favor of the former, capable of damaging the organism": it is now reductive, as it does not take into account the complexity of the relations in a dynamic system such as that of redox biology.

A more appropriate definition could be "alteration in the redox signaling and control pathways", in which one already perceives how such alterations do not necessarily have to take on a negative meaning, but rather should be contextualized: we know in fact how they often take on a temporary and physiological character, and are basic to induce organic adaptations [1].

The other premise of terminology concerns the definition of chemical species capable of determining redox alterations: we speak of reactive species, most of which centered on oxygen (ROS) and on nitrogen (RNS); common use of the RONS acronym which includes both; free radicals are among the reactive species and are characterized by the presence of one or more unpaired electrons in the outer orbitals.

In sports, the most well-known radical RONS are superoxide (.O 2 ), hydroxyl (.OH) and nitric oxide (.NO), while hydrogen peroxide (H 2 O 2 ), singlet oxygen (1O 2 ) and peroxynitrite (ONOO-) as a combination of superoxide and nitric oxide.

In redox homeostasis the RONS are counterbalanced by antioxidant systems, both enzymatic and non-enzymatic: among the first we find for example superoxide dismutase (SOD), catalase (CAT) and complexes based on glutathione or thioredoxine, among the latter polyphenols, l albumin and vitamins A, C and E.

The redox environment inside a cell characterizes its life, as it directs its quiescence, proliferation, repair, protection, up to apoptosis and necrosis, although we still do not know precise levels of demarcation, for the redox indexes, between basal state, signaling phase and damage phase [2].

The RONS are undoubtedly at the center of numerous pathological investigations, as their role in the pathogenesis and / or course of various diseases is certain, including cancer, endothelial dysfunction, obesity, neurodegenerative diseases, muscular atrophy, aging sarcopenia, damage from ischemia - reperfusion [3, 4, 5, 6].

However, if the acute concentrations of RONS are tolerable, then the organism undergoes specific adaptations, both genetic [7] and agenico [8], and this is why continuous and rational exercise is able to provoke those supercompensations, in this case redox-mediated, that allow us to bear stimuli gradually increasing.

Again in relation to physical exercise, RONS act as mediators of vasodilation, regulate contractile function and insulin signaling [9].

With regard to acute effects, the presence of substantial alterations in the redox pathways can last even for a few days, if there is muscle damage (not intended as a clear lesion), with relative activation of neutrophils; the production of RONS during and after physical exercise does not end at the level of muscle fibers, but also involves platelets, leukocytes and erythrocytes [10, 11]; RONS also have an established role in relation to fatigue, especially in submaximal exercises [12].

Precisely because the redox-mediated system constitutes a physiological response and is a necessary stimulus towards different supercompensative adaptations, the question of antioxidant integration, which is often useless or even harmful [13], should not be underestimated: in fact, if on the one hand we must avoid running into the dreaded overtraining syndrome, on the other we must preserve the antioxidant potential of the physical exercise [14]; the situation is different if we are faced with nutritional deficiencies or excesses.

In summary, antioxidant supplementation may be useful in the case of special situations (for example in phases of heavy loading in the pre-season) [15] or in the presence of nutritional deficiencies, otherwise an adequate supply of vitamins and mineral salts remains best approach.

Bibliography

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