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Far-infrared therapy for cardiovascular, autoimmune, and other chronic health problems: A systematic review

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Abstract

Physical therapy (physiotherapy), a complementary and alternative medicine therapy, has been widely applied in diagnosing and treating various diseases and defects. Increasing evidence suggests that convenient and non-invasive far-infrared (FIR) rays, a vital type of physiotherapy, improve the health of patients with cardiovascular disease, diabetes mellitus, and chronic kidney disease. Nevertheless, the molecular mechanisms by which FIR functions remain elusive. Hence, the purpose of this study was to review and summarize the results of previous investigations and to elaborate on the molecular mechanisms of FIR therapy in various types of disease. In conclusion, FIR therapy may be closely related to the increased expression of endothelial nitric oxide synthase as well as nitric oxide production and may modulate the profiles of some circulating miRNAs; thus, it may be a beneficial complement to treatments for some chronic diseases that yields no adverse effects. © 2015 by the Society for Experimental Biology and Medicine.

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... Nyeri geriatri merupakan pengalaman emosional dan sensorik yang tidak menyenangkan berkaitan dengan kerusakan jaringan aktual atau potensial untuk orang yang berusia lanjut dari 65 hingga 79 tahun atau sangat tua yaitu 80 tahun ke atas dan yang telah mengalami nyeri selama lebih dari 3 bulan (Bruckenthal, 2012;Buskila et al., 2000;Shui et al., 2015). Konsekuensi dari nyeri ini masuk ke dalam gangguan aktivitas kehidupan sehari-hari (AKS) dan ambulasi, depresi, dan ketegangan pada ekonomi perawatan kesehatan (Al Awaidy et al., 2020;Kaye et al., 2010). ...
... Radiasi Inframerah dikategorikan menjadi tiga kelompok: inframerah dekat (NIR, 0,8-1,5 mm), inframerah tengah (MIR, 1,5-5,6 mm), dan inframerah jauh (FIR, 5,6-1000 mm). Radiasi inframerah memungkinkan masuk ke jaringan subkutan (sekitar 2-3 cm) tanpa stimulasi/ pemanasan yang berlebihan (Putra et al. 2021;Shui et al. 2015;Soermarjono 2015 (Shui et al. 2015). Ada banyak bukti bahwa terapi penyinaran IR dapat memberikan peningkatan kenyamanan yang signifikan secara statistik dalam penurunan nyeri, fungsi sendi dan kualitas hidup namun hasil bervariasi dari penelitian ke penelitian (Bridges et al. 2020). ...
... Radiasi Inframerah dikategorikan menjadi tiga kelompok: inframerah dekat (NIR, 0,8-1,5 mm), inframerah tengah (MIR, 1,5-5,6 mm), dan inframerah jauh (FIR, 5,6-1000 mm). Radiasi inframerah memungkinkan masuk ke jaringan subkutan (sekitar 2-3 cm) tanpa stimulasi/ pemanasan yang berlebihan (Putra et al. 2021;Shui et al. 2015;Soermarjono 2015 (Shui et al. 2015). Ada banyak bukti bahwa terapi penyinaran IR dapat memberikan peningkatan kenyamanan yang signifikan secara statistik dalam penurunan nyeri, fungsi sendi dan kualitas hidup namun hasil bervariasi dari penelitian ke penelitian (Bridges et al. 2020). ...
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Terapi infra merah merupakan salah satu terapi panas yang dapat digunakan oleh lansia. Manfaat terapi infra merah bagi lansia, salah satunya untuk menurunkan rasa nyeri akibat peradangan pada sistem muskuloskeletal. Efek yang masih sering ditemukan adalah terbakar ringan pada kulit. Tujuan dari penelitian untuk memberikan keamanan terapi pada lansia yang mengalami penurunan fungsi sensitivitas kulit dengan menambahkan sistem otomatis kontrol suhu dengan dikenalkan nama SIMOKS. Penelitian ini menggunakan rancangan penelitian pengembangan dan menghasilkan alat terapi infra merah baru dengan menambahkan sensor panas dan sensor jarak. Sensor panas sebagai pengendali panas maksimum yang aman bagi lansia antara suhu 39,50 - 410 C. Sensor jarak sebagai pengaman terapi panas ke kulit. Hasil pengembangan alat terapi sinar infra merah dengan otomatis kontrol suhu (SIMOKS) ini aman bagi lansia.
... The infrared light has in various animal models shown to have a thermal effect, which leads to vasodilatation and angiogenesis [19]. In the clinical setting, FIR is used for wound healing and peripheral ischemia, where it has shown beneficial effect [20]. FIR also promotes a non-thermal effect, where it inhibits vascular endothelial inflammation via induction of anti-inflammatory and vasodilating factors, such as Heme-oxygenase and Nitric oxide [19,21]. ...
... The possible mechanisms behind FIR is unraveled. The theory is both a direct vasodilatory effect and a release of various anti-inflammatory and vasodilating factors [20,21]. FIR has shown positive effects on wound healing and phantom pain in the lower extremities suggesting an increased blood flow and angiogenesis [20]. ...
... The theory is both a direct vasodilatory effect and a release of various anti-inflammatory and vasodilating factors [20,21]. FIR has shown positive effects on wound healing and phantom pain in the lower extremities suggesting an increased blood flow and angiogenesis [20]. FIRs effect on a few of the molecular factors involved in the AVF stenosis, have been studied in vitro by Lin et al. [21]. ...
Article
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Background An arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis treatment. After creation many of the AVFs will never mature or if functioning will need an intervention within 1 year due to an AVF stenosis. Studies investigating possible therapies that improves the AVF maturation and survival are scarce. Far infrared therapy (FIR) has shown promising results. In minor single centre and industry supported trials FIR has shown improved AVF maturation and survival. There is a need of a randomized multicentre controlled trial to examine the effect of FIR on the AVF maturation and survival and to explore the possible AVF protective mechanism induced by the FIR treatment. Methods This investigator initiated, randomized, controlled, open-labeled, multicenter clinical trial will examine the effect of FIR on AVF maturation in patients with a newly created AVF (incident) and AVF patency rate after 1 year of treatment in patients with an existing AVF (prevalent) compared to a control group. The intervention group will receive FIR to the skin above their AVF three times a week for 1 year. The control group will be observed without any treatment. The primary outcome for incident AVFs is the time from surgically creation of the AVF to successful cannulation. The primary outcome for the prevalent AVFs is the difference in number of AVFs without intervention and still functioning in the treatment and control group after 12 months. Furthermore, the acute changes in inflammatory and vasodilating factors during FIR will be explored. Arterial stiffness as a marker of long term AVF patency will also be examined. Discussion FIR is a promising new treatment modality that may potentially lead to improved AVF maturation and survival. This randomized controlled open-labelled trial will investigate the effect of FIR and its possible mechanisms. Trial registration Clinicaltrialsgov NCT04011072 (7th of July 2019).
... Another theory is that, the infrared radiation can induce the release of cytokines and growth factors in the circulation, contributing to the vasodilation of ipsilateral and contralateral vessels [28,37]. However, the far infrared rays can only be transmitted into subcutaneous tissue in a depth of 2-3 mm [38], and may have a relatively slight effect than warm bath, which can induce vessels vasodilation regulated by both peripheral and central thermoreceptors [23,34]. Another reason for the different residual effects may be the conducting medium. ...
... Thus, this study chose M2 to investigate the thermal effects of two heating methods. Moreover, since 10 min of thermal stimulation can transmit heat stress into skin tissue to a depth of 1 cm [15,41], and a thermal stimulus with a temperature below 40 °C is generally safe [38], this study used these parameters to achieve a thermal effect and avoid skin burns. ...
... Two adjustable infrared lamps (E27 100W, Philips, Poland) were used to provide infrared radiation for the plantar foot and dorsum foot, respectively. The radiator was placed 20 cm away from subjects' feet, and the temperature emanating on the skin of feet was also controlled at a safe threshold of 40 ± 1 °C [38], which was achieved by adjusting the button of radiator, and being measured and calibrated by a temperature sensor (TH20R, Miaoxin, China) before tests. ...
Article
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Background The lower extremities of the body often suffer from impaired microcirculation, particularly in the elderly or people with underlying conditions such as diabetes. Especially for people suffering from peripheral vascular diseases, skin lesions or wearing an external fixator in one side of limbs, direct contact treatments are not suitable for them to improve microcirculation. Heating the contralateral limb has been reported to improve blood flow in the impaired limb. However, its effect on plantar microvascular responses has not been previously investigated. Thus, the aim of this study was to explore how heating by warm bath and infrared radiation affects the circulations in the contralateral foot. Twelve healthy adults participated in this study and were randomly assigned to either placing the left foot in a warm bath or exposing it to infrared radiation for 10 min intervention every other day. The skin temperature (Temp) and skin blood flow (SBF) in the second metatarsal head of the contralateral foot were measured before and after the intervention. Results The results showed that both Temp (Bath: from 29.05 ± 3.56 °C to 31.03 ± 4.14 °C; Infrared: from 29.98 ± 3.86 °C to 31.07 ± 3.92 °C) and SBF (Bath: from 62.26 ± 48.12 PU to 97.76 ± 63.90 PU; Infrared: from 63.37 ± 39.88 PU to 85.27 ± 47.62 PU) in the contralateral foot were significantly increased after heating in both tests ( p < 0.05). However, the contralateral SBF increased for 5 min after heating in warm bath test, but only for 1 min in infrared radiation test. Conclusions The results of this study show that both heating methods are the effective at increasing contralateral Temp and SBF, but the warm bath has a stronger residual thermal effect.
... Another theory is that, the infrared radiation can induce the release of cytokines and growth factors in the circulation, contributing to the vasodilation of ipsilateral and contralateral vessels [28,37]. However, the far infrared rays can only be transmitted into subcutaneous tissue in a depth of 2-3mm [38], and may have a relatively slight effect than warm bath, which can induce vessels vasodilation regulated by both peripheral and central thermoreceptors [23,34]. ...
... Thus, this study chose M2 to investigate the thermal effects of two heating methods. Moreover, since 10 minutes of thermal stimulation can transmit heat stress into skin tissue to a depth of 1 cm [15,41], and a thermal stimulus with a temperature below 40 °С is genersally safe [38], this study used these parameters to achieve a thermal effect and avoid skin burns. ...
... Two adjustable infrared lamps (E27 100W, Philips, Poland) were used to provide infrared radiation for the plantar foot and dorsum foot, respectively. The radiator was placed 20 cm away from subjects' feet, and the temperature emanating on the skin of feet was also controlled at a safe threshold of 40 ± 1 °С [38], which was achieved by adjusting the button of radiator, and being measured and calibrated by a temperature sensor (TH20R, Miaoxin, China) before tests. ...
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Backgroud: The lower extremities of the body often suffer from impaired microcirculation, particularly in the elderly or people with underlying conditions such as diabetes. Especially for people suffering from peripheral vascular diseases, skin lesions or wearing an external fixator in one side of limbs, direct contact treatments are not suitable for them to improve microcirculation. Heating the contralateral limb has been reported to improve blood flow in the impaired limb. However, its effect on plantar microvascular responses has not been previously investigated. Thus, the aim of this study was to explore how heating by warm bath and infrared radiation affects the circulations in the contralateral foot. Twelve healthy adults participated in this study and were randomly assigned to either placing the left foot in a warm bath or exposing it to infrared radiation for 10 minutes intervention every other day. The skin temperature (Temp) and skin blood flow (SBF) in the second metatarsal head of the contralateral foot were measured before and after the intervention. Results: The results showed that both Temp (Bath: from 29.05±3.56 °С to 31.03±4.14 °С; Infrared: from 29.98±3.86 °С to 31.07±3.92 °С) and SBF (Bath: from 62.26±48.12 PU to 97.76±63.90 PU; Infrared: from 63.37±39.88 PU to 85.27±47.62 PU) in the contralateral foot were significantly increased after heating in both tests (P<0.05). However, the contralateral SBF increased for 5 minutes after heating in warm bath test, but only for 1 minute in infrared radiation test. Conclusions: The results of this study show that both heating methods are the effective at increasing contralateral Temp and SBF, but the warm bath has a stronger residual thermal effect.
