Therapeutic Exercise Prescription: Epigenetic and Healthy Ageing: Difference between revisions

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== Overview ==
== Overview ==
Ageing is a phyisological declines in body systems and it is complex and intra-individual process. The hallmarks of ageing is recently noted to include about nine cellullar and molecular characteristics including  epigenetic alterations; genomic instability; telomeric attrition; loss of proteostasis; and deregulated nutrient sensing. Others are mitochondrial dysfunction; cellular senescence; stem cell exhaustion; and altered intercellular communication. Exercise therapy had been shown to improve all these nine domains.<ref>Rebelo-Marques A, De Sousa Lages A, Andrade R, Ribeiro CF, Mota-Pinto A, Carrilho F, Espregueira-Mendes J. Aging hallmarks: the benefits of physical exercise. Frontiers in endocrinology. 2018 May 25;9:258.</ref> Therefore prescribing exact amount of exercise that will give us desire effect in achieving health domain is essential.
The physiological declines in body systems characterize aging, which is a complicated and intra-individual process. Epigenetic alterations, genomic instability, telomeric attrition, proteostasis loss, and uncontrolled nutrient sensing are only a few of the recently discovered cellullar and molecular hallmarks of aging. Mitochondrial malfunction, cellular senescence, stem cell exhaustion, and alterations in intercellular communication are among the others.<ref name=":1" /> Therapeutic exercise appears to improve these age-related biomarkers, according to emerging research.<ref name=":1">Rebelo-Marques A, De Sousa Lages A, Andrade R, Ribeiro CF, Mota-Pinto A, Carrilho F, Espregueira-Mendes J. Aging hallmarks: the benefits of physical exercise. Frontiers in endocrinology. 2018 May 25;9:258.</ref> As a result, prescribing the correct amount of exercise that would result in the slowing or reversal of ageing is imperative.


Epigenetic field is promising in delivery of precise therapeutic exercise interventions that will bring about the outcome of interest. This field is define as the study of how regular exposures to environmental factors such as exercise, emotional stress and nutrition may improve how some certain gene is expressed or repressed.<ref name=":0">Woelfel JR, Dudley-Javoroski S, Shields RK. Precision physical therapy: exercise, the epigenome, and the heritability of environmentally modified traits. Physical therapy. 2018 Nov 1;98(11):946-52.
In terms of giving specific therapeutic exercise interventions that will result in the intended outcome, the epigenetic discipline is promising. Epigenetic field is described as the study of how repeated exposures to environmental elements like exercise, emotional stress, and nutrition might improve the expression or repression of a certain gene.<ref name=":0">Woelfel JR, Dudley-Javoroski S, Shields RK. Precision physical therapy: exercise, the epigenome, and the heritability of environmentally modified traits. Physical therapy. 2018 Nov 1;98(11):946-52.
</ref>And it is of interest that epigenome may be one of the means that exercise express its beneficial effects. Thus, healthy ageing may be achieved by understanding how much exercise that is enough to combat all marks of ageing .  
</ref>It is also worth noting that the epigenome may be one of the processes by which exercise manifests its beneficial effects. Thus, healthy aging can be achieved by determining how much exercise is required to combat the signs of aging.  


== Evidence on Epigenetic and Healthy Ageing ==
== Evidence on Epigenetic and Healthy Ageing ==
Exercise has gain interest in remediating many chronic conditions when prescribed but the same cannot be said in terms of epigenetic field and exercise prescription.<ref name=":0" />
Exercise has grown in popularity as a treatment for many chronic diseases, but the same cannot be said for the epigenetic field and exercise prescription.<ref name=":0" />However, new researches on how exercise can cause epigenetic changes are emerging.<ref name=":1" /> <ref name=":0" /> The following are some recent epigenetics studies that may be useful in prescribing tailored therapeutic exercise to promote healthy aging.<ref name=":0" />:


Below are lists of current evidence on the field of epigenetic that may be beneficial in precise therapeutic exercise prescription to achieve healthy ageing<ref name=":0" />:
* Exercise-induced DNA methylation, epigenetic changes, and human longevity are all linked.
 
