It is known that obesity leads to many diseases through a chronic
low-level exposure of pro-inflammatory signals.
The fat cells themselves pump out compounds known as adipokines. These adipokines can lead to the increased concentrations
of pro-inflammatory compounds in the body such as IL-6, TNFa, and C-reactive
protein. In addition, fat cells can
recruit certain immune cells that will increase the amount of inflammation.
A strong immune system is necessary for survival, however if
the immune system is too strong or is always in an active state, it will lead
to collateral damage within the body. This damage can lead to several major
diseases including cancer. A consistent
exercise regime coupled with a healthy diet and appropriate caloric intake will
certainly limit the formation of visceral fat and will limit the infiltration
of visceral fat into other parts of the body by pro-inflammatory immune
cells. In addition to limiting the
amount of fat and its infiltration, exercise exerts additional benefits through
the release of signals from our muscles and the body’s counter to these signals.
All bodies try to remain in a state of balance. Many of our biochemical pathways evolved as a
response to certain conditions that knock the balance off. In biology, many of the diseases that we
experience are the result of this balance being offset in one direction versus
the other. In attempting to maintain a balance,
if a tipping point is reached, the reaction can be such that there is no way to
get back to the original set point; in essence the effects snowball into a
condition that cannot be rescued without the addition of external help (in the
form of medicine). All
medicines are designed to aid the body in reaching some set point equilibrium. Think of a run-away train speeding down a
mountain and medicine as the addition of brakes. If the accumulation of disease signals can be
stopped, and in some cases reversed by the application of a medicine, disease
states will be either in remission or cured.
When we exercise, our muscles begin to burn stored
glycogen. This results in a release
of IL-6 myokine from the muscle cells themselves. During high intensity exercise the
concentration of IL-6 in the blood begins to increase and the concentration is
dependent on the duration of the activity; longer and higher intensity activities will result in a
larger increase of circulating IL-6. Since
this increase in IL-6 is not conducive to the body’s balanced state, it reacts
by releasing compounds that counter act activities of IL-6.
IL-6 mostly acts as an alarm signal for the immune system,
calling into action the big hitters. It
is normally released by cells under attack, and signals to the immune cells whose
job it is to destroy pathogenic invaders.
IL-6 release is great for when a bacteria or virus is invading the body,
but terrible if released unchecked during exercise. If allowed to circulate for prolonged
periods, the IL-6 released by our muscles would eventually destroy us, as the
big hitters would start attacking anywhere that the signal was too high,
essentially destroying us from within.
So, what about people who exercise all the time, will they
be super humans? In some cases, prolonged
high intensity exertion can lead to suppressed immune responses, and in turn, to
the development of infections. Remember,
a body will always try to maintain a balance, and if the balance is tipped too
far, as in this case from too much exercise, the negative aspects will be more infections,
as the immune system is too inactive.
Therefore it is important for both sedentary and over active
individuals to find their balance. Too
sedentary of a lifestyle will lead to a chronic, low-level inflammatory state
and can lead to one or more of the diseases prevalent in our modern times. Too active and it may lead to more
infections. So if you’re sedentary; go exercise!
If you exercise too much; take some days off!
Since a disease state is usually the product of a balance
that cannot be tipped back (without help from medicines) the key is to not let
that balance get out of control in the first place. Exercise is a simple and yet effective method
to keep obesity and chronic low-level inflammation at bay, and is certainly
worthwhile to anyone as potential medicine to fight many of the diseases of our
modern times.