Review Article

Exercise Modulates Oxidative Stress and Inflammation in Aging and Cardiovascular Diseases

Table 1

Effect of physical activity/exercise on inflammatory mediators in the elderly.

Study Mediator SubjectsTissuePhysical activity/exerciseEffect of physical activity/exerciseReference

ObservationalTNF-α≥65 years
= 1004
PlasmaSelf-reported physical activityInverse association between log TNF-α and physical activity [249]
65–80 years
= 30
Serum Regular exerciseLower percentage in the physically active subgroup [250]
CRP≥65 years
= 5,888
Blood Self-reported physical activityInverse association between physical activity and CRP [241]
Men, 58 years
= 391
Blood Self-reported leisure time physical activityInverse association between physical activity and CRP [242]
70 to 79 years 
= 870
Blood Self-reported physical activityInverse association between CRP and physical activity [244]
70 to 79 years
= 3,075
Blood Previous week exercise and physical activitiesInverse association between physical activity and CRP [245]
60 to 79 years
= 3810
Plasma Self-reported physical activityInverse association between CRP and physical activity [247]
70 to 79 years
= 880
PlasmaPhysical function measures included handgrip strength, signature time, chair stands, and 6-minute walk timeInverse association between CRP and higher walking speed and grip strength [248]
≥65 years
= 1004
PlasmaSelf-reported physical activityInverse association between and log CRP and physical activity [249]
65–80 years
= 30
Serum Regular exerciseLower level in the physically active subgroup [250]
50 to 70 years
= 3289
PlasmaSelf-reported physical activityInverse association between CRP and physical activity [195]
IL-6Men,
65–74 years
= 12
SerumSelf-reported physical activityLower levels of IL-6 in the physically active group [246]
70 to 79 years
= 3,075
Blood Previous week exercise and physical activitiesLower level associated with higher level of physical activity [245]
70 to 79 years
= 870
Blood Self-reported physical activitiesInverse association between IL-6 and physical activity [244]
≥65 years
= 1004
PlasmaSelf-reported physical activity Inverse association between log IL-6 and physical activity [249]
70 to 79 years
= 880
PlasmaPhysical function measures included handgrip strength, signature time, chair stands, and 6-minute walk timeInverse association between IL-6 and higher walking speed [248]
IL-10Men,
65–74 years
= 12
SerumSelf-reported physical activityHigher levels of IL-10 in the physically active group [246]
CD14+CD16+ 65–80 years
= 30
SerumRegular exerciseLower percentage in the physically active subgroup [250]
Adiponectin 50 to 70 years
= 3289
PlasmaSelf-reported physical activityDirect association between adiponectin and physical activity [195]

InterventionalTNF-α≥64 years
= 105
BloodAerobic or flexibility/strength exercise for 10 monthsReduced level by aerobic and strength exercise [266]
Men, 67 ± 8 years with congestive heart failure
= 28
PlasmaExercise training for 3 monthsLevel reduced after training [267]
81 ± 1 years
= 13
Skeletal muscleExercise training for 3 monthsReduced mRNA and protein levels after training [268]
65–80 years,
physically inactive
= 15
Blood3 days/week endurance and resistance exercise training for 12 weeksReduced level compared with pretraining values [250]
Postmenopausal women, 65–80 years
= 20
BloodRegular exercise for previous 6 monthsNo change in protein or mRNA [275]
65–80 years
= 8
SerumProgressive resistance strength training for 12 weeksNo change [280]
sTNF-R1Overweight/obese sedentary with knee osteoarthritis ≥60 years
= 316
SerumCombined weight training and walking for 1 h, 3 times/week for 18 monthsNo change [277]
CRPType 2 diabetic patients,
>55 years
= 62
SerumStrength training for 16 weeksReduced level after training [196]
>64 years
= 105
BloodAerobic or flexibility/strength exercise for 10 monthsReduced level by aerobic but not strength exercise [266]
Postmenopausal overweight or obese, sedentary women,
50–75 years
= 115
SerumModerate-intensity aerobic exercise for 12 monthsLevel reduced after training [269]
Women with the metabolic syndrome,
68.7 ± 3.4 years
= 32
BloodFour sessions of high-intensity aerobic and resistance exercise per week for 12 monthsLevel reduced after training [271]
Patients with CHD, 66.7 ± 11 years
= 235
Controls 63.9 ± 11.1 years
= 42
BloodCardiac rehabilitation and exercise training for 3 monthsLevel reduced after training [100]
60 to 85 years
= 30
Serum Exercise training for 6 monthsNo change [276]
Overweight/obese sedentary with knee osteoarthritis ≥60 years
= 316
SerumCombined weight training and walking for 1 h, 3 times/week for 18 monthsNo change [277]
Postmenopausal breast cancer survivors,
50 to 69 years
= 52
SerumCycling 3 times/week for 15 weeksNo change [278]
IL-6 >64 years
= 105
BloodAerobic or flexibility/strength exercise for 10 months Reduced level by aerobic but not strength exercise [266]
70–89 years
= 424
PlasmaModerate-intensity combination of aerobic, strength, balance, and flexibility exercises for 12 monthsReduced IL-6 level but not CRP [270]
Young (20–30 years) and aged (66–76 years) = 60BloodEndurance (20 min) and resistance exercise 3 days/week for 12 weeksStimulated level was reduced in young and old subjects [263]
Postmenopausal women, 65–80 years
= 20
BloodRegular exercise for 6 monthsNo change in protein or mRNA [275]
Overweight/obese sedentary with knee osteoarthritis ≥60 years
= 316
SerumCombined weight training and walking for 1 h, 3 times/week for 18 monthsNo change [277]
65–80 years
= 8
SerumProgressive resistance strength training for 12 weeksNo change [280]
IL-1β 65–80 years
= 8
SerumProgressive resistance strength training for 12 weeksNo change [280]
IL-18 >64 years
= 105
BloodAerobic or flexibility/strength exercise for 10 monthsReduced level by aerobic but not strength exercise [266]
TLR4Postmenopausal women, 65–80 yearsBloodRegular exercise for 6 monthsLower level in trained versus untrained [275]
Young (20–30 years) and aged (66–76 years)
= 60
CD14+ cellEndurance (20 min) and resistance exercise 3 days/week for 12 weeksLevel reduced in young and old subjects [263]
CD14+CD16+65–80 years sedentary
= 15
BloodEndurance and resistance exercise training for 12 weeks (3 days/week)Reduced level compared with pretraining values [250]
Adiponectin Type 2 diabetic patients >55 years
= 62
SerumStrength training for 16 weeksIncreased level after training [196]