... Another theory is that, the infrared radiation can induce the release of cytokines and growth factors in the circulation, contributing to the vasodilation of ipsilateral and contralateral vessels [28,37]. However, the far infrared rays can only be transmitted into subcutaneous tissue in a depth of 2-3mm [38], and may have a relatively slight effect than warm bath, which can induce vessels vasodilation regulated by both peripheral and central thermoreceptors [23,34]. ...
... Thus, this study chose M2 to investigate the thermal effects of two heating methods. Moreover, since 10 minutes of thermal stimulation can transmit heat stress into skin tissue to a depth of 1 cm [15,41], and a thermal stimulus with a temperature below 40 °С is genersally safe [38], this study used these parameters to achieve a thermal effect and avoid skin burns. ...
... Two adjustable infrared lamps (E27 100W, Philips, Poland) were used to provide infrared radiation for the plantar foot and dorsum foot, respectively. The radiator was placed 20 cm away from subjects' feet, and the temperature emanating on the skin of feet was also controlled at a safe threshold of 40 ± 1 °С [38], which was achieved by adjusting the button of radiator, and being measured and calibrated by a temperature sensor (TH20R, Miaoxin, China) before tests. ...
Preprint
Full-text available
Backgroud: The lower extremities of the body often suffer from impaired microcirculation, particularly in the elderly or people with underlying conditions such as diabetes. Especially for people suffering from peripheral vascular diseases, skin lesions or wearing an external fixator in one side of limbs, direct contact treatments are not suitable for them to improve microcirculation. Heating the contralateral limb has been reported to improve blood flow in the impaired limb. However, its effect on plantar microvascular responses has not been previously investigated. Thus, the aim of this study was to explore how heating by warm bath and infrared radiation affects the circulations in the contralateral foot. Twelve healthy adults participated in this study and were randomly assigned to either placing the left foot in a warm bath or exposing it to infrared radiation for 10 minutes intervention every other day. The skin temperature (Temp) and skin blood flow (SBF) in the second metatarsal head of the contralateral foot were measured before and after the intervention. Results: The results showed that both Temp (Bath: from 29.05±3.56 °С to 31.03±4.14 °С; Infrared: from 29.98±3.86 °С to 31.07±3.92 °С) and SBF (Bath: from 62.26±48.12 PU to 97.76±63.90 PU; Infrared: from 63.37±39.88 PU to 85.27±47.62 PU) in the contralateral foot were significantly increased after heating in both tests (P<0.05). However, the contralateral SBF increased for 5 minutes after heating in warm bath test, but only for 1 minute in infrared radiation test. Conclusions: The results of this study show that both heating methods are the effective at increasing contralateral Temp and SBF, but the warm bath has a stronger residual thermal effect.
... Warm bath can transfer heat directly to the skin tissue via water medium, and induce cutaneous vasodilation by stimulating peripheral and core thermoreceptors [11]. And infrared radiation can improve local microcirculation by inducing molecular response and thermal effect [12,13]. Kim et al. reported that warm bath is a effective method to increase blood ow in the contralateral mid-forearm of healthy people [14]. ...
... Another theory is that, the infrared radiation can induce the release of cytokines and growth factors in the circulation, contributing to the vasodilation of ipsilateral and contralateral vessels [12,25]. However, the far infrared rays can only be transmitted into skin tissue in a depth of 3-5 mm, and may have a relatively slight effect than warm bath, which can induce vessels vasodilation regulated by both peripheral and central thermoreceptors [11,13,21]. ...
... Thus, this study chose M2 to investigate the thermal effects of two heating methods. Moreover, since 10 minutes of thermal stimulation can transmit heat stress into skin tissue to a depth of 1 cm, and a thermal stimulus with a temperature below 40 °С is generally safe [13,28], this study used these parameters to achieve a thermal effect and avoid skin burns. ...
Preprint
Full-text available
Backgroud: The lower extremities of the body often suffer from impaired microcirculation, particularly in the elderly or people with underlying conditions such as diabetes. Especially for people suffering from peripheral vascular diseases, skin lesions or wearing an external fixator in one side of limbs, direct contact treatments are not suitable for them to improve microcirculation. Heating the contralateral limb has been reported to improve blood flow in the impaired limb. However, its effect on microvascular responses has not been previously investigated. Thus, the aim of this study was to explore how heating by warm bath and infrared radiation affects the circulations in the contralateral foot. Twelve healthy adults participated in this study and were randomly assigned to either placing the left foot in a warm bath or exposing it to infrared radiation every other day. The temperature (Temp) and skin blood flow (SBF) in the second metatarsal head of the contralateral foot were measured before and after the intervention. Results: The results showed that both Temp (Bath: from 29.05±3.56 °С to 31.03±4.14 °С; Infrared: from 29.98±3.86 °С to 31.07±3.92 °С) and SBF (Bath: from 62.26±48.12 PU to 97.76±63.90 PU; Infrared: from 63.37±39.88 PU to 85.27±47.62 PU) in the contralateral foot were significantly increased after heating in both tests (P<0.05). However, the increase in contralateral SBF lasted 5 minutes after heating in a warm bath, but only lasted for 1 minute after infrared exposure. Moreover, the increase in Temp from the baseline in the first minute of the Recovery stage was significantly greater when using the warm bath than infrared radiation. Conclusions: The results of this study show that both heating methods are the effective at increasing contralateral Temp and SBF, but the warm bath has a stronger residual thermal effect.
... There is increasing evidence that far infrared rays (FIR), a type of non-invasive physiotherapy, improves the well-being of patients suffering from cardiovascular disease, diabetes, chronic kidney disease, according to a systematic revision, where it was concluded that its action mechanism could be directly related to an increase in nitric oxide synthases, as well as regulating some circulating microRNAs; this can be completely beneficial for the treatment of certain chronical diseases, due to no adverse effects being reported [4]. In regards to infectious diseases, a satisfactory response was reported after using FIR on 5 patients with Sporotrichosis, a skin condition [5], there are no other reports of FIR use on other types of infections. ...
... Also, there are reports of experimental studies like: FIR healed the wounds significantly more quick in rats skin, increasing the regeneration of collagen and the infiltration of fibroblasts which express the growing factor TGF-BETA1 [8], the FIR has a biological effect related to nitric oxide for increasing the microcirculation of the skin in rats, which could have clinical utility for the treatment of ischemic diseases [9], the treatment with FIR during next 48 hours after produced decrease of 11.8% in the proliferation of melanoma merino cells [10]. A systemic revision, has raised that the mechanism of action of FIR could be closely connected with the increased Nitric oxide sintetasa endothelial as well as in the Nitric Oxide production and could be responsible of the modulate of the profiles of some miARNS in circulation [4], on the other hand, we know that in the pathogenesis of the tuberculosis, the molecule of Nitric Oxide is a key and effective against the ...
... Mycobacterium tuberculosis[6], on this context it is possible that the FIR have been acting in this way. There are no reports of side effects using FIR[4], since it is no invasive therapy and it is safe, at this case there is no reports of side effects at all regarding the application of this technology. This issue favoured the adherence to the Treatment Plan. ...
... There are a large number of studies in the scientific literature, mostly referring to the use of FIR, that demonstrate their beneficial use or protective and/or improvement effects in the complementary treatment of cardiovascular diseases (CVD) [10], autoimmune disorders [10], skin problems, such as vesicular eruptive disease of Herpes Simplex Labialis (HSL) [11] and bacterial infections [12], neurodegenerative disorders, such as Alzheimer's and Parkinson's diseases [9,13],chronic health illness [10], such as diabetes mellitus [10], chronic kidney disease [10], chronic pain [10,14,15], chronic fatigue syndrome [10,16] and fibromyalgia [10,17,18]. In addition, it has been reported that IR rays can alleviate depression and insomnia [10,19] and they have an antitumor action [9,20]. ...
... There are a large number of studies in the scientific literature, mostly referring to the use of FIR, that demonstrate their beneficial use or protective and/or improvement effects in the complementary treatment of cardiovascular diseases (CVD) [10], autoimmune disorders [10], skin problems, such as vesicular eruptive disease of Herpes Simplex Labialis (HSL) [11] and bacterial infections [12], neurodegenerative disorders, such as Alzheimer's and Parkinson's diseases [9,13],chronic health illness [10], such as diabetes mellitus [10], chronic kidney disease [10], chronic pain [10,14,15], chronic fatigue syndrome [10,16] and fibromyalgia [10,17,18]. In addition, it has been reported that IR rays can alleviate depression and insomnia [10,19] and they have an antitumor action [9,20]. ...
... There are a large number of studies in the scientific literature, mostly referring to the use of FIR, that demonstrate their beneficial use or protective and/or improvement effects in the complementary treatment of cardiovascular diseases (CVD) [10], autoimmune disorders [10], skin problems, such as vesicular eruptive disease of Herpes Simplex Labialis (HSL) [11] and bacterial infections [12], neurodegenerative disorders, such as Alzheimer's and Parkinson's diseases [9,13],chronic health illness [10], such as diabetes mellitus [10], chronic kidney disease [10], chronic pain [10,14,15], chronic fatigue syndrome [10,16] and fibromyalgia [10,17,18]. In addition, it has been reported that IR rays can alleviate depression and insomnia [10,19] and they have an antitumor action [9,20]. ...
Article
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Infrared radiation has wavelengths between 780nm and 1000μm. It is well absorbed by living organisms and is perceived as heat. The mechanisms of action of infrared rays on humans are still little known, however their effects on living tissues are well known, particularly useful in the treatment of various diseases and disorders, in the reduction of wound healing times, in weight loss, in non-surgical body remodelling, in photo-rejuvenation, in muscle recovery, in improving sleep quality, in relaxation and in many other applications in medicine, non-invasive aesthetic medicine, beauty, fitness and wellness. This brief communication aims to provide an overview of the use of infrared and related devices in these fields of application, grouping them according to (1) medical applications, (2) non-invasive aesthetic medicine applications and beauty treatments and (3) for home wellness use.
... Physical therapists use far infrared (FIR) therapy to help patients with a variety of problems, e.g., cardiovascular disease, diabetes, and chronic kidney disease. 68 FIR enables energy to reach 2-3 cm below the skin's surface without excessively heating the skin above 40°C. FIR is usually administered by an emitter 20 cm above the skin's surface or via dry sauna therapy. ...
... FIR produces both thermal and non-thermal effects including increased arterial blood flow, improved circulation and endothelial function, lowered blood pressure, and reduced fatigue and pain. 68 One month of daily FIR sauna therapy has been shown to up-regulate endothelial nitric oxide synthase and nitric oxide production as well as augment angiogenesis. 69,70 For example, Waon therapy, a Japanese version of FIR sauna therapy, provided daily for six weeks to patients with peripheral arterial disease led to improved 6 min walking distance, mobilization of endothelial progenitor cells, and improved blood flow in the legs. ...
... 75 In addition, FIR therapy has been effective for patients with chronic pain, phantom limb pain, chronic fatigue, fibromyalgia, insomnia, and athletes with muscle damage from overexercise. 68 ...
... 40°C temperature, caused by FIR waves, enters multiplying energy into the subcutaneous tissues without excessive skin stimulation or skin irritation. The stimulation of the sympathetic nervous system affects the uremic pruritus (20). Moreover, infrared electromagnetic waves of FIR are effective in stimulating inflammatory suppressor (21). ...
... Considering the role of FIR therapy on pruritus, the results of a study by Hesu et al. (2009) were consistent with the various dimensions of the questionnaire (20). In this study, emotions improved in the intervention group compared to the non-heated group. ...
... The results of a study by Shui et al. (2015) showed that FIR waves could be used as complementary and alternative therapies for the diagnosis and treatment of chronic diseases (20). ...
... FIR can penetrate up to almost 4 cm below the skin surface [23] and is supposed to have a thermal and non-thermal effect. The thermal effect leads to vasodilatation and angiogenesis in animal models [25,26] and improved wound healing and peripheral ischemia in a few small clinical studies in humans [26,27]. The non-thermal effect inhibits vascular endothelial inflammation via induction of anti-inflammatory and vasoregulatory factors in vitro [25,28] which could enhance skin blood flow in vivo [29,30]. ...
