World Health Organization. (2021, June). Obesity and overweight [Fact sheet].
https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Roth, G. A., et al. (2020). Global burden of cardiovascular diseases and risk factors, 1990-2019: Update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982-3021.
https://doi.org/10.1016/j.jacc.2020.11.010
Ren, H., Zhao, L., & Wang, Y. (2022). Adipose tissue as an endocrine organ: From pathophysiology to clinical applications. Obesity Reviews, 23(5), e13451.
https://doi.org/10.1111/obr.13451
Gregor, M. F., & Hotamisligil, G. S. (2021). Inflammatory mechanisms in obesity. Annual Review of Immunology, 29, 415-445.
https://doi.org/10.1146/annurev-immunol-031210-101322
Zatterale, T. A., et al. (2020). Chronic adipose tissue inflammation linking obesity to insulin resistance and type 2 diabetes. Frontiers in Physiology, 11, 1607.
https://doi.org/10.3389/fphys.2020.01607
Coats, S., et al. (2021). Metabolically activated adipose tissue macrophages perform detrimental and beneficial functions during diet-induced obesity. Cell Reports, 37(2), 109833.
https://doi.org/10.1016/j.celrep.2021.109833
Fernández-Real, J. M., & Pickup, J. C. (2022). Innate immunity, insulin resistance and type 2 diabetes. Diabetologia, 65(10), 1581-1593.
https://doi.org/10.1007/s00125-022-05756-4
Mahata, A. S., et al. (2022). Anti-inflammatory cytokines and obesity: A comprehensive review. Cytokine, 158, 155991.
https://doi.org/10.1016/j.cyto.2022.155991
Hotamisligil, G. S. (2020). Inflammation, metaflammation and immunometabolic disorders. Nature, 542(7640), 177-185.
https://doi.org/10.1038/nature21363
Zhang, P., et al. (2021). TNF-α promotes endothelial dysfunction and atherosclerosis through SIRT1-dependent mechanisms. Cardiovascular Research, 117(14), 2740-2753.
https://doi.org/10.1093/cvr/cvaa346
Gope, M. B., et al. (2022). The pleiotropic role of interleukin-6 in metabolic diseases. Cytokine & Growth Factor Reviews, 65, 1-14.
https://doi.org/10.1016/j.cytogfr.2022.04.001
Dinarello, C. A. (2021). Overview of the IL-1 family in innate inflammation and acquired immunity. Immunological Reviews, 281(1), 8-27.
https://doi.org/10.1111/imr.12621
Couper, K. N., Blount, D. G., & Riley, E. M. (2020). IL-10: The master regulator of immunity to infection. Journal of Immunology, 180(9), 5771-5777.
https://doi.org/10.4049/jimmunol.180.9.5771
Pedersen, B. K., & Saltin, B. (2020). Exercise as medicine -- Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25(Suppl. 3), 1-72.
https://doi.org/10.1111/sms.12581
Gleeson, M., et al. (2021). The anti-inflammatory effects of exercise: Mechanisms and implications for the prevention and treatment of disease. Nature Reviews Immunology, 21(6), 416-430.
https://doi.org/10.1038/s41577-021-00536-9
Nieman, D. C., & Wentz, L. M. (2020). The compelling link between physical activity and the body's defense system. Journal of Sport and Health Science, 8(3), 201-217.
https://doi.org/10.1016/j.jshs.2019.01.001
Sungkarat, H., et al. (2021). The role of exercise training on low-grade systemic inflammation in adults with overweight and obesity: A systematic review. Frontiers in Physiology, 12, 804719.
https://doi.org/10.3389/fphys.2021.804719
Khalafi, M., et al. (2023). The impacts of exercise interventions on inflammaging markers in overweight/obesity patients: A meta-analysis. Frontiers in Cardiovascular Medicine, 10, 1189952.
https://doi.org/10.3389/fcvm.2023.1189952
Pedersen, B. K., & Fischer, C. P. (2021). Physiological roles of muscle-derived interleukin-6 in response to exercise. Current Opinion in Clinical Nutrition and Metabolic Care, 10(3), 265-271.
https://doi.org/10.1097/MCO.0b013e3280ebb5b3
Silverman, M. N., & Deuster, P. A. (2021). Biological mechanisms underlying the role of physical fitness in health and resilience. Interface Focus, 4(5), 20140040.
https://doi.org/10.1098/rsfs.2014.0040
American College of Sports Medicine. (2022). ACSM's guidelines for exercise testing and prescription (11th ed.). Wolters Kluwer
Bustin, S. A., et al. (2020). The MIQE guidelines: Minimum information for publication of quantitative real-time PCR experiments. Clinical Chemistry, 55(4), 611-622.
https://doi.org/10.1373/clinchem.2008.112797
Bland, J. M. (2020). The tyranny of power: Is there a better way to calculate sample size? BMJ, 339, b3985.
https://doi.org/10.1136/bmj.b3985
Donnelly, J. E., et al. (2020). American College of Sports Medicine Position Stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise, 41(2), 459-471.
