Fossati Chiara, Torre Guglielmo, Borrione Paolo, Giombini Arrigo, Fagnani Federica, Turchetta Matteo, Albo Erika, Casasco Maurizio, Parisi Attilio, Pigozzi Fabio
Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Roma, Italy.
J Clin Med. 2020 Apr 13;9(4):1115. doi: 10.3390/jcm9041115.
In the scientific landscape, there is a growing interest in defining the role of several biomolecules and humoral indicators of the aging process and in the modifications of these biomarkers induced by physical activity and exercise. The main aim of the present narrative review is to collect the available evidence on the biohumoral indicators that could be modified by physical activity (PA) in the elderly. Online databases including Pubmed, Web of science (Medline), and Scopus were searched for relevant articles published in the last five years in English. Keywords and combination of these used for the search were the following: "biological", "indicators", "markers", "physical", "activity", and "elderly". Thirty-four papers were analyzed for inclusion. Twenty-nine studies were included and divided into four categories: cardiovascular (CV) biomarkers, metabolic biomarkers, inflammatory markers-oxidative stress molecules, and other markers. There are many distinct biomarkers influenced by PA in the elderly, with promising results concerning the metabolic and CV indexes, as a growing number of studies demonstrate the role of PA on improving parameters related to heart function and CV risk like atherogenic lipid profile. Furthermore, it is also a verified hypothesis that PA is able to modify the inflammatory status of the subject by decreasing the levels of pro-inflammatory cytokines, including interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α). PA seems also to be able to have a direct effect on the immune system. There is a strong evidence of a positive effect of PA on the health of elderly people that could be evidenced and "quantified" by the modifications of the levels of several biohumoral indicators.
在科学领域,人们越来越关注确定几种生物分子和衰老过程中的体液指标的作用,以及体育活动和锻炼对这些生物标志物的影响。本叙述性综述的主要目的是收集关于老年人体育活动(PA)可能改变的生物体液指标的现有证据。我们在包括PubMed、科学网(Medline)和Scopus在内的在线数据库中搜索了过去五年以英文发表的相关文章。用于搜索的关键词及组合如下:“生物学的”、“指标”、“标志物”、“身体的”、“活动”和“老年人”。对34篇论文进行了纳入分析。纳入了29项研究,并分为四类:心血管(CV)生物标志物、代谢生物标志物、炎症标志物-氧化应激分子和其他标志物。老年人中有许多不同的生物标志物受PA影响,在代谢和心血管指标方面取得了有前景的结果,因为越来越多的研究证明了PA在改善与心脏功能和心血管风险相关参数(如致动脉粥样硬化脂质谱)方面的作用。此外,PA能够通过降低促炎细胞因子水平(包括白细胞介素-1(IL-1)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α))来改变受试者的炎症状态,这也是一个得到验证的假设。PA似乎也能够对免疫系统产生直接影响。有强有力的证据表明PA对老年人健康有积极影响,这可以通过几种生物体液指标水平的改变来证明和“量化”。