... FIR can penetrate up to almost 4 cm below the skin surface [23] and is supposed to have a thermal and non-thermal effect. The thermal effect leads to vasodilatation and angiogenesis in animal models [25,26] and improved wound healing and peripheral ischemia in a few small clinical studies in humans [26,27]. The non-thermal effect inhibits vascular endothelial inflammation via induction of anti-inflammatory and vasoregulatory factors in vitro [25,28] which could enhance skin blood flow in vivo [29,30]. ...
Article
Introduction: There is a substantial risk of developing stenosis and dysfunction in the arteriovenous fistula (AVF) in patients on hemodialysis. Far infrared radiation (FIR) is a non-invasive local intervention with a potentially beneficial effect on AVF patency. The underlying mechanism is not clear. It was hypothesized that a single FIR treatment reduces factors of inflammation and promotes endothelial vasodilators in the AVF. Methods: Forty hemodialysis patients with an AVF were included in an open-label intervention study.. Patients were randomized to receive either FIR (FIR group) or no FIR (control group). Blood samples were drawn directly from the AVF and from a peripheral vein in the non-AVF arm before (T0 minutes) and after (T40 minutes) treatment during a hemodialysis session. The changes (median [interquartile range]) in circulating factors of inflammation, endothelial function and vasoreactivity during FIR were measured. Results: In the AVF a single FIR treatment during dialysis resulted in a significantly diminished decrease in soluble vascular cell adhesion molecule, sVCAM (-31.6 [-54.3;22.1] vs. -89.9 [-121.6; -29.3], P = 0.005) and soluble intercellular adhesion molecule, sICAM (-24.2 [-43.5;25.3] vs. -49 [-79.9; -11.6], P = 0.02) compared to the control group.Other factors, such as interleukins, nitrite, nitrate, and tumor-necrosis-factor 1 also declined during dialysis, but with no significant differences related to FIR in neither the AVF nor non-AVF arm. Conclusion: A single FIR treatment attenuated the decrease in sVCAM and sICAM in the AVF compared to a control group during hemodialysis. Findings do not support the hypothesis of a vaso-protective effect of FIR. The long-term effects of FIR on the AVF are unknown.
... Of note, far infrared light has been reported to exert beneficial biological effects on animal and human [28,29], as well as on many types of cells, including vascular endothelium, nerve, neuroblastoma, renal tubular cells and β-cells [30][31][32][33][34], and has the ability to improve mitochondrial function [32][33][34]. Mitochondria play an important role in the energy generation, and microglial Aβ phagocytosis has a high energy demand [35]. ...
... FIR light irradiation that can penetrate up to 1.5 in. beneath the skin had been reported to have many positive biological effects on animal and human, including improving blood circulation, ameliorating endothelial dysfunction, relieving fatigue and pain, lowering blood pressure, and promoting capillary dilation [28,29]. In the present study, we compared for the first time the effects of VIS, NIR and FIR light on the cognitive function of the 8.5-month-old APP/PS1 mice. ...
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Background Exposure to sunlight may decrease the risk of developing Alzheimer’s disease (AD), and visible and near infrared light have been proposed as a possible therapeutic strategy for AD. Here, we investigated the effects of the visible, near infrared and far infrared (FIR) light on the cognitive ability of AD mice, and found that FIR light also showed potential in the improvement of cognitive dysfunction in AD. However, the related mechanism remains to be elucidated. Methods Morris water maze was used to evaluate the cognitive ability of APPswe/PSEN1dE9 double-transgenic AD mice after light treatment. Western blot was carried out to detect the expression of protein involved in synaptic function and amyloid-β (Aβ) production. The protein amount of interleukin (IL)-1β, IL-6, Aβ1-40 and Aβ1-42 were determined using enzyme-linked immunosorbent assay. The mRNA level of receptors was performed using real-time quantitative polymerase chain reaction. Immunostaining was performed to characterize the Aβ burden and microglial Aβ phagocytosis in the brain of AD mice. The Aβ phagocytosis of primary cultured microglia and BV2 were assessed by flow cytometry. The energy metabolism changes were evaluated using related assay kits, including adenosine triphosphate (ATP), lactate content, mitochondrial respiratory chain complex enzymatic activity and oxidized/reduced nicotinamide adenine dinucleotide assay kits. Results Our results showed that FIR light reduced Aβ burden, a hallmark of AD neuropathology, alleviated neuroinflammation, restored the expression of the presynaptic protein synaptophysin, and ameliorated learning and memory impairment in the AD mice. FIR light enhanced mitochondrial oxidative phosphorylation pathway to increase ATP production. This increased intracellular ATP promoted the extracellular ATP release from microglia stimulated by Aβ, leading to the enhanced Aβ phagocytosis through phosphoinositide 3-kinase/mammalian target of rapamycin pathways for Aβ clearance. Conclusions Our findings have uncovered a previously unappreciated function of FIR light in inducing microglial phagocytosis to clean Aβ, which may be the mechanisms for FIR light to improve cognitive dysfunction in AD mice. These results suggest that FIR light treatment is a potential therapeutic strategy for AD.
... Due to the complex effects of radiation on the body, it has still not been possible to identify the exact mechanisms of the therapy. So far, the effects of FIR therapy have been confirmed for reducing oxidative stress, improving vascular endothelial function and inhibiting vasoconstriction after angioplasty (neointima hyperplasia) [20,21]. In a study published in 2004, Masuda et al. showed that FIR therapy reduces oxidative stress leading to atherosclerosis in patients with elevated risk factors for coronary artery disease [22]. ...
... The study of Huang et al. also showed a reduction in oxidative stress in patients with diabetes mellitus [23]. Animal studies have shown a beneficial effect of FIR in patients with chronic kidney disease (CKD) [20]. Due to the limited number of scientific studies on a larger number of patients, the mechanisms of action of FIR are still unknown which indicates the need for further research. ...
Article
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Introduction: Sauna bathing as a health-promoting activity has been known to mankind for millennia. Sauna session, which consists of alternate overheating and then rapidly cooling the body, has a beneficial effect on the health of the body confirmed by scientific research. In the last few decades, sauna bathing has become more available due to the growing market of recreational services such as water parks and sauna parks. Regular use of sauna bathing reduces the risk of cardiovascular diseases, musculoskeletal disorders, mental stress, accelerates the process of regeneration after physical exertion, as well as increases resistance to the harmful effects of certain environmental factors. Despite the health benefits known for many years, the physiological mechanisms occurring in the body during sauna sessions still remain unknown. Sauna bathing treatments can be an effective complement to the process of treatment and rehabilitation of patients with cardiovascular diseases, musculoskeletal diseases, respiratory tract diseases, skin diseases and many others. Material and methods: A literature analysis on sauna bathing was carried out within the Pubmed and Google scholar platforms. The following keywords were used in search: sauna bathing, infrared sauna, cardiovascular diseases. Purpose of the work: The aim of the following analysis is to present a historical outline of the use of sauna bathing, the health aspect, risks and the assumptions and indicating an important need for further research into the effects of sauna bathing on the body.
... Far infrared (FIR) heating fans are the accessible product to warm the closed environments. These FIR heating fans emit electromagnetic radiation between 5.6-1000 μm Shui et al., 2015). These radiations disturbed the nucleic acids of DNA and RNA viruses . ...
... Using these Far infrared (FIR) heating fans is a reliable and cheap method to reduce the flow of infectious RNA airborne viruses . Most life-threatening air-borne viruses are RNA viruses including influenza, Severe acute respiratory syndrome (SARS), and SARS, CoV-2, which makes this strategy the most appropriate to adapt Shui et al., 2015). ...
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The electromagnetic waves constitute different wavelengths of light from which Far infrared (FIR) is beneficial for living cells. Extensive studies and trials have been conducted over the last two decades in multidimensional biological domains to identify its unlimited health benefits. FIR radiations improve the microcirculation of the human body, stimulate cell growth, penetrate through skin tissues non-invasively, create intramolecular vibrations create an overall healthy metabolism, which ultimately affects overall improved cardiac and metabolic activity. This phenomenon is used to explore different pathological conditions to identify their significance in the medical field. In this review, we explored the biological effectiveness and the medical significance of Far infrared radiation (FIR) in murine melanoma Cell Growth, Lymphedema, airborne viruses, Cardiac diseases, Wound healing and burns, Autonomic Activities, Hemodialysis, Allergic Rhinitis, Aesthetic medicine, textiles, and other domains such as obesity and gut microbiota.
... 3 Although FIR exposure leads only to superficial tissue penetration, 4,5 there are many reports dealing with its clinical advantages. 6,7 In general, far-infrared saunas (FIRS) heat to 40-60°C and utilize 120-V infrared elements which irradiate electromagnetic waves with a wavelength of around 10 μm. 8 There are two ways of FIR irradiators applicable for patients' use. In the first case, an FIR emitter consisted of electrified ceramic plates is located approximately 20 cm above a bather. ...
... Changes in physiological parameters upon the Enseki bathing. Systolic blood pressure (BP) (A), heart rates (B) was monitored prebathing, midbathing(2,4,6,8,10,12 and 14 min during bathing) and postbathing(10,20, 30, 60, 90, and 120 min after bathing). C, Oral temperature was monitored prebathing, midbathing (3, 6, 9, and 12 min during bathing) and postbathing(10,20, 30, 60, 90, and 120 min after bathing) (first-time bathing (•) and last time (▲). ...
Article
Background Far‐infrared is well known with various therapeutic benefits. Recently, we have developed a novel far‐infrared bathing system called the Enseki sandbath. In this regard, we focused on physical nature of ceramic to radiate far‐infrared rays when heated adequately. Methods A bathtub was filled with ceramic beads and was equipped with computerized system which enabled to supply hot water over the ceramic beads and to drain out when beads were sufficiently heated. This system was used like sand‐bathing. Healthy volunteers were laid in bathtubs, covered in heated ceramic beads and were bathed for 15 min. Microbiological analysis was done in samples obtained from the skin surface, ceramic beads or drained water. Furthermore, various physiological parameters were monitored, including blood pressure, heart rates, oral temperature, body weight, blood viscosity. Blood samples were simultaneously collected and subjected to biochemical analysis, including blood glucose, HbA1c, uric acid, lactate, fatty acid and others. Results All data showed no physiological overload for tested individuals, and any biochemical analysis did not present abnormal score. Bacteriological culture grew no pathogens. Results of questionnaires demonstrated that 90% of the participants answered the comfort and wished to further repeat the bathing. Limitations This is a non‐randomized prospective case study. Conclusion We concluded that the Enseki method is a safe and well tolerated far‐infrared bathing procedure for regeneration and relaxation. This article is protected by copyright. All rights reserved.
... The polyQ mutation also manifests in other neurodegenerative diseases such as Huntington's disease (HD), dentatorubral pallidoluysian atrophy (DRPLA), and X-linked spinal and bulbar muscular atrophy (SMAX1/ SBMA) [6,8,9]. Infrared therapy has been used for the treatment of various types of diseases in recent years [10][11][12]. Infrared radiation (IR) is an energy type that covers the wavelength range from 750 to 100 μm [10]. ...
... Studies have shown beneficial effects of FIR treatment in patients and several animal disease models, which include increasing blood flow [14][15][16], improving peripheral circulation [13], improving endothelial health and functions [17,18], reducing blood sugar and insulin levels [14], and promoting skin wound healing [19,20]. FIR has shown therapeutic effects on multiple animal and cell models and has been applied to multiple types of diseases including cardiovascular disease, diabetes, and chronic kidney diseases [11,15,21]. ...
Article
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Spinocerebellar ataxia type 3 (SCA3) is a polyglutamine neurodegenerative disease resulting from the misfolding and accumulation of a pathogenic protein, causing cerebellar dysfunction, and this disease currently has no effective treatments. Far-infrared radiation (FIR) has been found to protect the viability of SCA3 cells by preventing mutant ataxin-3 protein aggregation and promoting autophagy. However, this possible treatment still lacks in vivo evidence. This study assessed the effect of FIR therapy on SCA3 in vivo by using a mouse model over 28 weeks. Control mice carried a healthy wild-type ATXN3 allele that had a polyglutamine tract with 15 CAG repeats (15Q), whereas SCA3 transgenic mice possessed an allele with a pathological polyglutamine tract with expanded 84 CAG (84Q) repeats. The results showed that the 84Q SCA3 mice displayed impaired motor coordination, balance abilities, and gait performance, along with the associated loss of Purkinje cells in the cerebellum, compared with the normal 15Q controls; nevertheless, FIR treatment was sufficient to prevent those defects. FIR significantly improved performance in terms of maximal contact area, stride length, and base support in the forepaws, hindpaws, or both. Moreover, FIR treatment supported the survival of Purkinje cells in the cerebellum and promoted the autophagy, as reflected by the induction of autophagic markers, LC3II and Beclin-1, concomitant with the reduction of p62 and ataxin-3 accumulation in cerebellar Purkinje cells, which might partially contribute to the rescue mechanism. In summary, our results reveal that FIR confers therapeutic effects in an SCA3 transgenic animal model and therefore has considerable potential for future clinical use.
