The list of diseases with a known inflammatory etiology is growing. Cardiovascular disease, osteoporosis, diabetes, geriatric cachexia, and Alzheimer's disease have all been shown to be linked to or exacerbated by aberrantly regulated inflammatory processes. Nevertheless, there is mounting evidence that those who are physically active, or who become physically active, have a reduction in biomarkers associated with chronic inflammation. There was strong early consensus that exercise-induced reductions in inflammation were explained by body mass index or body fatness, but recent studies provide support for the contention that exercise has body fatindependent anti-inflammatory effects. With few exceptions, the anti-inflammatory effects of exercise appear to occur regardless of age or the presence of chronic diseases. What remains unclear are the mechanisms by which exercise training induces these anti-inflammatory effects, but there are several intriguing possibilities, including release of endogenous products, such as heat shock proteins; selective reduction of visceral adipose tissue mass or reducing infiltration of adipocytes by macrophages; shift in immune cell phenotype; cross-tolerizing effects; or exerciseinduced shifts in accessory proteins of toll-like receptor signaling. However, future research endeavors are likely to uncover additional potential mechanisms, and it could be some time before functional mechanisms are made clear. In summary, the potential anti-inflammatory influences of exercise training may provide a low-cost, readily available, and effective treatment for low-grade systemic inflammation and could contribute significantly to the positive effects of exercise training on chronic disease.
Keywordsanti-inflammatory; exercise training; chronic disease Cardiovascular disease, diabetes, osteoporosis, and several other chronic diseases are now known to be strongly linked to inflammatory processes. [1][2][3][4] Chronic diseases linked to inflammation are known to occur in greater frequency in older and sedentary individuals, 5 but evidence is emerging that exercise has anti-inflammatory effects. [6][7][8][9] For example, there is a substantial reduction in biomarkers of low-grade systemic inflammation in physically active adults or adults who undertake exercise training. [10][11][12][13][14] Address for correspondence: Michael G. Flynn, FACSM, Wastl Human Performance Lab, Department of Health and Kinesiology, Purdue University West Lafayette, IN 47907; mickflyn@purdue.edu.
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Author ManuscriptAm J Lifestyle Med. Author manuscript; available in PMC 2014 November 25.
NIH-PA Author ManuscriptChronic low-grade inflammation, "persistent but more subtle than the acute phase response," 15 is frequently assessed by measurement of circulating C-reactive protein (CRP) and, somewhat less frequently, serum amyloid A. C-reactive protein concentration is higher in those with high body mass index, 16,17 metabolic syndrome and/or diabetes, 1,18 belownormal high-density lipoprotein choleste...