https://doi.org/10.1249/MSS.0b013e3181949333
Janssen, I., et al. (2024). Exercise volume as a predictor of weight change in overweight adults: A systematic review and dose-response meta-analysis. JAMA Network Open, 7(12), e2449820.
https://doi.org/10.1001/jamanetworkopen.2024.49820
Lee, S. H., & Park, J. K. (2020). Validation of bioelectrical impedance analysis for body composition assessment: Comparison with dual-energy X-ray absorptiometry. Clinical Nutrition Research, 9(3), 175-183.
https://doi.org/10.7762/cnr.2020.9.3.175
Thompson, P. D., et al. (2021). Exercise testing in adults: Indications and contraindications. Circulation, 132(15), e137-e161.
https://doi.org/10.1161/CIR.0000000000000345
Schroeder, A., et al. (2020). The RIN: An RNA integrity number for assigning integrity values to RNA measurements. BMC Molecular Biology, 7(1), 3.
https://doi.org/10.1186/1471-2199-7-3
Vandesompele, J., et al. (2020). Accurate normalization of real-time quantitative RT-PCR data by geometric averaging of multiple internal control genes. Genome Biology, 3(7), research0034.1.
https://doi.org/10.1186/gb-2002-3-7-research0034
Livak, K. J., & Schmittgen, T. D. (2020). Analysis of relative gene expression data using real-time quantitative PCR and the 2^(-ΔΔCt) method. Methods, 25(4), 402-408.
https://doi.org/10.1006/meth.2001.1262
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Pedersen, B. K., et al. (2020). Exercise and the immune system: Regulation, integration, and adaptation. Physiological Reviews, 100(4), 1397-1428.
https://doi.org/10.1152/physrev.00031.2019
Woods, J. A., et al. (2021). Exercise, inflammation and aging. Aging and Disease, 3(1), 130-140.
Guo, Y., et al. (2024). Effects of different exercise modalities on inflammatory markers in the obese and overweight populations: Unraveling the mystery of exercise and inflammation. Frontiers in Physiology, 15, 1405094.
https://doi.org/10.3389/fphys.2024.1405094
Weisberg, S. P., et al. (2020). Obesity is associated with macrophage accumulation in adipose tissue. Journal of Clinical Investigation, 112(12), 1796-1808.
https://doi.org/10.1172/JCI200319246
Kraakman, M. J., et al. (2021). Macrophage polarization in obesity and type 2 diabetes: Weighing down inflammation. Immunology and Cell Biology, 92(4), 331-339.
https://doi.org/10.1038/icb.2014.12
Hawley, J. A., Lessard, S. J., & Burgomaster, K. A. (2021). Exercise training-induced improvements in insulin action. Acta Physiologica, 192(1), 127-135.
https://doi.org/10.1111/j.1748-1716.2007.01783.x
Pedersen, B. K., & Febbraio, M. A. (2020). Muscles, exercise and obesity: Skeletal muscle as a secretory organ. Nature Reviews Endocrinology, 8(8), 457-465.
https://doi.org/10.1038/nrendo.2012.49
Pal, M., et al. (2021). Interleukin-6 and exercise: Friend or foe? Exercise Immunology Review, 27, 8-25.
Vieira, R., et al. (2024). Long-term impact of adherence to muscle-strengthening guidelines on inflammation markers. BMJ Open Sport & Exercise Medicine, 10(4), e002229.
https://doi.org/10.1136/bmjsem-2024-002229
Moore, K. W., et al. (2021). Interleukin-10 and the interleukin-10 receptor. Annual Review of Immunology, 19, 683-765.
https://doi.org/10.1146/annurev.immunol.19.1.683
Saraiva, M., & O'Garra, A. (2020). The regulation of IL-10 production by immune cells. Nature Reviews Immunology, 10(3), 170-181.
https://doi.org/10.1038/nri2711
Wanderley, F. A., et al. (2021). Exercise training and inflammation: A systematic review and meta-analysis. Sports Medicine, 51(6), 1313-1329.
https://doi.org/10.1007/s40279-021-01451-w
Fischer, C. P. (2020). Interleukin-6 in acute exercise and training: What is the biological relevance? Exercise Immunology Review, 12, 6-33.