... However, heat penetration depth should be 3-5 cm to increase tissue flexibility [48]. Temperature penetration depth in infrared thermotherapy is reported to be 3-4 cm [21,49]. ...
Article
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Background Labor pain is complex, paradoxical and varied in every parturient woman. Management of labor pain has been a crucial component in maternity care. Heat therapy is one of the proposed method for labor pain relief. Infrared is one of the methods of heat therapy but there is any study in this regard. This study aimed to compare the effect of the infrared belt and hot water bag on the severity of pain in the first stage of labor among primiparous women. Methods In this clinical trial in the first stage of labor, 20-min cycles of heat therapy were conducted at the dilations of 4–5 and 6–7 cm in the intervention group 1 by an infrared belt and in the intervention group 2 by hot water bag, respectively. The control group received routine care. The severity of the pain was measured by the short-form McGill Pain Questionnaire. Results In total, 136 women consented to participate in this clinical trial study. The mean score of pain intensity was significantly lower in the two intervention groups compared to the control group (P < 0.001). The mean pain intensity was significantly lower in the infrared belt group than in the hot water bag group (P < 0.001). Conclusions Based on these findings, heat therapy with an infrared belt reduced the severity of pain in the first stage of labor. The infrared belt could be used and recommended as a safe and effective pain relief in childbirth and maternity care. Trial registration This study was registered in the Iran Clinical Trial Center with the code of IRCT20190805044446N1.
... Excessive sunlight exposure increases the risks of skin aging and cancer in humans [152]. The Far-infrared Ray (FIR) generated by appropriate solar radiation increases arterial blood flow, improves peripheral blood circulation and endothelial function, lowers blood pressure, and promotes capillary dilatation [153]. Thus, appropriate sunlight duration may be conducive to human health. ...
Article
A growing aging population is associated with increasing incidences of aging-related diseases and socioeconomic burdens. Hence, research into healthy longevity and aging is urgently needed. Longevity is an important phenomenon in healthy aging. The present review summarizes the characteristics of longevity in the elderly population in Bama, China, where the proportion of centenarians is 5.7-fold greater than the international standard. We examined the impact of genetic and environmental factors on longevity from multiple perspectives. We proposed that the phenomenon of longevity in this region is of high value for future investigations in healthy aging and aging-related disease and may provide guidance for fostering the establishment and maintenance of a healthy aging society.
... Especially clothing and filaments of FIR emitting heat lamps are made of filaments (fibers) coated with FIR radiating nanoparticles that are currently employed to provide these thermal radiation effects. This research examines the potential efficacy of FIR as a therapeutic approach for a range of diseases [1]. We discuss both conventional and innovative applications and the most recent developments in technology and academic research. ...
Article
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Far infrared (FIR) radiation (3-100 µm) is an electromagnetic spectrum commonly studied for biological effects. This article aims to discuss using Far infrared radiation with sub-division (4-24 µm) of this waveband to stimulate tissues and cells and is considered an effective therapeutic modality for specific medical disorders. The IR application as a medical therapy has advanced rapidly in recent years. For example, IR therapy like IR-emitting apparel and materials that can be run solely by body heat (does not need an external power supply) have been developed. New methods for providing FIR radiation to the human body have emerged due to technological advancements. Specialty saunas and lamps that emit pure FIR radiation have become effective, safe, and widely used therapeutic sources. Fibers infused with thermide, FIR emitting ceramic nanomaterials, and knitted into fabrics are used as clothes and apparel to produce FIR radiation and benefit from its effects. A deeper understanding of FIR's significant innovations and biological implications could aid in improving therapeutic efficacy or developing new methods that use FIR wavelengths.
... Previous studies have shown that a FIR lamp therapy is safe, simple, noninvasive, and painless. [27][28][29][30] Practical Applications A soccer match induces significant fatigue and muscle damage and reduces neuromuscular function for multiple days after the match, thus strategies to reduce muscle damage and enhance recovery are necessary. The present study found that the FIR lamp therapy was effective for attenuating muscle damage and enhancing recovery from the 90-minute LIST performed over 6 consecutive days, although the therapy required 60 minute every day for 10 days. ...
Article
Purpose: The authors investigated whether far-infrared radiation (FIR) lamp therapy would reduce muscle damage and enhance recovery from multiple soccer-match-related running activities. Methods: Twenty-four elite female soccer players (20-24 y) were assigned into a FIR or a sham treatment group (n = 12/group). They performed a daily 90-minute Loughborough Intermittent Shuttle Test (LIST) for 6 consecutive days. Maximal voluntary contraction torque of the knee extensors (KEs) and flexors, muscle soreness, plasma creatine kinase activity, countermovement jump, and several other performance measures (eg, 30-m dash, Yo-Yo Intermittent Recovery Test Level 1) were taken before the first LIST, 1 hour after each LIST, and 24, 48, 72, 96, and 120 hours after the last LIST. All participants received a 30-minute FIR or sham treatment on KEs and knee flexors, respectively, at 2 hour after each LIST and 25, 49, 73, and 97 hours after the last LIST. Results: All measures changed significantly (P < .05) at 1 hour after the first LIST without difference (P > .05) between groups. Maximal voluntary contraction torque (eg, the largest decrease of KE for FIR: 13% [4%], sham: 25% [5%]), countermovement jump height (4% [3%] vs 14% [4%]), and other performance measures (eg, Yo-Yo Intermittent Recovery Test: 11% [5%] vs 26% [5%]) decreased less, and peak muscle soreness (eg, KE: 26 [9] vs 51 [18] mm) and plasma creatine kinase activity (172 [32] vs 1289 [610] IU/L) were smaller for the FIR than for the sham group (P < .05), and they returned to the baseline earlier (P < .05) for the FIR group. Conclusions: These results suggest that the FIR therapy provided potent effects on reducing accumulated muscle damage and enhancing recovery.
... Animal studies have also shown that FIR therapy can increase the expression of heme oxygenase-1 in testes after ischemic injury [5], increase the biological effects of skin microcirculation [6], promote sciatic nerve repair in neuropathy [7], promote ischemia-induced angiogenesis, and restore high glucose-suppressed endothelial progenitor cell (EPC) functions [8]. Previous findings have shown the effectiveness of FIR therapy in the treatment of systemic diseases, including cardiovascular diseases, diabetes mellitus, tissue ischemia, malfunction of native arteriovenous fistulas and prosthetic arteriovenous grafts, chronic pain, and chronic fatigue syndrome [9]. ...
Article
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Orthotopic allograft transplantation (OAT) is a major strategy for solid heart and kidney failure. However, the recipient’s immunity-induced chronic rejection induces OAT vasculopathy that results in donor organ failure. With the exception of immunosuppressive agents, there are currently no specific means to inhibit the occurrence of OAT vasculopathy. On the other hand, far-infrared (FIR) therapy uses low-power electromagnetic waves given by FIR, with a wavelength of 3–25 μm, to improve human physiological functions. Previous studies have shown that FIR therapy can effectively inhibit inflammation. It has also been widely used in adjuvant therapy for various clinical diseases, especially cardiovascular diseases, in recent years. Thus, we used this study to explore the feasibility of FIR in preventing OAT vasculopathy. In this study, the model of transplantation of an aorta graft from PVG/Seac rat to ACI/NKyo rat, and in vitro model of human endothelial progenitor cells (EPCs) was used. In this report, we presented that FIR therapy decreased the serious of vasculopathy in OAT-recipient ACI/NKyo rats via inhibiting proliferation of smooth muscle cells, accumulation of collagen, and infiltration of fibroblast in the vessel wall; humoral and cell-mediated immune responses were decreased in the spleen. The production of inflammatory proteins/cytokines also decreased in the plasma. Additionally, FIR therapy presented higher mobilization and circulating EPC levels associated with vessel repair in OAT-recipient ACI/NKyo rats. In vitro studies demonstrated that the underlying mechanisms of FIR therapy inhibiting OAT vasculopathy may be associated with the inhibition of the Smad2-Slug axis endothelial mesenchymal transition (EndoMT). Thus, FIR therapy may be the strategy to prevent chronic rejection-induced vasculopathy.
... In terms of tissue penetration when exposed to human skin, deepest penetration is obtained by near IR (approximately 5 mm) [4]. FIR exposure only results in superficial penetration [5], which, however, has various clinical advantages [6,7]. ...
... FIR radiation, known as the light of lives, has unique biological effects [10] . For example, it can generate heat through resonance effect and accelerate metabolism and blood circulation, which has fewer side effects com pared with traditional thermotherapy [11][12][13] . Tourmaline powder (TP), a natural green borosilicate mineral distributed worldwide, is considered as a promising FIR material ascribing to its excellent FIR ra-diation [14] . ...
Article
Citronellol (Cit), a typical component of rose essential oil, has a variety of physiological activities and is widely used in physiotherapy with tourmaline powder (TP). But the reaction mechanism with biomolecules was not concerned. Therefore, the action mechanism of Cit/TP to bovine serum albumin (BSA) was studied through spectroscopic, docking, dynamic simulation and thermal imaging methods. The results suggested that Cit and BSA could bind at site I chiefly under the driving forces of hydrogen bonds and Van der Waals forces, and the endogenous fluorescence quenching mode of BSA was static. Synchronous, three-dimensional fluorescence spectra, UV-vis, FT-IR reflected Cit could affect the microenvironment near tryptophan and promote the aggregation of the protein structure to change the conformation of BSA. The molecular dynamics (MD) simulation confirmed the conformational change of BSA after ligand binding. Besides, the analysis showed that the existence of TP could improve the affinity of Cit-BSA binding. Infrared thermal images proved that Cit and/or TP could improve the radiation temperature of BSA system. In brief, Cit could spontaneously bind to BSA and change the protein conformation, and the presence of TP would affect the binding mode of Cit-BSA. These findings will be beneficial to further research of Cit and TP in physiotherapy.
... ;②FIR 可上调血红素加 氧酶-1(H0-1),而 H0-1 将血红素裂解为胆红素和 一氧化碳,两者均是有效的抗氧化剂,可以改善氧化 还原状态并减少氧化应激 [3] ;③FIR 通过增加外周血 流量引起层状切应力的增加,从而刺激内皮一氧化氮 合成酶(eNOS)的表达,上调 eNOS [4] ;④FIR 直接 上调 eNOS,增加内皮细胞中一氧化氮(NO)的产生, 提高一氧化氮(NO)生物利用度,从而改善内皮功 能 [5] ;⑤FIR 上调核红细胞类似因子 2(Nrf2)的表达, 该转录因子可通过与细胞核中的内源性抗氧化剂响 应元件(Anti-oxidative Response Element,ARE)结 合来调节抗氧化剂的表达,增强抗氧化作用,从而提 高免疫力等 [6] 。 此外, Jue-Long Wang [7] 从细胞层面探寻远红外线 促进神经修复的机理,实验发现 FIR 照射可以在培养 早期促进神经元样 PC12 细胞的神经突生长,其作用 机制是激活 AKT1 磷酸化。Shanshan Shui [8] 回顾和总 结以前的研究结果,认为远红外治疗可能与内皮一氧 化氮合酶表达的增加以及一氧化氮的产生密切相关, 并且可能调节某些循环 miRNA 的表达。研究 [9] Fig.2 The mechanism of biological effects in far infrared [3] 第 42 卷 第 9 期 ...
... Only FIR light improved the spatial memory in APP/PS1 mice. FIR light irradiation that can penetrate up to 1.5 inches beneath the skin had been reported to have many positive biological effects in animals or humans, including improving blood circulation, ameliorating endothelial dysfunction, relieving fatigue and pain, lowering blood pressure, and promoting capillary dilation [33,34] . The current study shows for the rst time the bene cial effects of FIR light on the AD-like mice, such as improved cognitive function, restored the expression of the synaptic protein synaptophysin, reduced Aβ plaque burden in the cerebral cortex and hippocampus and decreased neuroin am-mation. ...
