Exercise workload: a key determinant of immune health – a narrative review

The total exercise workload is an important factor influencing immune health. Appropriately prescribed physical activity can mitigate the detrimental effects of chronic inflammation, bolster the body’s defenses against both infectious and non-infectious diseases, and decelerate the immunosenescence...

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Main Authors: Xinxin Shi, Lunuo Hu, David C. Nieman, Fei Li, Peijie Chen, Hui Shi, Yue Shi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1617261/full
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author Xinxin Shi
Lunuo Hu
David C. Nieman
Fei Li
Fei Li
Peijie Chen
Peijie Chen
Hui Shi
Hui Shi
Yue Shi
Yue Shi
author_facet Xinxin Shi
Lunuo Hu
David C. Nieman
Fei Li
Fei Li
Peijie Chen
Peijie Chen
Hui Shi
Hui Shi
Yue Shi
Yue Shi
author_sort Xinxin Shi
collection DOAJ
description The total exercise workload is an important factor influencing immune health. Appropriately prescribed physical activity can mitigate the detrimental effects of chronic inflammation, bolster the body’s defenses against both infectious and non-infectious diseases, and decelerate the immunosenescence process. Physiological and immune system responses to moderate and strenuous exercise workloads vary markedly. This narrative review summarizes current findings on the impacts of moderate-intensity exercise, high-intensity interval training, and strenuous and prolonged exercise on immune health, elucidating their specific effects and underlying mechanisms. Additionally, the role of challenging environmental conditions in shaping immune responses to exercise is also briefly considered. The insights presented here are intended to guide healthy individuals in selecting evidence-based exercise training protocols that are compatible with both health promotion and immune health. Moreover, this review offers prospective research directions, particularly regarding personalized exercise regimens and the interaction between exercise and environmental factors, providing valuable perspectives for scholars within the field of exercise immunology.
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issn 1664-3224
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-34d31a3ecd5d45cc8745da58e20946e12025-08-20T02:50:53ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.16172611617261Exercise workload: a key determinant of immune health – a narrative reviewXinxin Shi0Lunuo Hu1David C. Nieman2Fei Li3Fei Li4Peijie Chen5Peijie Chen6Hui Shi7Hui Shi8Yue Shi9Yue Shi10School of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaSchool of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaHuman Performance Laboratory, North Carolina Research Campus, Appalachian State University, Kannapolis, NC, United StatesSchool of Athletic Performance, Shanghai University of Sport, Shanghai, ChinaShanghai Key Laboratory of Human Performance, Shanghai University of Sport, Shanghai, ChinaSchool of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaResearch Institute for Doping Control, Shanghai University of Sport, Shanghai, ChinaResearch Institute for Doping Control, Shanghai University of Sport, Shanghai, ChinaDepartment of Rheumatology and Immunology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Athletic Performance, Shanghai University of Sport, Shanghai, ChinaShanghai Key Laboratory of Human Performance, Shanghai University of Sport, Shanghai, ChinaThe total exercise workload is an important factor influencing immune health. Appropriately prescribed physical activity can mitigate the detrimental effects of chronic inflammation, bolster the body’s defenses against both infectious and non-infectious diseases, and decelerate the immunosenescence process. Physiological and immune system responses to moderate and strenuous exercise workloads vary markedly. This narrative review summarizes current findings on the impacts of moderate-intensity exercise, high-intensity interval training, and strenuous and prolonged exercise on immune health, elucidating their specific effects and underlying mechanisms. Additionally, the role of challenging environmental conditions in shaping immune responses to exercise is also briefly considered. The insights presented here are intended to guide healthy individuals in selecting evidence-based exercise training protocols that are compatible with both health promotion and immune health. Moreover, this review offers prospective research directions, particularly regarding personalized exercise regimens and the interaction between exercise and environmental factors, providing valuable perspectives for scholars within the field of exercise immunology.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1617261/fullexercise intensityimmune healthmoderate-intensity exerciseimmune cell functioncytokine regulation
spellingShingle Xinxin Shi
Lunuo Hu
David C. Nieman
Fei Li
Fei Li
Peijie Chen
Peijie Chen
Hui Shi
Hui Shi
Yue Shi
Yue Shi
Exercise workload: a key determinant of immune health – a narrative review
Frontiers in Immunology
exercise intensity
immune health
moderate-intensity exercise
immune cell function
cytokine regulation
title Exercise workload: a key determinant of immune health – a narrative review
title_full Exercise workload: a key determinant of immune health – a narrative review
title_fullStr Exercise workload: a key determinant of immune health – a narrative review
title_full_unstemmed Exercise workload: a key determinant of immune health – a narrative review
title_short Exercise workload: a key determinant of immune health – a narrative review
title_sort exercise workload a key determinant of immune health a narrative review
topic exercise intensity
immune health
moderate-intensity exercise
immune cell function
cytokine regulation
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1617261/full
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