* The methylation level of 485,577 may represent epigenetic age (DNA methylation age), a biomarker of epigenetic ageing.
* Evidence is pointing to exercise induced DNA methylation an epigenetic changes and human longevity.
* Methylation level of 485,577 may represents  DNA methylation age, which is a biomarker of  epigenetic ageing.
* Low epigenetic age may suggests good chronological age.
* Low epigenetic age may suggests good chronological age.
* Exercise and good diet has been associated with low epigenetic age.
* Exercise and a healthy diet have been linked to a low epigenetic age.
* 6 month endurance training, and even endurance exercise for 60 minutes of cycling, at around 70 percent VO2 max yields an epigenetic adaptation.<ref>Rönn T, Volkov P, Davegårdh C, Dayeh T, Hall E, Olsson AH, Nilsson E, Tornberg Å, Dekker Nitert M, Eriksson KF, Jones HA. A six months exercise intervention influences the genome-wide DNA methylation pattern in human adipose tissue. PLoS genetics. 2013 Jun 27;9(6):e1003572.</ref>
* Epigenetic adaptation occurs after 6 months of endurance training, as well as 60 minutes of cycling at 70% VO2 max.<ref>Rönn T, Volkov P, Davegårdh C, Dayeh T, Hall E, Olsson AH, Nilsson E, Tornberg Å, Dekker Nitert M, Eriksson KF, Jones HA. A six months exercise intervention influences the genome-wide DNA methylation pattern in human adipose tissue. PLoS genetics. 2013 Jun 27;9(6):e1003572.</ref>
* Barrès and colleagues noted that 35 minutes of high-intensity exercise of about 80 percent of maximal aerobic capacity suggests a good epigenetic adaptation.<ref>Barres R, Yan J, Egan B, Treebak JT, Rasmussen M, Fritz T, Caidahl K, Krook A, O'Gorman DJ, Zierath JR. Acute exercise remodels promoter methylation in human skeletal muscle. Cell metabolism. 2012 Mar 7;15(3):405-11.</ref>
* According to Barrès and colleagues, 35 minutes of high-intensity exercise at around 80% of maximum aerobic capacity induce epigenetic adaptation.<ref>Barres R, Yan J, Egan B, Treebak JT, Rasmussen M, Fritz T, Caidahl K, Krook A, O'Gorman DJ, Zierath JR. Acute exercise remodels promoter methylation in human skeletal muscle. Cell metabolism. 2012 Mar 7;15(3):405-11.</ref>


== Future Direction on  Epigenetic and Healthy Ageing  ==
== Future Direction on  Epigenetic and Healthy Ageing  ==
Of note<ref name=":0" />:
Of note<ref name=":0" />:


There is need for empirical studies on how low intensity exercise and epigenetic adaptations
Empirical investigations on the effects of low-intensity exercise and epigenetic changes are needed.


Field of epigenetic will potentially benefits physiotherapy and others  such as pharmacy are producing new medication based on new evidence on genomic data to replace dangerous medicine.
The field of epigenetics may improve physiotherapy and other fields, such as pharmacy, which is developing new medications based on fresh information from genomic data to replace harmful medications.


It is posited that Physiotherapy will use genome knowledge to prescribe precise exercise to individual genotype in the nearest future.
It is projected that in the not-too-distant future, physiotherapy will employ genetic knowledge to prescribe precise exercise to individuals with certain genotypes.


As knowledge advances about the genetic determinants of individual response to exercise, physical therapy exercise prescription will also capitalize on precision genomic information.
Individual genomic information will be used in physical therapy exercise prescription as knowledge about the genetic determinants of individual response to exercise advances.