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Background: Exposure to sunlight may decrease the risk of developing Alzheimer’s disease (AD). However, the wavelength of the light with this therapeutic effect and the related mechanism remain elusive. Failure to clear amyloid-β (Aβ), the main component of amyloid plaque, has been considered as a key risk to cause the development of AD. As the resident immune cell in the brain, microglia is able to carry out Aβ clearance. We hypothesize that a component of sunlight improves AD-related cognitive dysfunction and that this beneficial effect may be via Aβ clearance by microglia. Method: The APP/PS1 mice by 8.5 months of age were exposed to the visible light (λ = 500 nm), near infrared light (λ = 800 nm) and far infrared light (λ = 3 - 25 µm) for 60 min per day. After 5-week treatment with different light, all mice began to be subjected to Morris water maze behavior test under SPF environment. Western blotting was carried out to detect the expression of postsynaptic density-95 protein and synaptophysin in the hippocampus. The protein amount of interleukin (IL)-1β and IL-6 in the cerebral cortex were determined by using ELISA kits. Immunostaining was performed to characterize the Aβ, microglia, cluster of differentiation 68. Under the condition of Aβ existing, primary cultured microglia were treated with light for 2 h before Aβ phagocytosis assay. Results: The APP/PS1 mice with different light (VIS, NIR and FIR) treatments showed a trend of improvement in learning compared to those without light treatment during training stage. Moreover, FIR light-treated APP/PS1 mice had better spatial memory than APP/PS1 mice in the probe test. Simultaneously, FIR light treatment restored synaptophysin protein expression, promoted the recruitment of microglia to Aβ plaques, enhanced the phagocytosis of Aβ, reduced Aβ burden and alleviated neuroinflammation. Conclusions: Taken together, FIR light treatment ameliorates the learning and memory impairment in AD-like mice. Our findings uncovered a previously unappreciated function of FIR light, suggesting that FIR light treatment may be a potential therapeutic strategy for AD.
... Previous research found that FIR therapy is a reliable method used to improved vascular endothelial function and influenced heart rate variability (HRV) responses. [20][21][22][23][24] HRV is measured using beat-to-beat variations in heart rate and is an accepted indicator for monitoring autonomic nervous system (ANS) functioning. [25] Two major elements comprise HRV: a lowfrequency component (LF) and a high-frequency (HF) component. ...
Article
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Background: Far-infrared irradiation (FIR) is used in the medical field to improve wound healing, hemodialysis with peripheral artery occlusive disease, and osteoarthritis but seldom used in ameliorating poor lower extremity circulation. The purpose of this study was to evaluate the effect of FIR on changes in foot skin surface temperature (FSST) and autonomic nerve system (ANS) activity to evaluate its effectiveness in improving lower limb circulation. Methods: A randomized controlled study was conducted. Subjects (n = 44), all over the age of 50 years and satisfying the inclusion criteria, were randomly allocated into 2 groups. The intervention group received FIR on a lower limb for 40 minutes and the control group received no intervention. Left big toe (LBT), right big toe (RBT), left foot dorsal (LFD), right foot dorsal (RFD) surface skin temperature, autonomic nervous activity, and blood pressure were assessed. Results: The main results were skin surface temperature at the LBT increased from 30.8 ± 0.4°C to 34.8 ± 0.4°C, at RBT increased from 29.6 ± 0.4°C to 35.3 ± 0.4°C and LFD increased from 31.9 ± 0.3°C to 36.4 ± 0.4°C, RFD increased from 30.7 ± 0.3°C to 37.7 ± 0.2°C. FIR caused a significant increase of the FSST ranging in a 4°C to 7°C increase after 40 minutes irradiation (P < .001). The ANS low-frequency (LF) and high-frequency (HF) activity showed a statistically significant increase in the FIR group (P < .05) but not the LF/HF ratio. Conclusion: FIR significantly increased the FSST from between 4°C and 7°C after 40 minutes irradiation, which might improve lower extremity circulation and regulation of ANS activity.
... 8 Increasing evidence also suggests that FIR can improve the health problems of patients with cardiovascular disease and diabetes mellitus. 9 FIR radiation energy can be delivered by either active (needs to supply external power) or passive techniques. Although active FIR warming could provide more energy and lead to significant heating effect, it could likely cause burns because diabetic nerve damage can lessen the agility to feel heat. ...
Article
Vascular complications are responsible for most of the morbidity and mortality in diabetic patients. Effective strategies to improve circulation appear to be another important issue in addition to the interventions of blood glucose control. Previous studies have shown that the biological effects on humans after using the materials containing ceramic particles emits far infrared radiation (FIR). The present study is to investigate the warming effect of the fabrics containing specified metals in diabetic patients. A total of 28 diabetic patients were blinded and randomly assigned to treatment group ([Formula: see text]) and control group ([Formula: see text]), respectively. The subjects of treatment group were ministered with the blankets with fibers containing the specified metals, while the subjects of control group were provided with blankets of ordinary material. The skin temperature and microcirculatory perfusion were monitored before and after 20-min use of the blankets at shoulder and bilateral calves. After warming with blankets, the treatment group revealed a higher increased ratio of skin perfusion than control ([Formula: see text]), while there was no prominent variation on the wavelet spectrum of the perfusion signal. Although it is already a known fact that passive FIR warming has the advantages of safety and convenience, our results suggest that warming by wearing the textiles containing the specified metals with high FIR emissivity is a solution for daily skin care of diabetic patients.
... Only FIR light improved the spatial memory in APP/PS1 mice. FIR light irradiation that can penetrate up to 1.5 inches beneath the skin had been reported to have many positive biological effects in animals or humans, including improving blood circulation, ameliorating endothelial dysfunction, relieving fatigue and pain, lowering blood pressure, and promoting capillary dilation [33,34]. The current study shows for the rst time the bene cial effects of FIR light on the AD-like mice, such as improved cognitive function, restored the expression of the synaptic protein synaptophysin, reduced Aβ plaque burden in the cerebral cortex and hippocampus and decreased neuroin am-mation. ...
Preprint
Full-text available
Background Exposure to sunlight may decrease the risk of developing Alzheimer’s disease (AD). However, the wavelength of the light with this therapeutic effect and the related mechanism remain elusive. Method We evaluated the behaviors of AD-like mice treated by light of different wavelengths and showed that far infrared (FIR) light (λ = 3 - 25 μm) had a great potential in ameliorating cognition dysfunction. ResultsFIR light treatment promoted the recruitment of microglia to Aβ plaques, enhanced the phagocytosis of Aβ and decreased neuroinflammatory responses. Thus, FIR light treatment had a broad spectrum of beneficial effects on the brain, including alleviating the Aβ burden and neuroinflammation. ConclusionsAs a result, FIR light treatment ameliorates the learning and memory impairment in AD-like mice. Our findings uncovered a previously unappreciated function of FIR light, suggesting that FIR light treatment may be a potential therapeutic strategy for AD.
... The FIR fan generates FIR light to heat the air, which is a type of electromagnetic radiation. Generally, FIR wavelength ranges from 5.6 -1000 μm, which is above those of microwaves and longer than those of visible light [8]. Thus, FIR is invisible to the human eye, and in fact the human itself emits FIR [9]. ...
... Heat can be employed in different forms to relieve the symptom of chest pain, especially musculoskeletal chest pain. An example of heat therapy modality used by Physiotherapists for this purpose is Infrared therapy [21]. Another heat therapy that has proven to be effective in loosening mucous secretions from the airways and lungs of these patients as well as to improve ventilation is breathing in hot water vapours. ...
Article
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Background: The high rate of mortality among critically ill patients with COVID-19 mainly due to complications associated with acute respiratory failure urgently calls for effective therapeutic strategies to improve ventilation and alleviate the condition. While chest physiotherapy management techniques improve ventilation and help to keep the bloodoxygen saturation high enough to prevent acute respiratory failure and death, there are limited reports on their utilization in the management of patients with COVID-19. Objective: To highlight the roles of chest physiotherapy in the management of patients with COVID-19. Review: A review of COVID-19 pneumonia and the roles of some chest physiotherapy techniques for the alleviation of its clinical manifestations was done. Conclusion: The clinical manifestations of COVID-19 which are largely respiratory have solutions rooted in very many of the techniques that Cardiopulmonary physiotherapists use in managing respiratory conditions. Therefore, chest physiotherapy is an important adjunct therapy in the management of patients with COVID-19.
... Far-infrared radiation (FIR) may be another mechanism contributing the impact of sunlight on health (Shui et al., 2015). In particular, some evidence suggests FIR exposure can positively impact several indices of cardiovascular health. ...
Article
Both sun exposure and serum vitamin D levels have been associated with lower risks of all-cause mortality and chronic age-related diseases, e.g., cancer, diabetes and cardiovascular disease, in epidemiological studies. These associations have mainly been ascribed to beneficial effects of vitamin D. However, a vast body of randomized controlled trials (RCTs) and Mendelian randomization studies have failed to confirm any major health benefits from vitamin D supplementation. In this review, we present tentative evidence showing that red and near-infrared light, both being present in sunlight, could explain the associations between sunlight exposure and better health status. Body irradiation with red and near-infrared light, usually termed as photobiomodulation (PBM), has demonstrated beneficial effects in animal models of chronic diseases. Beyond this, preliminary evidence from RCTs suggest potential clinical benefit from PBM for chronic diseases. PBM is currently being investigated in many pre-registered clinical trials, results of which will eventually clarify the role of red and near-infrared light in the prevention and treatment of common age-related chronic diseases.
... FIR therapy, which provides low-energy light from an artificial radiator, has been used as treatment for various vascular-related disorders (Yu et al., 2006). Health care providers have applied FIR therapy widely in clinical treatments (Shui et al., 2015;Yueh et al., 2014), and technological advances have provided new strategies for delivering FIR to the human body. For example, FIR specialty lamps have been developed; these are safe, effective, and widely used and eliminate the near-and mid-infrared bands completely (Vatansever & Hamblin, 2012). ...
Article
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Background Far-infrared radiation (FIR) therapy improves vessel dilation, circulation, vessel endothelial function, and angiogenesis and reduces atherosclerosis. However, evidence of FIR therapy’s effects on foot circulation among diabetic patients undergoing hemodialysis is scarce. Aim To determine whether FIR therapy improves foot circulation in diabetic patients undergoing hemodialysis. Design Quasi-experimental. Methods In June to November 2017, diabetic patients undergoing hemodialysis ( N = 58) at a hemodialysis center in northern Taiwan were divided into two groups: the experimental group ( n = 31) received FIR therapy to the bilateral dorsalis pedis artery (40 min/session, 3 times/week for 6 months) and the control group ( n = 27) received conventional dialysis care. Paired t test, independent samples t test, two-proportion Z test, and repeated-measures analysis of covariance were performed to compare changes from baseline to the end of the 6-month intervention between the groups. Results Significant positive effects of FIR therapy on temperature, pulse, and blood flow of the dorsalis pedis artery were observed. Sensitivity to pain, tactility, and pressure also improved significantly in the experimental group. The Edinburgh Claudication Questionnaire revealed that the experimental group had reductions in subjective experiences of soreness, tingling, and coldness in the feet. Conclusion The findings of significant improvements to objective and subjective measures of blood flow and neural function in the experimental group indicate that FIR therapy improves blood circulation to the feet. This therapy thus has great potential to be an effective adjuvant treatment for patients with diabetes mellitus undergoing hemodialysis.
... FIR heating fans are commonly used to warm homes in India also, which generate FIR radiation (type of electromagnetic radiation) having heating effect. The FIR wavelength ranges from 5.6 -1000 μm, which is above those of microwaves and longer than those of visible light (Shui et al., 2015). ...
... FIR heating fans are commonly used to warm homes in India also, which generate FIR radiation (type of electromagnetic radiation) having heating effect. The FIR wavelength ranges from 5.6 -1000 μm, which is above those of microwaves and longer than those of visible light (Shui et al., 2015). ...
