“…Additionally, the effects of maternal exercise may abolish any detrimental metabolic effects of obesity on offspring via epigenetic mechanisms [ 44 ]. While it is clear that exercise training affects epigenetic modifications and these modifications are heritable and improve obesity- and T2DM-related outcomes [ 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ], studies on the potential heritable effects of exercise on CVD, stroke, cancer, etc., are lacking. However, given the pleotropic effects of exercise in preventing and improving T2D and obesity and its ability to alter the epigenome [ 10 , 12 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ], it is possible that the effects of maternal and paternal exercise are far-reaching and affect offspring outcomes with respect to other chronic disease states.…”