2011
DOI: 10.1038/nri3041
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The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease

Abstract: Regular exercise reduces the risk of chronic metabolic and cardiorespiratory diseases, in part because exercise exerts anti-inflammatory effects. However, these effects are also likely to be responsible for the suppressed immunity that makes elite athletes more susceptible to infections. The anti-inflammatory effects of regular exercise may be mediated via both a reduction in visceral fat mass (with a subsequent decreased release of adipokines) and the induction of an anti-inflammatory environment with each bo… Show more

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Cited by 1,759 publications
(1,710 citation statements)
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References 96 publications
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“…However, no intervention effects on CRP were observed at 52 weeks, although the intervention effects on body fatness persisted at 52 weeks (Larsen et al, 2015). Studies suggest that regular exercise may improve low-grade inflammation by reducing body fat mass and local inflammation in fat tissue (Gleeson et al, 2011;You et al, 2013). However, in this study, the reduction in CRP at 6 weeks was not mediated by the changes in total body fat mass or regional fat mass.…”
Section: Discussioncontrasting
confidence: 74%
See 1 more Smart Citation
“…However, no intervention effects on CRP were observed at 52 weeks, although the intervention effects on body fatness persisted at 52 weeks (Larsen et al, 2015). Studies suggest that regular exercise may improve low-grade inflammation by reducing body fat mass and local inflammation in fat tissue (Gleeson et al, 2011;You et al, 2013). However, in this study, the reduction in CRP at 6 weeks was not mediated by the changes in total body fat mass or regional fat mass.…”
Section: Discussioncontrasting
confidence: 74%
“…One explanation for the disproportional changes in fat mass and CRP may be that exercise exerted its anti-inflammatory effects by other mechanisms. Evidence has suggested some potential mechanisms underlying the anti-inflammatory effects of exercise, including effects on muscle tissue to produce anti-inflammatory myokines, effects on endothelial cell to reduce leukocyte adhesion, and reducing pro-inflammatory cytokines (Gleeson et al, 2011;You et al, 2013). Nonetheless, the visceral fat mass was not quantified in our study.…”
Section: Discussionmentioning
confidence: 86%
“…This may be associated with greater IL-6 levels at baseline, as well as with reduced CRP levels after combined training. Considering that IL-6 has been described as being a cytokine with both pro-and anti-inflammatory properties 44 , the reduction in IL-6 and CRP levels may indicate a decrease in the inflammatory process in the NoncarrierT group. Exercise may have both a direct antiinflammatory effect, through an increase in the production of anti-inflammatory cytokines such as IL-6 by the skeletal muscle, and an indirect anti-inflammatory effect, through the reduction of adipose tissue, which results in a lower release of cytokines 45 .…”
Section: Discussionmentioning
confidence: 99%
“…30 The increase in inflammation provokes increased synthesis of cells, cytokines and proinflammatory proteins, such as neutrophils, monocytes, IL-6, TNF-α and CRP, among others. 31 The increase in neutrophils and macrophages in response to microorganisms, but can also be stimulated by other cytokines, primarily interleukin-1 (IL-1) and TNF-α. 33 Since IL-6 is involved in a series of immunological activities, in particular synthesis of acute phase substances in the liver, it is an important inflammatory marker, because it is involved in metabolic regulation of CRP.…”
Section: Function and Inflammationmentioning
confidence: 99%
“…The reduction in vasodilation causes an increase in shear stress and, consequently, greater damage to the blood vessel, creating favorable conditions for the atherosclerotic process and thrombi formation. Additionally, the blood vessel that is undergoing the atherosclerotic process also releases the same proinflammatory substances, further increasing the inflammatory process and vascular damage [30][31][32] (Figure 1). …”
Section: Function and Inflammationmentioning
confidence: 99%