Of important:
Of important:


“Physical therapy clinicians, as the health care team's experts in exercise dose prescription, will be at the forefront of research to uncover the optimal modes, intensities, and durations of exercise for preventing or reversing disease in patients with unfavorable epigenetic status.”
“Physical therapy clinicians, as the health care team's experts in exercise dose prescription, will be at the forefront of research to uncover the optimal modes, intensities, and durations of exercise for preventing or reversing disease in patients with unfavorable epigenetic status.”<ref name=":0" />
 





Revision as of 02:40, 1 October 2021

Original Editor - Tolulope Adeniji

Top Contributors - Tolulope Adeniji, Lucinda hampton and Kim Jackson  

Overview[edit | edit source]

The physiological declines in body systems characterize aging, which is a complicated and intra-individual process. Epigenetic alterations, genomic instability, telomeric attrition, proteostasis loss, and uncontrolled nutrient sensing are only a few of the recently discovered cellullar and molecular hallmarks of aging. Mitochondrial malfunction, cellular senescence, stem cell exhaustion, and alterations in intercellular communication are among the others.[1] Therapeutic exercise appears to improve these age-related biomarkers, according to emerging research.[1] As a result, prescribing the correct amount of exercise that would result in the slowing or reversal of ageing is imperative.

In terms of giving specific therapeutic exercise interventions that will result in the intended outcome, the epigenetic discipline is promising. Epigenetic field is described as the study of how repeated exposures to environmental elements like exercise, emotional stress, and nutrition might improve the expression or repression of a certain gene.[2]It is also worth noting that the epigenome may be one of the processes by which exercise manifests its beneficial effects. Thus, healthy aging can be achieved by determining how much exercise is required to combat the signs of aging.

Evidence on Epigenetic and Healthy Ageing[edit | edit source]

Exercise has grown in popularity as a treatment for many chronic diseases, but the same cannot be said for the epigenetic field and exercise prescription.[2]However, new researches on how exercise can cause epigenetic changes are emerging.[1] [2] The following are some recent epigenetics studies that may be useful in prescribing tailored therapeutic exercise to promote healthy aging.[2]:

  • Exercise-induced DNA methylation, epigenetic changes, and human longevity are all linked.
  • The methylation level of 485,577 may represent epigenetic age (DNA methylation age), a biomarker of epigenetic ageing.
  • Low epigenetic age may suggests good chronological age.
  • Exercise and a healthy diet have been linked to a low epigenetic age.
  • Epigenetic adaptation occurs after 6 months of endurance training, as well as 60 minutes of cycling at 70% VO2 max.[3]
  • According to Barrès and colleagues, 35 minutes of high-intensity exercise at around 80% of maximum aerobic capacity induce epigenetic adaptation.[4]

Future Direction on Epigenetic and Healthy Ageing[edit | edit source]

Of note[2]:

Empirical investigations on the effects of low-intensity exercise and epigenetic changes are needed.

The field of epigenetics may improve physiotherapy and other fields, such as pharmacy, which is developing new medications based on fresh information from genomic data to replace harmful medications.

It is projected that in the not-too-distant future, physiotherapy will employ genetic knowledge to prescribe precise exercise to individuals with certain genotypes.

Individual genomic information will be used in physical therapy exercise prescription as knowledge about the genetic determinants of individual response to exercise advances.

Of important:

“Physical therapy clinicians, as the health care team's experts in exercise dose prescription, will be at the forefront of research to uncover the optimal modes, intensities, and durations of exercise for preventing or reversing disease in patients with unfavorable epigenetic status.”[2]



References[edit | edit source]

  1. 1.0 1.1 1.2 Rebelo-Marques A, De Sousa Lages A, Andrade R, Ribeiro CF, Mota-Pinto A, Carrilho F, Espregueira-Mendes J. Aging hallmarks: the benefits of physical exercise. Frontiers in endocrinology. 2018 May 25;9:258.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 Woelfel JR, Dudley-Javoroski S, Shields RK. Precision physical therapy: exercise, the epigenome, and the heritability of environmentally modified traits. Physical therapy. 2018 Nov 1;98(11):946-52.
  3. Rönn T, Volkov P, Davegårdh C, Dayeh T, Hall E, Olsson AH, Nilsson E, Tornberg Å, Dekker Nitert M, Eriksson KF, Jones HA. A six months exercise intervention influences the genome-wide DNA methylation pattern in human adipose tissue. PLoS genetics. 2013 Jun 27;9(6):e1003572.
  4. Barres R, Yan J, Egan B, Treebak JT, Rasmussen M, Fritz T, Caidahl K, Krook A, O'Gorman DJ, Zierath JR. Acute exercise remodels promoter methylation in human skeletal muscle. Cell metabolism. 2012 Mar 7;15(3):405-11.