Gerontology. 2023 Nov 24.
BACKGROUND: The related functions of skeletal muscle and brain decrease significantly with age, and muscle-brain-related diseases are primarily associated with each other. Exercise can promote the secretion of myokines in skeletal muscle, showing a beneficial effect on the function of both, reflecting muscle-brain crosstalk. However, the key mechanism of action of exercise-regulated myokines in muscle-brain diseases remains unclear.
METHODS: Web of Science, PubMed, EBSCO, OVID, and China National Knowledge Infrastructure were searched from July 2022 to February 2023 using "myokine," "myokines," "exercise," "training," "physical activity," "aging," "brain" and "crosstalk" as keywords.
RESULTS: Twenty-four experimental studies were selected from 2,941 studies involving seven common myokines. The exercises studied included aerobic exercise, resistance exercise, combined aerobic and resistance exercise, high-intensity interval training (HIIT), and high-intensity circuit training (HICT). Eighteen of the studies mentioned brain-derived neurotrophic factor (BDNF), four mentioned insulin-like growth factor 1 (IGF-1), three mentioned cathepsin B (CATB), and four mentioned irisin. There were four with vascular endothelial growth factor (VEGF), five with interleukin 6 (IL-6), and three with fibroblast growth factor 21 (FGF-21). There are multiple studies involving multiple myokines at the same time.
CONCLUSIONS: Type, duration, intensity, and frequency of exercise may affect the expression of myokines in muscle-brain crosstalk. Both low- to moderate-intensity aerobic exercise three times a week for 12 weeks or more and resistance exercise two or three times a week with low or moderate-intensity for 12 weeks have a strong effect on the expression of myokines. However, there are few studies on the effects of combined aerobic and resistance exercise, HIIT, and HICT on myokines, and more empirical studies are required in the future.