Submitted:
09 July 2025
Posted:
11 July 2025
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Abstract
Keywords:
1. Introduction
2. The Impact of Aging on Body Metabolism [4,5,6,7,8,9]
2.1. Muscle Protein Metabolism and Sarcopenia
- Decline in Protein Synthesis: Aging is marked by a reduction in muscle protein synthesis rates, which directly contributes to loss of lean muscle mass.
- Sarcopenia Development: This condition involves not just muscle mass loss but also functional decline, leading to mobility issues and frailty.
- Metabolic Slowdown: With less muscle mass, basal metabolic rate (BMR) decreases, further complicating weight and energy regulation.
2.2. Insulin Resistance and Fat Accumulation
- Increased Visceral Fat: Older adults tend to accumulate fat around the abdomen, which is strongly associated with metabolic dysfunction.
- Reduced Insulin Sensitivity: Aging is often accompanied by impaired glucose metabolism, increasing the risk of type 2 diabetes.
3. Exercise as a Strategy to Combat Metabolic Decline [10,11,12,13,14]
3.1. Effects on Muscle Protein Synthesis
- Enhanced Turnover: Exercise stimulates both protein synthesis and breakdown, promoting muscle repair and growth even in older adults.
- Resistance Training vs. Aerobic Exercise: While resistance training boosts muscle mass, aerobic exercise improves mitochondrial function and endurance.
3.2. Systemic Metabolic Integration
- Improved Organ Crosstalk: Exercise enhances coordination between skeletal muscle, liver, and adipose tissue, regulating energy metabolism.
- Mitochondrial Health: Physical activity increases mitochondrial density and function, reducing oxidative stress and improving energy production.
3.3. Functional and Clinical Benefits
- Improved Insulin Sensitivity: Exercise helps regulate blood sugar and enhances insulin action.
- Lower Inflammatory Markers: Physical activity reduces systemic inflammation, a key component of aging-related disease.
4. Gut Microbiota: A New Frontier in Healthy Aging [15,16,17]
4.1. Role of the Gut Microbiome
- Microbiota and Metabolism: The gut microbiome influences nutrient absorption, immune function, and energy balance.
- Inflammaging: An imbalanced microbiota contributes to chronic, low-grade inflammation seen in aging.
4.2. Benefits of Prebiotics and Probiotics
- Prebiotics: Non-digestible fibers that stimulate the growth of beneficial gut bacteria (e.g., inulin, fructooligosaccharides).
- Probiotics: Live microorganisms (e.g., Lactobacillus, Bifidobacterium) that confer health benefits when consumed in adequate amounts.
4.3. Effects on Muscle and Metabolic Health
- Reduced Inflammation: Probiotics may lower levels of inflammatory cytokines, improving tissue function.
- Enhanced Nutrient Absorption: Pre/probiotics improve absorption of amino acids and micronutrients, supporting muscle health.
- Potential for Sarcopenia Prevention: Improved gut health is increasingly linked to better muscle mass and strength in older adults.
5. Synergistic Role of Exercise and Gut Health in Aging [18,19,20]
| Parameter | Exercise | Prebiotics/Probiotics |
|---|---|---|
| Muscle Protein Synthesis | Stimulates synthesis and turnover | Indirect support via nutrient absorption |
| Mitochondrial Function | Increases density and efficiency | Limited direct effect |
| Insulin Sensitivity | Improves glucose uptake | May improve through reduced inflammation |
| Inflammation | Reduces systemic inflammation | Modulates gut-derived inflammation (inflammaging) |
| Gut Microbiota Balance | Mild positive effects | Strong modulatory effects |
| Sarcopenia Risk | Decreased with regular training | May be reduced through improved nutrient and gut health |
| Fat Distribution | Reduces central/visceral adiposity | Limited direct effect |
6. Conclusions
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