Few studies describe immune responses to exercise in children, compared with adults, and none have investigated the influence of carbohydrate (CHO) intake. We hypothesized less perturbation and a faster recovery of the immune system with exercise in children, regardless of supplemental energy. Twelve boys (9.8 Ϯ 0.1 y) and 10 men (22.1 Ϯ 0.5 y) cycled for 60 min at 70% V O 2max while drinking 6% CHO (CHO-T) or flavored water (FW-T). Blood samples were collected before (PRE), immediately after (POST), and 60 min after (REC) exercise. Boys, compared with men, had smaller (p Ͻ 0.05) increases in total leukocytes (28% versus 38%), natural killer (NK) cells (78% versus 236%), and NK T cells (42% versus 128%) at POST, averaged across beverage trials. Exercise did not increase tumor necrosis factor-␣ (TNF-␣), but significantly (p Ͻ 0.05) increased IL-6 in men (189%), but not in boys (11%). In both trials, lymphocytes and T cells at REC were suppressed (p Ͻ 0.05), relative to PRE, in men (Ϫ21%), but not in boys (4%).IL-6 remained elevated ( pϽ 0.001) in men at REC, with no change from POST in boys. In boys, but not in men, CHO significantly (p Ͻ 0.05) attenuated increases in neutrophil, lymphocyte, and NK cell counts at POST. Neutrophils at REC in CHO-T were lower (p Ͻ 0.05) than in FW-T in men )%52ف( and in boys .)%71ف( CHO had no effect on TNF-␣ or IL-6 in either group. Our results indicate a distinct pattern of the immune response to exercise and CHO intake in boys, compared with men. Strenuous exercise can significantly influence several elements of the human immune system. The magnitude and direction of changes in immune cell counts, for example, are mediated by the intensity of the activity (1, 2), the nutritional status of the subject (3, 4), and changes in stress hormones, in particular epinephrine during exercise (5) and cortisol after exercise (6). Although most immune cells increase in concentration during exercise, a brief period of immunosuppression, termed the "open window," occurs during recovery from strenuous exercise and may increase susceptibility to infection (7). Another component of the immune system response to exercise is cytokines. Cytokines serve in a network to help regulate signaling of innate and specific immune responses (8). Traditionally, cytokine responses to exercise, in particular IL-6 and TNF-␣, have been interpreted in the context of immunemediated host defense (9). However, exercise-induced increases in plasma levels of IL-6 and TNF-␣ are not always associated with simultaneous increases in their intracellular production or excretion from immune cells (10 -13). Therefore, changes in these low-molecular-weight proteins with exercise likely serve roles in addition to their control of inflammation.It is important to note, however, that our current understanding of exercise-induced changes in components of the human immune system is derived primarily from adults, and there is a paucity of data on children. With respect to immune cell counts, a few studies have reported similar respo...