Article
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CORONA-19 cases in the world are approximately 20 lacs till April 17, 2020, while deaths reported so far is around 1.25 lacs; and there is no vaccine/no exact medicine. In India, the total cases till 17th April, are about 14000; and deaths reported are about 450. Humanity is facing a tough time in the whole globe; more than 200 countries are in the grip of the pandemic CORONA -19. Then, what’s to be done! The doctors are trying drugs like Hydroxychloroquine, HIV drugs, and so; but there is no respite. Then why not to use some other drugs/methods which are less expensive, easy to administer and having no side effect. Therefore, it becomes important to combat the tenacity of the SARS-CoV2, by adopting alternative system of medicines and nutritional approaches. Earlier, some of the authors of the paper have discussed the concept of ‘Biogeogens’, to deal with any health issues, taking into account all the concerned factors holistically. Therefore, on the basis of extensive research and earlier evidences, an integrative and novel approach of utilizing the far infrared radiation, homeopathic medicine and nutraceuticals, has been suggested to prevent the spread and viral infectivity of SARS- CoV-2.
... There is a large number of investigations and applications about the use of IR in the medical treatment of various blemishes, diseases, disorders, including chronic pain, and in reducing wound healing times (Hsu, 2017;Tsai, 2017;Shui, 2015 andGale, 2006) but IR finds application as a complementary treatment also in rehabilitation medicine with the aim of counteracting muscle contractures and pains, improve muscle performance and muscle repair in the rehabilitation of athletes, especially elite athletes, and preparing muscles for massages and subsequent physiotherapy treatments (Cristiano, 2009;Ribeiro, 2016 anddos Santos Maciel, 2014). Generally, IR rays shown positive effects on general disorders of the locomotor system (Lai, 2017 andPutowski, 2016). ...
Article
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Background: Infrared rays, that comprise NIR, MIR and FIR rays, are increasingly used for enhancing athletic performance and muscle recovery but also for neuromuscular rehabilitation and in sports medicine. Infrared-based devices frequently used on athletes include infrared thermal blankets, infrared lipo laser paddles (soft-laser), infrared heat lamps, infrared bands, infrared saunas, infrared pens, far infrared-emitting ceramic or stone beads and far infrared-emitting apparel (technical sportswear). Methods: A literature analysis of the last twenty years was made regards the application of infrared rays on athletes. Results: Although the mechanisms of action of infrared rays are still unclearly, they develop endogenous heat and show many interesting heat-related effects and non-heat-related effects on the human tissues included skeletal muscles, tendons and ligaments. Conclusions: Infrared has a positive effect on all disorders of the locomotor system and concurs to the improvement of skeletal muscle performance, decreases exercise-induced oxidative stress, delays of muscle fatigue, reduces pain (also chronic pain) and inflammatory responses of muscles, protects against muscle injuries and stimulates general psychophysical well-being.
... What is most important now is to consider how our molecular and clinical observations can be translated into useful interventions for disease reduction and health promotion. Use of cold (e.g., cryotherapy) 185,186 , heat (e.g., infrared light therapy) 187 , light exposure (e.g., bright light therapy) 188,189 , patterned EMF (e.g., transcranial magnetic stimulation) 167 , and lifestyle adjustments to optimize hydration, nutrition, exercise, and sleep 190,191 have been widely advocated, but often produce weak and inconsistent results, particularly when there is inadequate motivation for change 192 or limited understanding of the underlying mechanisms and the parameters critical for efficacy 193,194 . ...
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Recent genome-wide association studies (GWAS) have shown that temperament is strongly influenced by more than 700 genes that modulate associative conditioning by molecular processes for synaptic plasticity and long-term learning and memory. The results were replicated in three independent samples despite variable cultures and environments. The identified genes were enriched in pathways activated by behavioral conditioning in animals, including the two major molecular pathways for response to extracellular stimuli, the Ras-MEK-ERK and the PI3K-AKT-mTOR cascades. These pathways are activated by a wide variety of physiological and psychosocial stimuli that vary in positive and negative valence and in consequences for health and survival. Changes in these pathways are orchestrated to maintain cellular homeostasis despite changing conditions by modulating temperament and its circadian and seasonal rhythms. In this review we first consider traditional concepts of temperament in relation to the new genetic findings by examining the partial overlap of alternative measures of temperament. Then we propose a definition of temperament as the disposition of a person to learn how to behave, react emotionally, and form attachments automatically by associative conditioning. This definition provides necessary and sufficient criteria to distinguish temperament from other aspects of personality that become integrated with it across the life span. We describe the effects of specific stimuli on the molecular processes underlying temperament from functional, developmental, and evolutionary perspectives. Our new knowledge can improve communication among investigators, increase the power and efficacy of clinical trials, and improve the effectiveness of treatment of personality and its disorders.
... The infrared rays are absorbed by living tissues, however there are conflicting opinions about their depth of penetration into the skin which varies between 2 and 3 cm [77], or between 3 and 4 cm [74] or between 2 and 7 cm [38], or up to 23 cm for NIR rays [78], depending on the study considered. In addition, a part of the studies in the literature indicate that the NIR and MIR rays are more penetrating and are more absorbed by the skin, unlike the FIR rays that seem to be less penetrating [79] according to what reported by Schieke et al., i.e. the depth of IR penetration decreases with increasing of their wavelength [8]. ...
Article
Infrared devices and technologies are used for weight loss, cellulite treatment, body remodeling, beauty treatments, and wellness. Infrared (IR) is a type of electromagnetic radiation that has the ability to stimulate living tissues resulting in numerous biological responses. Exposure to IR is perceived as heat and their mechanism of action is related to the absorption of energy by photoacceptor molecules. Adverse reactions have also been documented. The studies, research papers and reviews of the last thirty years have been collected and examined and this review describes in more detail the main devices that use infrared: infrared thermal blankets, far-infrared thermal blanket, infrared lipo laser paddles, infrared lamps, far-infrared lamps, infrared saunas, far-infrared saunas, and infrared caps. IR thermal blanket improves blood circulation and the metabolism of the whole body, accelerate the detoxification, trigger the consumption of calories and fat burning. It is an alternative treatment to saunas but more effective. IR lipo laser paddles are a non-invasive alternative to traditional liposuction that helps to remove fat accumulated in specific areas of the body. IR lamps increase the absorption of cosmetic products, improve local blood circulation and relieve muscle and joint pain. IR saunas have a relaxing effect and the same effects of the thermal blanket and the IR lamps. IR caps can stimulate hair follicles and hair regrowth. Despite numerous studies, the precise mechanisms of action of the infrared need more research as well as the molecular targets that are directly or indirectly involved by their thermal effects and their non-thermal effects.
... While recent studies suggest the beneficial health effects of sauna bathing may be due to endothelial-dependent vasodilatation metabolic and immune pathways, more research is needed. 10,11,15,[22][23][24][25] Routine sauna bathing has been reported to be relatively safe provided bathers use common sense and avoid concurrent alcohol consumption. 13,[26][27][28][29] Of note, there is small-scale evidence to suggest reversible impairment of male spermatogenesis with regular sauna bathing, however further study is required to validate this evidence. ...
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Advances in Integrative Medicine Volume 6, Supplement 1, May 2019, Page S135 Abstract for Poster Presentation at the 14th International Congress on Complementary Medicine Research in Brisbane, Australia – “Heating Up for Health -Exploring the Results of a Global Sauna Survey” Background Many people worldwide sauna-bathe regularly. This study reports findings from the first ever online global sauna survey polling men and women on their demographics, motivations and health-related experiences. Methods A 71-item purposed questionnaire was designed and posted on a dedicated website. A link to the e-survey was then distributed via sauna-related social media from October 2016 to October 2017. Results There were 482 valid responses with 78.4% (378 of 482) fully completing the questionnaire. Participants sauna-bathed an average of 8 – 9 times per month. Almost a third of respondents had medical conditions. The top reasons motivating participants to sauna-bathe were rest and relaxation, pain relief and socializing. Sleep benefits after sauna use were indicated by 83.5% (353 of 423) of respondents. After stratifying sauna bather’s frequency into three groups and using the validated ‘SF-12 quality of life scoring tool’, those who reported sauna-bathing 5 -15 times per month had summated mental health well-being scores that were significantly higher (Chi square 6.603 > ꭔ2 of 5.991, p = 0.0368, df = 2) compared to the other two groups who sauna-bathed either more or less frequently. The most commonly reported adverse reactions to sauna bathing were mild symptoms of dizziness, dehydration and headache. Conclusion Sauna-bathing is used by populations worldwide as a lifestyle tool for rest and relaxation. The results of this cross-sectional study suggest frequent sauna-bathing has expanded health benefits that deserve further consideration from health practitioners and researchers as a complementary therapy, especially for mental wellness.
... While recent studies suggest the beneficial health effects of sauna bathing may be due to endothelial-dependent vasodilatation metabolic and immune pathways, more research is needed. 10,11,15,[22][23][24][25] Routine sauna bathing has been reported to be relatively safe provided bathers use common sense and avoid concurrent alcohol consumption. 13,[26][27][28][29] Of note, there is small-scale evidence to suggest reversible impairment of male spermatogenesis with regular sauna bathing, however further study is required to validate this evidence. ...
... Vibration frequency required to penetrate the human body wavelengths between 6 and 20 m [2]. Recent studies have shown that FIR affects, skin microcirculation [6][7][8], blood flow recovery [9][10][11], reactive oxygen species reduction [4], endothelial nitric oxide synthase up-regulation [12], neuromuscular recovery [13], and wound healing [10]. FIR radiation has also been shown to cause stimulation of the glutathione-dependent system, including induction of messenger RNA (mRNA) expressions [14]. ...
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Despite increased evidence of bio-activity following far-infrared (FIR) radiation, susceptibility of cell signaling to FIR radiation-induced homeostasis is poorly understood. To observe the effects of FIR radiation, FIR-radiated materials-coated fabric was put on experimental rats or applied to L6 cells, and microarray analysis, quantitative real-time polymerase chain reaction, and wound healing assays were performed. Microarray analysis revealed that messenger RNA expressions of rat muscle were stimulated by FIR radiation in a dose-dependent manner in amount of 10% and 30% materials-coated. In 30% group, 1,473 differentially expressed genes were identified (fold change [FC] > 1.5), and 218 genes were significantly regulated (FC > 1.5 and p < 0.05). Microarray analysis showed that extracellular matrix (ECM)-receptor interaction, focal adhesion, and cell migration-related pathways were significantly stimulated in rat muscle. ECM and platelet-derived growth factor (PDGF)-mediated cell migration-related genes were increased. And, results showed that the relative gene expression of actin beta was increased. FIR radiation also stimulated actin subunit and actin-related genes. We observed that wound healing was certainly promoted by FIR radiation over 48 h in L6 cells. Therefore, we suggest that FIR radiation can penetrate the body and stimulate PDGF-mediated cell migration through ECM-integrin signaling in rats.
... NO formation is dependent on the presence of tetrahydrobiopterin (BH 4 ) (34,52), which is required to maintain optimal function of NO synthase (NOS) for the production of NO. In conditions where BH 4 bioavailability is limited, such as HF secondary to higher levels of oxidative stress (46), NOS becomes structurally unstable and produces superoxide rather than NO (13). Superoxide produced from unstable NOS oxidizes BH 4 , which further contributes to increased oxidative stress and vascular endothelial dysfunction (52). ...
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Heart failure (HF) patients are susceptible to heat strain during exercise, secondary to blunted skin blood flow (SkBF) responses which may be explained by impaired nitric oxide (NO)-dependent vasodilation. Folic acid improves vascular endothelial function and SkBF through NO-dependent mechanisms in healthy older individuals and cardiovascular disease patients. We examined the effect of folic acid supplementation (5 mg/d for 6wk) on vascular function (brachial artery flow-mediated dilation [FMD]), and SkBF responses (cutaneous vascular conductance [CVC]) during 60-min of exercise at a fixed metabolic heat production (300 ẆHprod) in a 30{degree sign}C environment in ten HF (New York Heart Association Class I-II) patients and ten healthy controls (CON). Serum folic acid concentration increased in HF (pre-intervention: 1.4{plus minus}0.2; post-intervention: 8.9{plus minus}6.7 ng/ml, p=0.01) and CON (pre-intervention: 1.3{plus minus}0.6; post-intervention: 5.2{plus minus}4.9 ng/ml, p=0.03). FMD improved by 2.1 {plus minus} 1.3% in HF (p<0.01), but no change was observed in CON post-intervention (p=0.20). During exercise, the external workload performed on the cycle ergometer to attain the fixed level of Hprod for exercise was similar between groups (HF: 60 {plus minus} 13; CON: 65 {plus minus} 20 Ẇext, p = 0.52). Increases in CVC during exercise were similar in HF (pre: 0.89{plus minus}0.43; post: 0.83{plus minus}0.45au/mmHg, p=0.80) and CON (pre: 2.01{plus minus}0.79; post: 2.03{plus minus}0.72au/mmHg, p=0.73), although the values were consistently lower in HF for both pre- and post-intervention measurement intervals (p<0.05). These findings demonstrate that folic acid improves vascular endothelial function in patients with HF, but does not enhance SkBF during exercise at a fixed metabolic heat production in a warm environment.
