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Table 1 Literatures exhibiting outcomes and involved mechanisms with the application of exercise intervention to bone-related diseases in population-based studies and animals researches from the perspective of GM and its metabolites

From: A narrative review of the moderating effects and repercussion of exercise intervention on osteoporosis: ingenious involvement of gut microbiota and its metabolites

Research subjects

Intervention mode

Exercise duration

Research outcomes

Involved mechanisms

References

Population: Previously sedentary overweight women

Moderate-to-low intensity power cycling training

6 weeks

Six-weeks endurance exercise, without changing diet, affected the GM and systemic metabolites of overweight women

The GM, especially Akkermansia and Proteobacteria, were the exercise-responsive taxa

Munukka et al. (2018)

Population: Postmenopausal women

Combination of isoflavone and exercise

24 weeks

The combination of isoflavones and exercise exhibited favorable effects on serum lipid and body composition of postmenopausal women

The preventive effects of isoflavones on bone loss depended on the individual’s GM for equol production

Wu et al. (2006)

Population: Postmenopausal women

Combination of synbiotic supplements and exercise

12 weeks

The combination of synbiotic supplements and exercise might serve as a noninvasive approach to manage and/or improve body composition and bone health in postmenopausal women

The combination of synbiotic supplements and exercise may promote the growth of beneficial bacteria, increases the level of SCFAs, reduce the inflammatory cytokines, and improve the effects of anti-inflammatory cytokines

Ilesanmi-Oyelere et al. (2021)

Population: Lean and obese women

Supervised and endurance-based exercise training

6 weeks

Exercise-induced alterations of the GM were dependent on obesity status, and exercise increased fecal concentrations of SCFAs in lean, but not obese participants.

Exercise training induced the compositional and functional changes in the human GM that were dependent on obesity status, independent of diet and contingent on the sustainment of exercise.

Allen et al. (2018)

Animal models: HFD-induced OP mice

Sedentary/Autonomous exercise

14 weeks

Exercise prevented the negative effects of HFD on skeletal health

Exercise altered the HFD-induced changes on the composition of GM by reducing the ratio of Firmicutes and Bacteroides

McCabe et al. (2019)

Animal models: PTOA rats

Sedentary/Treadmill-walking

8 weeks

Treadmill-walking was effective at maintaining the integrity of cartilage-subchondral bone unit and reducing the elevated systematic inflammation factors and microbiome-derived metabolites

The exercise-induced modification of disease-relevant microbial shifts was potentially involved in the mechanisms of exercise-induced amelioration of PTOA

Hao et al. (2022)

Animal models: HFD-induced OA rats

Combination of prebiotic fiber supplements and exercise

12 weeks

The combination of prebiotic fiber supplements and exercise prevented the knee joint damage

The prevention of knee joint damage was related to the normalization of insulin resistance, leptin levels, dyslipidemia, GM and endotoxemia

Rios et al. (2019)

Animal models: HFD-induced OA mice

Sedentary/Wheel-running exercise

4 weeks

Exercise contributed to the relief of chronic inflammation and OA

Exercise reshaped the GM, reduced the LPS levels in the blood and synovial fluid and TLR4 and MMP-13 expression levels, and ameliorated the cartilage degeneration

Li et al. (2021)

  1. Note: OP, osteoporosis; GM, gut microbiota; HFD, high-fat diet; SCFAs, short chain fatty acids; PTOA, post-traumatic osteoarthritis; OA, osteoarthritis; LPS, lipopolysaccharide; TLR4, toll like receptor 4; MMP-13, matrix metallopeptidase 13