“…These findings are prominent in sedentary old population (Taddei et al, 1995; Gerhard et al, 1996), since the effects of aging on EPCs disability are related to both the senescence of EPCs and the down-regulation of pro-angiogenic factors like HIF-1 and VEGF (Torella et al, 2004; Leosco et al, 2007a). Interestingly, physical exercise can prevent and reverse age-related endothelial dysfunction, representing a valid strategy to stimulate EPCs in old subjects (DeSouza et al, 2000; Smith et al, 2003; Heiss et al, 2005; Hoetzer et al, 2007; Yang et al, 2013). In addition, physical exercise leads to a significant reduction of myelosuppressive and pro-inflammatory cytokines, like C-reactive protein (CRP) (Szmitko et al, 2003) and tumor necrosis factor-α (TNF-α) (Agnoletti et al, 1999), thus exerting also an anti-inflammatory role.…”