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Macca carbon (MC), derived from high-temperature carbonized macadamia nut-in-shell wastes from macadamia nut processing, exhibits a high surface area, high number of electrons, and high efficiency in emitting far-infrared (FIR) radiation at wavelengths between 4 and 20 μm. Numerous inventions have demonstrated promising results in health improvement applications, such as increased blood circulation, less inflammation, and enhanced life expectancy. In this study, MC and a pressure-sensitive adhesive (PSA) were coupled to form a new bandage called an MC cohesive bandage. It was manufactured by combining various quantities of MC powder with PSA and applying it to a spandex fabric tape. The peeling test, water permeability, and skin irritation were examined. The quantity of FIR radiation between 6 and 14 μm and the thermal properties of MC cohesive bandages were investigated. The FIR penetration effectiveness was determined by measuring the temperature rises from the streaky pig skin covered with MC cohesive bandages at various depths.
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Far-infrared ray (FIR) is an electromagnetic wave that produces various health benefits against pathophysiological conditions, such as diabetes mellitus, renocardiovascular disorders, stress, and depression etc. However, the therapeutic application on the FIR-mediated protective potentials remains to be further extended. To achieve the better understanding on FIR-mediated therapeutic potentials, we summarized additional findings in the present study that exposure to FIR ameliorates stressful condition, memory impairments, drug dependence, and mitochondrial dysfunction in the central nervous system. In this review, we underlined that FIR requires modulations of janus kinase 2 / signal transducer and activator of transcription 3 (JAK2/STAT3), nuclear factor E2-related factor 2 (Nrf-2), muscarinic M1 acetylcholine receptor (M1 mAChR), dopamine D1 receptor, protein kinase C δ gene, and glutathione peroxidase-1 gene for exerting the protective potentials in response to neuropsychotoxic conditions.
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A series of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) patients have been studied to test two previous predictions: 1. Sauna therapy acts, at least in part, by raising the availability of tetrahydrobiopterin (BH4) and 2. ME/CFS is caused by a biochemical vicious cycle mechanism known as the NO/ONOO- cycle. Sauna therapy is shown here to increase BH4 synthesis, acting by raising the rate limiting enzyme in BH4 synthesis, GPCH. This confirms, then, the first prediction. ME/CFS patients have very high levels of peroxynitrite as measured by the peroxynitrite marker 3-nitrotyrosine, 4.3 times the levels of health controls and also have low levels of BH4, confirming predictions of the NO/ONOO- cycle mechanism. Sauna treatment, presumably acting via increased BH4 availability, lowers peroxynitrite levels, again in agreement with prediction. Sauna treatment also lowers the very high levels of neopterin found in these patients, possibly by stimulating the signaling of the IL-1β cytokine. Three important conclusions can be drawn here. Sauna therapy does not act solely via detoxification, as has been widely assumed but acts, at least in part, by raising BH4 levels. Secondly, three important predictions of the NO/ONOO- cycle mechanism are confirmed for the first time in ME/CFS patients, providing support for this mechanism as the etiologic mechanism of this disease. Thirdly, three biochemical parameters are partially normalized by sauna treatment, BH4 levels, peroxynitrite levels and neopterin levels, suggesting that ME/CFS is fundamentally biochemical in nature.
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The direct targets of extremely low and microwave frequency range electromagnetic fields (EMFs) in producing non-thermal effects have not been clearly established. However, studies in the literature, reviewed here, provide substantial support for such direct targets. Twenty-three studies have shown that voltage-gated calcium channels (VGCCs) produce these and other EMF effects, such that the L-type or other VGCC blockers block or greatly lower diverse EMF effects. Furthermore, the voltage-gated properties of these channels may provide biophysically plausible mechanisms for EMF biological effects. Downstream responses of such EMF exposures may be mediated through Ca(2+) /calmodulin stimulation of nitric oxide synthesis. Potentially, physiological/therapeutic responses may be largely as a result of nitric oxide-cGMP-protein kinase G pathway stimulation. A well-studied example of such an apparent therapeutic response, EMF stimulation of bone growth, appears to work along this pathway. However, pathophysiological responses to EMFs may be as a result of nitric oxide-peroxynitrite-oxidative stress pathway of action. A single such well-documented example, EMF induction of DNA single-strand breaks in cells, as measured by alkaline comet assays, is reviewed here. Such single-strand breaks are known to be produced through the action of this pathway. Data on the mechanism of EMF induction of such breaks are limited; what data are available support this proposed mechanism. Other Ca(2+) -mediated regulatory changes, independent of nitric oxide, may also have roles. This article reviews, then, a substantially supported set of targets, VGCCs, whose stimulation produces non-thermal EMF responses by humans/higher animals with downstream effects involving Ca(2+) /calmodulin-dependent nitric oxide increases, which may explain therapeutic and pathophysiological effects.
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Far infrared (FIR) radiation (λ = 3 – 100 μ m) is a subdivision of the electromagnetic spectrum that has been investigated for biological effects. The goal of this review is to cover the use of a further subdivision (3 – 12 μ m) of this waveband, that has been observed in both in vitro and in vivo studies, to stimulate cells and tissue, and is considered a promising treatment modality for certain medical conditions. Technological advances have provided new techniques for delivering FIR radiation to the human body. Specialty lamps and saunas, delivering pure FIR radiation (eliminating completely the near and mid infrared bands), have became safe, effective, and widely used sources to generate therapeutic effects. Fibers impregnated with FIR emitting ceramic nanoparticles and woven into fabrics, are being used as garments and wraps to generate FIR radiation, and attain health benefits from its effects.
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“Man is as old as his arteries.” This old aphorism has been widely confirmed by epidemiological and observational studies establishing that cardiovascular diseases can be age-related in terms of their onset and progression. Besides, with aging come a number of physiological and morphological changes that alters cardiovascular function and lead to subsequently increased risk of cardiovascular disease, even in health asymptomatic individuals. Even though different adaptive mechanisms to protect blood vessels against mild stress have been described, the aging process induces a progressive failure of protective mechanisms, leading to vascular changes. The outcomes of the aging-related modifications are the impairment of homeostasis of the irrigated organs and resultant target organ damage. The increasing mean age of the population in industrialized countries has turned out to be an economic and public health problem, as the increase in life expectancy goes in parallel with high incidence of several pathological conditions, despite unprecedented advances in prevention, diagnostics, and treatment. Of all aging-related illness, cardiovascular diseases remain the leading cause of morbidity and mortality in the elderly, and thus it is imperative to understand the mechanism underlying cardiovascular senescence. This Research Topic presents a forum of comprehensive reviews on distinct aspects of the pathophysiology of vascular aging to provide insights into the causes and consequences of this complex process and attempts to propose new therapeutic strategies for the management of vascular senescence. Such as the idea proposed by Ming et al. (2012) and discussed by Cau and Tostes (2012), which suggests that targeting mTORC1-S6K1 signaling could be a promising therapeutic modality to retard the aging process and treat cardiovascular disease in the elderly. Vascular aging could be simply described as a consequence of natural physical stress and fatigue that could account for the major physical changes seen in elderly: dilation (after fracture of load-bearing material) and stiffening (by transfer of stress to the more rigid collagenous component of the arterial wall). Although aging-associated changes on vascular functioning are considered a set up for cardiovascular disease, modifications on cardiac, and central function could slow down or accelerate this set point. Therefore, it is crucial to understand how aging and other pathophysiological states affect the interaction between the heart and arterial network. The article by Wojciechowska et al. (2012) provides information on the changes with age in central and peripheral systolic blood pressure, based on data collected from randomly recruited European and Chinese subjects supporting a vicious circle between age-related stiffness, increasing systolic blood pressure, and cardiovascular complications. Chantler and Lakatta (2012) elegantly describe the concept of arterial ventricular coupling and provide valuable information on how aging, in the absence and presence of cardiovascular disease, affects the coupling both at rest and during exercise, and its pathophysiological consequences. In addition, vascular aging has been largely associated with senescence of the vascular endothelium. El Assar et al. (2012) present a wide overview of the mechanisms that participate on endothelial dysfunction that accompanies vascular aging, analyzing the synergisms, and interactions between them, some of the cellular mechanisms related to endothelial senescence as well as the prevention or reversion of those mechanisms that produce endothelial dysfunction. Cau et al. (2012) based on evidence from experimental models review the contribution of NO synthase (NOS) isoform alterations on aging-associated vascular dysfunctions, addressing the potential prevention by some drugs that modulate the expression/activity of NOS. Finally, Blanco and Bernabéu (2012) summarize data supporting the link between the splicing factor SRSF1 and endothelial cell senescence and suggest the existence of a common genetic program involving alternative splicing of a cluster of genes, which contributes to a senescent environment in the vessels. Nonetheless, aging-associated damage to the endothelium may not simply be a consequence of the endothelial cell malfunctioning, but also as a result of impaired maintenance repair systems by endothelial progenitor cell (EPC). As discussed by Williamson et al. (2012), a deterioration of endogenous EPC function with age may culminate in a decreased capacity for neovascularization and/or reduced re-endothelialization of vascular lesions, facilitating the development, progression, and clinical sequelae of cardiovascular disease. Growing evidence show that the progress of vascular aging in women follows a different chronology than in men. The gender-associated difference in the pathophysiology of cardiovascular disease has generated heated discussion, although a general consensus has validated a role of sex hormones in the modulation of vascular function and dysfunction. This research topic covers two fronts in this field: Novella et al. (2012) review clinical and experimental data to clarify how menopause and aging contribute jointly to vascular senescence and how estrogen modulates vascular response at different ages; Lopes et al. (2012) discuss the conflicting information on the role of testosterone to the regulation of vascular function in elder men and women. Last but not least, as suggested by Gragasin et al. (2012) the elderly is more frequently represented in common medical procedures and surgeries. Thus, understanding the circulatory changes that accompany the aging process is therefore becoming increasingly timely and relevant. These authors discuss aspects of vascular control in aging that are particularly relevant in the maintenance of intraoperative hemodynamic stability reviewing the effect of certain notable anesthetic agents with respect to the aging vasculature. Given the growing clinical relevance of the subject, we are pleased that our Research Topic has brought together basic and clinical scientists to spotlight on one of the greatest enemies of elder population: i.e., the vascular senescence. We hope that this Research Topic also place a special call on the need of studies to establish treatments and procedures to reduce the detrimental effects of vascular aging. It has been a great pleasure to be involved in this Research Topic and we would like to thank all of the authors, reviewers, and Frontiers staff for helping to make this Research Topic possible.
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Far infra-red (IFR) therapy was shown to exert beneficial effects in cardiovascular system, but effects of IFR on endothelial progenitor cell (EPC) and EPC-related vasculogenesis remain unclear. We hypothesized that IFR radiation can restore blood flow recovery in ischemic hindlimb in diabetic mice by enhancement of EPCs functions and homing process. Starting at 4 weeks after the onset of diabetes, unilateral hindlimb ischemia was induced in streptozotocine (STZ)-induced diabetic mice, which were divided into control and IFR therapy groups (n = 6 per group). The latter mice were placed in an IFR dry sauna at 34°C for 30 min once per day for 5 weeks. Doppler perfusion imaging demonstrated that the ischemic limb/normal side blood perfusion ratio in the thermal therapy group was significantly increased beyond that in controls, and significantly greater capillary density was seen in the IFR therapy group. Flow cytometry analysis showed impaired EPCs (Sca-1+/Flk-1+) mobilization after ischemia surgery in diabetic mice with or without IFR therapy (n = 6 per group). However, as compared to those in the control group, bone marrow-derived EPCs differentiated into endothelial cells defined as GFP+/CD31+ double-positive cells were significantly increased in ischemic tissue around the vessels in diabetic mice that received IFR radiation. In in-vitro studies, cultured EPCs treated with IFR radiation markedly augmented high glucose-impaired EPC functions, inhibited high glucose-induced EPC senescence and reduced H2O2 production. Nude mice received human EPCs treated with IFR in high glucose medium showed a significant improvement in blood flow recovery in ischemic limb compared to those without IFR therapy. IFR therapy promoted blood flow recovery and new vessel formation in STZ-induced diabetic mice. Administration of IFR therapy promoted collateral flow recovery and new vessel formation in STZ-induced diabetic mice, and these beneficial effects may derive from enhancement of EPC functions and homing process.
