Bidirectional causality of physical exercise in retinal neuroprotection

Physical exercise is recognized as an effective intervention to improve mood, physical performance, and general well-being. It achieves these benefits through cellular and molecular mechanisms that promote the release of neuroprotective factors. Interestingly, reduced levels of physical exercise hav...

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Main Authors: Stephen K. Agadagba, Suk-yu Yau, Ying Liang, Kristine Dalton, Benjamin Thompson
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-12-01
Series:Neural Regeneration Research
Subjects:
Online Access:https://journals.lww.com/10.4103/NRR.NRR-D-24-00942
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author Stephen K. Agadagba
Suk-yu Yau
Ying Liang
Kristine Dalton
Benjamin Thompson
author_facet Stephen K. Agadagba
Suk-yu Yau
Ying Liang
Kristine Dalton
Benjamin Thompson
author_sort Stephen K. Agadagba
collection DOAJ
description Physical exercise is recognized as an effective intervention to improve mood, physical performance, and general well-being. It achieves these benefits through cellular and molecular mechanisms that promote the release of neuroprotective factors. Interestingly, reduced levels of physical exercise have been implicated in several central nervous system diseases, including ocular disorders. Emerging evidence has suggested that physical exercise levels are significantly lower in individuals with ocular diseases such as glaucoma, age-related macular degeneration, retinitis pigmentosa, and diabetic retinopathy. Physical exercise may have a neuroprotective effect on the retina. Therefore, the association between reduced physical exercise and ocular diseases may involve a bidirectional causal relationship whereby visual impairment leads to reduced physical exercise and decreased exercise exacerbates the development of ocular disease. In this review, we summarize the evidence linking physical exercise to eye disease and identify potential mediators of physical exercise-induced retinal neuroprotection. Finally, we discuss future directions for preclinical and clinical research in exercise and eye health.
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publishDate 2025-12-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-1bb4478235bb41569a63d21c0a6c4b362025-02-06T09:58:38ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582025-12-0120123400341510.4103/NRR.NRR-D-24-00942Bidirectional causality of physical exercise in retinal neuroprotectionStephen K. AgadagbaSuk-yu YauYing LiangKristine DaltonBenjamin ThompsonPhysical exercise is recognized as an effective intervention to improve mood, physical performance, and general well-being. It achieves these benefits through cellular and molecular mechanisms that promote the release of neuroprotective factors. Interestingly, reduced levels of physical exercise have been implicated in several central nervous system diseases, including ocular disorders. Emerging evidence has suggested that physical exercise levels are significantly lower in individuals with ocular diseases such as glaucoma, age-related macular degeneration, retinitis pigmentosa, and diabetic retinopathy. Physical exercise may have a neuroprotective effect on the retina. Therefore, the association between reduced physical exercise and ocular diseases may involve a bidirectional causal relationship whereby visual impairment leads to reduced physical exercise and decreased exercise exacerbates the development of ocular disease. In this review, we summarize the evidence linking physical exercise to eye disease and identify potential mediators of physical exercise-induced retinal neuroprotection. Finally, we discuss future directions for preclinical and clinical research in exercise and eye health.https://journals.lww.com/10.4103/NRR.NRR-D-24-00942age-related macular degenerationbiomarkersdiabetic retinopathyglaucomaneuroprotective factorsocular diseasesphysical exerciseretinal neuroprotectionretinitis pigmentosavisual impairment
spellingShingle Stephen K. Agadagba
Suk-yu Yau
Ying Liang
Kristine Dalton
Benjamin Thompson
Bidirectional causality of physical exercise in retinal neuroprotection
Neural Regeneration Research
age-related macular degeneration
biomarkers
diabetic retinopathy
glaucoma
neuroprotective factors
ocular diseases
physical exercise
retinal neuroprotection
retinitis pigmentosa
visual impairment
title Bidirectional causality of physical exercise in retinal neuroprotection
title_full Bidirectional causality of physical exercise in retinal neuroprotection
title_fullStr Bidirectional causality of physical exercise in retinal neuroprotection
title_full_unstemmed Bidirectional causality of physical exercise in retinal neuroprotection
title_short Bidirectional causality of physical exercise in retinal neuroprotection
title_sort bidirectional causality of physical exercise in retinal neuroprotection
topic age-related macular degeneration
biomarkers
diabetic retinopathy
glaucoma
neuroprotective factors
ocular diseases
physical exercise
retinal neuroprotection
retinitis pigmentosa
visual impairment
url https://journals.lww.com/10.4103/NRR.NRR-D-24-00942
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AT yingliang bidirectionalcausalityofphysicalexerciseinretinalneuroprotection
AT kristinedalton bidirectionalcausalityofphysicalexerciseinretinalneuroprotection
AT benjaminthompson bidirectionalcausalityofphysicalexerciseinretinalneuroprotection