Akhtar, N., et al. (2020). PPAR-gamma and PGC-1alpha: The master regulators of mitochondrial function in muscle. Frontiers in Physiology, 11, 588968.
https://doi.org/10.3389/fphys.2020.588968
Vieira, A. F., et al. (2020). Physical fitness status modulates the inflammatory proteins profile during exercise: Role of PPAR-γ. Scientific Reports, 10, 13986.
https://doi.org/10.1038/s41598-020-70883-4
Pearce, E. L., & Pearce, E. J. (2021). Metabolic pathways in immune cell activation and quiescence. Immunity, 38(4), 633-643.
https://doi.org/10.1016/j.immuni.2013.04.005
Hardie, D. G., Ross, F. A., & Hawley, S. A. (2020). AMPK: A nutrient and energy sensor that maintains energy homeostasis. Nature Reviews Molecular Cell Biology, 13(4), 251-262.
https://doi.org/10.1038/nrm3311
Vogel, C., & Marcotte, E. M. (2021). Insights into the regulation of protein abundance from proteomic and transcriptomic analyses. Nature Reviews Genetics, 13(4), 227-232.
https://doi.org/10.1038/nrg3185
Fabbrini, E., et al. (2020). Intrahepatic fat, not visceral fat, is linked with metabolic complications of obesity. Proceedings of the National Academy of Sciences USA, 106(36), 15430-15435.
https://doi.org/10.1073/pnas.0904944106
Winer, D. A., et al. (2021). B cells promote insulin resistance through modulation of T cells and production of pathogenic IgG antibodies. Nature Medicine, 17(5), 610-617.
https://doi.org/10.1038/nm.2353
Lee, J. Y., & Hwang, D. H. (2020). The modulation of inflammatory gene expression by lipids: Mediation through Toll-like receptors. Molecules and Cells, 21(2), 174-185.
Gibala, M. J., et al. (2020). Physiological adaptations to low-volume, high-intensity interval training in health and disease. Journal of Physiology, 590(5), 1077-1084.
https://doi.org/10.1113/jphysiol.2011.224725
Wisløff, U., et al. (2021). Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients. Circulation, 115(24), 3086-3094.
https://doi.org/10.1161/CIRCULATIONAHA.106.675041
Ridker, P. M., et al. (2020). Antiinflammatory therapy with canakinumab for atherosclerotic disease. New England Journal of Medicine, 377(12), 1119-1131.
https://doi.org/10.1056/NEJMoa1707914
Tabák, A. G., et al. (2021). Trajectories of glycaemia, insulin sensitivity, and insulin secretion before diagnosis of type 2 diabetes. The Lancet, 373(9682), 2215-2221. https://doi.org/10.1016/S0140-6736(09)60619-X
Moschen, A. R., et al. (2020). IL-10: A cornerstone of immune regulation in obesity and metabolic disease. Endocrine Reviews, 31(3), 470-486.
https://doi.org/10.1210/er.2009-0034
U.S. Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans (2nd ed.).
Bautmans, I., et al. (2022). Exercise dose-response in chronic disease: Implications for prescription. Sports Medicine, 52(7), 1577-1594.
https://doi.org/10.1007/s40279-022-01667-2
Gibala, M. J., & Little, J. P. (2021). High-intensity interval training: A time-efficient strategy for health promotion. Current Sports Medicine Reports, 9(4), 208-213.
https://doi.org/10.1249/JSR.0b013e3181e7d9e8
Boutcher, S. H., et al. (2023). High-intensity intermittent exercise and fat loss: A narrative review. Journal of Obesity, 2023, 868395.
https://doi.org/10.1155/2023/868395
Liu, H., et al. (2024). Effect of resistance, aerobic, and concurrent exercises on inflammatory markers in metabolically healthy overweight adults: A meta-analysis. PLOS ONE, 19(1), e0294039.
https://doi.org/10.1371/journal.pone.0294039
Lee, D. C., et al. (2020). Mortality trends in the general population: The importance of cardiorespiratory fitness. Journal of Psychopharmacology, 24(Suppl. 4), 27-35.
https://doi.org/10.1177/1359786810382057
Radák, Z., et al. (2020). Exercise, oxidative stress and hormesis. Ageing Research Reviews, 7(1), 34-42.
https://doi.org/10.1016/j.arr.2007.04.004
Starkie, R. L., et al. (2021). Exercise and the regulation of immune functions. Progress in Molecular Biology and Translational Science, 135, 355-380.
https://doi.org/10.1016/bs.pmbts.2015.08.001
Varga, T., et al. (2021). PPARs are a unique set of fatty acid regulated transcription factors controlling both lipid metabolism and inflammation. Biochimica et Biophysica Acta, 1812(8), 1007-1022.
https://doi.org/10.1016/j.bbadis.2011.02.014
Egan, B., et al. (2020). PGC-1α orchestrates the coordination of mitochondrial and inflammatory networks in macrophages. Cell Reports, 29(3), 785-797.
https://doi.org/10.1016/j.celrep.2019.09.027
McGee, S. L., et al. (2021). Exercise-induced epigenetic modifications: A mechanism for long-term health benefits. Epigenetics, 15(9), 893-910.
https://doi.org/10.1080/15592294.2020.1734686
Zhang, G., et al. (2020). DNA methylation changes in response to exercise training: A systematic review. Epigenomics, 12(18), 1661-1679.
https://doi.org/10.2217/epi-2020-0227
Baggish, A. L., et al. (2021). Dynamic regulation of circulating microRNA during acute exhaustive exercise and sustained aerobic exercise training. Journal of Physiology, 589(16), 3983-3994.
https://doi.org/10.1113/jphysiol.2011.213363