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Many studies suggest that far-infrared (FIR) therapy can reduce the frequency of some vascular-related diseases. The non-thermal effect of FIR was recently found to play a role in the long-term protective effect on vascular function, but its molecular mechanism is still unknown. In the present study, we evaluated the biological effect of FIR on vascular endothelial growth factor (VEGF)-induced proliferation in human umbilical vein endothelial cells (HUVECs). We found that FIR ranging 3∼10 µm significantly inhibited VEGF-induced proliferation in HUVECs. According to intensity and time course analyses, the inhibitory effect of FIR peaked at an effective intensity of 0.13 mW/cm(2) at 30 min. On the other hand, a thermal effect did not inhibit VEGF-induced proliferation in HUVECs. FIR exposure also inhibited the VEGF-induced phosphorylation of extracellular signal-regulated kinases in HUVECs. FIR exposure further induced the phosphorylation of endothelial nitric oxide (NO) synthase (eNOS) and NO generation in VEGF-treated HUVECs. Both VEGF-induced NO and reactive oxygen species generation was involved in the inhibitory effect of FIR. Nitrotyrosine formation significantly increased in HUVECs treated with VEGF and FIR together. Inhibition of phosphoinositide 3-kinase (PI3K) by wortmannin abolished the FIR-induced phosphorylation of eNOS and Akt in HUVECs. FIR exposure upregulated the expression of PI3K p85 at the transcriptional level. We further found that FIR exposure induced the nuclear translocation of promyelocytic leukemia zinc finger protein (PLZF) in HUVECs. This induction was independent of a thermal effect. The small interfering RNA transfection of PLZF blocked FIR-increased PI3K levels and the inhibitory effect of FIR. These data suggest that FIR induces the nuclear translocation of PLZF which inhibits VEGF-induced proliferation in HUVECs.
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Enhanced recovery following physical activity and exercise-induced muscle damage (EIMD) has become a priority for athletes. Consequently, a number of post-exercise recovery strategies are used, often without scientific evidence of their benefits. Within this framework, the purpose of this study was to test the efficacy of whole body cryotherapy (WBC), far infrared (FIR) or passive (PAS) modalities in hastening muscular recovery within the 48 hours after a simulated trail running race. In 3 non-adjoining weeks, 9 well-trained runners performed 3 repetitions of a simulated trail run on a motorized treadmill, designed to induce muscle damage. Immediately (post), post 24 h, and post 48 h after exercise, all participants tested three different recovery modalities (WBC, FIR, PAS) in a random order over the three separate weeks. Markers of muscle damage (maximal isometric muscle strength, plasma creatine kinase [CK] activity and perceived sensations [i.e. pain, tiredness, well-being]) were recorded before, immediately after (post), post 1 h, post 24 h, and post 48 h after exercise. In all testing sessions, the simulated 48 min trail run induced a similar, significant amount of muscle damage. Maximal muscle strength and perceived sensations were recovered after the first WBC session (post 1 h), while recovery took 24 h with FIR, and was not attained through the PAS recovery modality. No differences in plasma CK activity were recorded between conditions. Three WBC sessions performed within the 48 hours after a damaging running exercise accelerate recovery from EIMD to a greater extent than FIR or PAS modalities.
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We examined the effect of leg hyperthermia on oxidative stress in bedridden subjects with type 2 diabetes mellitus using 15-min sessions of far infrared rays over a two-week period. Four subjects (male 1, female 3) incapacitated by a stroke were recruited for this study. All patients were admitted to Takahashi Central Hospital and ate the same hospital meals. Fasting plasma glucose, HbA1c, tumor necrosis factor (TNF)alpha, free fatty acid, leptin, adiponectin and plasma 8-epi-prostaglandin F2alpha (8-epi-PGF2alpha) levels as a marker of oxidative stress were measured on admission, just before and 2 weeks after local heating of the leg. Results showed that plasma total 8-epi-PGF2alpha levels were decreased significantly while TNFalpha levels were increased significantly. On the other hand, glucose, HbA1c, free fatty acid, leptin and adiponectin levels were not changed during the study period. These results suggest that repeated leg hyperthermia may protect against oxidative stress.
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Cardiovascular disease (CVD), once thought to be confined primarily to industrialized nations, has emerged as a major health threat in developing countries. Cardiovascular disease now accounts for nearly 30 percent of deaths in low and middle income countries each year, and is accompanied by significant economic repercussions. Yet most governments, global health institutions, and development agencies have largely overlooked CVD as they have invested in health in developing countries. Recognizing the gap between the compelling evidence of the global CVD burden and the investment needed to prevent and control CVD, the National Heart, Lung, and Blood Institute (NHLBI) turned to the IOM for advice on how to catalyze change. In this report, the IOM recommends that the NHLBI, development agencies, nongovernmental organizations, and governments work toward two essential goals: creating environments that promote heart healthy lifestyle choices and help reduce the risk of chronic diseases, and building public health infrastructure and health systems with the capacity to implement programs that will effectively detect and reduce risk and manage CVD. To meet these goals, the IOM recommends several steps, including improving cooperation and collaboration; implementing effective and feasible strategies; and informing efforts through research and health surveillance. Without better efforts to promote cardiovascular health, global health as a whole will be undermined. © 2010 by the National Academy of Sciences. All rights reserved.
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Increases in brain blood flow, evoked by neuronal activity, power neural computation and form the basis of BOLD (blood-oxygen-level-dependent) functional imaging. Whether blood flow is controlled solely by arteriole smooth muscle, or also by capillary pericytes, is controversial. We demonstrate that neuronal activity and the neurotransmitter glutamate evoke the release of messengers that dilate capillaries by actively relaxing pericytes. Dilation is mediated by prostaglandin E2, but requires nitric oxide release to suppress vasoconstricting 20-HETE synthesis. In vivo, when sensory input increases blood flow, capillaries dilate before arterioles and are estimated to produce 84% of the blood flow increase. In pathology, ischaemia evokes capillary constriction by pericytes. We show that this is followed by pericyte death in rigor, which may irreversibly constrict capillaries and damage the blood-brain barrier. Thus, pericytes are major regulators of cerebral blood flow and initiators of functional imaging signals. Prevention of pericyte constriction and death may reduce the long-lasting blood flow decrease that damages neurons after stroke.
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Defects in angiogenesis/vasculogenesis or vessel repair are major complications of coronary artery disease (CAD). Endothelial progenitor cells (EPCs) play a fundamental role in postnatal vascular repair and CAD. The role of microRNAs in CAD pathogenesis and their potential as biomarkers remain to be elucidated. MicroRNA-31 (miR-31) level in both the plasma and EPCs of patients with CAD is found lower. miR-31 regulates EPC activities by targeting FAT atypical cadherin 4 and thromboxane A2 receptor, which show increased expression in CAD EPCs. Overexpressing miR-31 in CAD EPCs rescued their angiogenic and vasculogenic abilities both in vitro and in vivo. When exploring approaches to restore endogenous miR-31, we found that far-infrared treatment enhanced the expression of not only miR-31, but also miR-720 in CAD EPCs. miR-720, which was also decreased in EPCs and the plasma of patients with CAD, stimulated EPC activity by targeting vasohibin 1. The miR720-vasohibin 1 pair was shown to be downstream of FAT atypical cadherin 4, but not of thromboxane A2 receptor. FAT atypical cadherin 4 inhibited miR-720 expression via repression of the planar cell polarity signaling gene four-jointed box 1 (FJX1), which was required for miR-720 expression through a hypoxia-inducible factor 1, α subunit-dependent mechanism. Restoring miR-720 level strengthened activity of CAD EPCs. The miR31-miR720 pathway is shown critical to EPC activation and that downregulation of this pathway contributes to CAD pathogenesis. Circulating levels of miR-31, miR-720, and vasohibin 1 have the potential to allow early diagnosis of CAD and to act as prognosis biomarkers for CAD and other EPC-related diseases. Manipulating the expression of the miR31-miR720 pathway in malfunction EPCs should help develop novel therapeutic modalities.
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Far-infrared (FIR) radiation is known to lessen the risk of angiogenesis-related diseases including cancer. Because deficiency of secretory clusterin (sCLU) has been reported to inhibit angiogenesis of endothelial cells (EC), we investigated using human umbilical vein EC (HUVEC) whether sCLU mediates the inhibitory effects of FIR radiation. Although FIR radiation ranging 3-25 μm wavelength at room temperature for 60 min did not alter EC viability, further incubation in the culture incubator (at 37 °C under 5% CO2) after radiation significantly inhibited EC proliferation, in vitro migration, and tube formation in a time-dependent manner. Under these conditions, we found decreased sCLU mRNA and protein expression in HUVEC and decreased sCLU protein secreted in culture medium. Expectedly, the replacement of control culture medium with the FIR-irradiated conditioned medium significantly decreased wound closure and tube formation of HUVEC, and vice versa. Furthermore, neutralization of sCLU with anti-sCLU antibody also mimicked all observed inhibitory effects of FIR radiation. Moreover, treatment with recombinant human sCLU protein completely reversed the inhibitory effects of FIR radiation on EC migration and angiogenesis. Lastly, vascular endothelial growth factor also increased sCLU secretion in the culture medium, and wound closure and tube formation of HUVEC, which were significantly reduced by FIR radiation. Our results demonstrate a novel mechanism by which FIR radiation inhibits the proliferation, migration, and angiogenesis of HUVEC, via decreasing sCLU.
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Background and aims: This study was aimed at the development of a novel noninvasive treatment system, "pinpoint plantar long-wavelength infrared light irradiation (PP-LILI)", which may be able to relieve mental stress and normalize blood glucose level via the reduction of stress hormones in type 2 (non-insulin-dependent) diabetes mellitus (DM) patients. Based on this hypothesis, the present study was undertaken to examine effects of PP-LILI on stress hormones (ACTH and cortisol), blood glucose, HbA1c, and insulin levels in 10 patients with type 2 DM. Each patient received PP-LILI of the foot for 15 minutes once weekly using a stress free apparatus (infrared wavelength, 9,000-12,000 nm/power 30 mW). Results: In response to this therapy, ACTH (P<0.01) and cortisol (P<0.05) levels decreased significantly. Fasting blood glucose (P<0.05) and insulin (P<0.05) levels also decreased significantly along with a tendency for HbA1c to decrease. Conclusions: The present data raise the possibility that PP-LILI can normalize blood glucose levels by reducing stress hormones such as cortisol, which aggravate DM, and by improving insulin sensitivity, thereby contributing to prevention and treatment of DM.
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Background and aims: The current investigation was aimed at the development of a novel non-invasive treatment system, "pinpoint plantar long-wavelength infrared light irradiation (PP-LILI)", which may be able to relieve mental stress and reduce stress-related hormones. Materials (Subjects) and methods: We compared the subcutaneous temperature, blood pressure, the degree of secretion of stress hormones before and after pinpoint irradiations (wavelength: 8-11 μm; output: 30mW). The study enrolled 15 subjects (Japanese healthy adults; 8 males, 7 females; average age 47.8 ± 14.6 years). Two parts of the planter region were irradiated for 15 min respectively. The stress markers such as ACTH, salivary amylase and cortisol were measured. As well, core body temperature and blood pressure were analyzed before and after the irradiation. Results: A series of experiments revealed increased body temperature, decreased levels of blood pressure and stress markers described above after the irradiation. Conclusions: These results clearly suggest that the PP-LILI system will be quite useful for relieving stress and improvement of homeostatic functions in the body.