Exercise as a tool to mitigate metabolic disease

Am J Physiol Cell Physiol. 2024 Sep 1;327(3):C587-C598. doi: 10.1152/ajpcell.00144.2024. Epub 2024 Jul 9.

Abstract

Metabolic diseases, notably obesity and type 2 diabetes (T2D), have reached alarming proportions and constitute a significant global health challenge, emphasizing the urgent need for effective preventive and therapeutic strategies. In contrast, exercise training emerges as a potent intervention, exerting numerous positive effects on metabolic health through adaptations to the metabolic tissues. Here, we reviewed the major features of our current understanding with respect to the intricate interplay between metabolic diseases and key metabolic tissues, including adipose tissue, skeletal muscle, and liver, describing some of the main underlying mechanisms driving pathogenesis, as well as the role of exercise to combat and treat obesity and metabolic disease.

Keywords: adipose tissue; insulin resistance; liver; metabolism; skeletal muscle.

Publication types

  • Review

MeSH terms

  • Adipose Tissue* / metabolism
  • Animals
  • Diabetes Mellitus, Type 2* / metabolism
  • Diabetes Mellitus, Type 2* / prevention & control
  • Diabetes Mellitus, Type 2* / therapy
  • Energy Metabolism
  • Exercise Therapy / methods
  • Exercise* / physiology
  • Humans
  • Liver / metabolism
  • Metabolic Diseases* / metabolism
  • Metabolic Diseases* / prevention & control
  • Metabolic Diseases* / therapy
  • Muscle, Skeletal* / metabolism
  • Obesity / metabolism
  • Obesity / therapy