Volume 46 Issue 6
Jun.  2025
Turn off MathJax
Article Contents
JIANG Tangjun, LI Tingting, TAO Shuman, ZOU Liwei, YANG Yajuan, TAO Fangbiao, WU Xiaoyan. Association between physical activity and inflammatory markers in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 847-851. doi: 10.16835/j.cnki.1000-9817.2025186
Citation: JIANG Tangjun, LI Tingting, TAO Shuman, ZOU Liwei, YANG Yajuan, TAO Fangbiao, WU Xiaoyan. Association between physical activity and inflammatory markers in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 847-851. doi: 10.16835/j.cnki.1000-9817.2025186

Association between physical activity and inflammatory markers in college students

doi: 10.16835/j.cnki.1000-9817.2025186
  • Received Date: 2025-02-14
  • Rev Recd Date: 2025-06-02
  • Available Online: 2025-07-04
  • Publish Date: 2025-06-25
  •   Objective   To analyze the association and dose-response relationship between physical activity and inflammatory markers in college students, so as to provide a reference for promoting cardiometabolic health in college students.   Methods   A cluster random sampling method was used to select 747 college students from two universities in Hefei, Anhui Province and Shangrao, Jiangxi Province from April to May 2019. Physical activity was assessed by using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), and peripheral blood was collected to detect plasma inflammatory factor levels [including hypersensitive C-reactive protein (hsCRP), interleukin-10 (IL-10), interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α)]. The differences between the groups were compared by using the χ2 test and the Kruskal-Wallis rank sum test, and the association between physical activity and inflammatory markers was analyzed by using the Generalized Linear Model. The dose-response relationship between physical activity and inflammatory markers was analyzed using the Restricted Cubic Spline Model.   Results   The proportions of low physical activity, moderate physical activity, and high physical activity groups of college students were 15.9%, 53.7% and 30.4%, respectively. The levels of hsCRP, IL-10, IL-1β, IL-6 and TNF-α in the high physical activity group were 0.38(0.21, 1.10)mg/L, 70.74(47.90, 116.43)pg/mL, 1.75(1.21, 2.64)pg/mL, 4.33(2.93, 6.82)pg/mL, 5.27(3.89, 7.30)pg/mL, the levels in the low physical activity group were 0.80(0.31, 1.30)mg/L, 73.88(47.90, 124.24)pg/mL, 1.88(1.42, 2.81) pg/mL, 4.82 (3.64, 6.67) pg/mL, 5.63 (4.34, 7.62)pg/mL, the levels in the moderate physical activity group were 0.63(0.25, 1.30)mg/L, 89.78(58.21, 127.65)pg/mL, 2.21(1.59, 3.27)pg/mL, 5.15(3.72, 7.72)pg/mL, 5.87(4.63, 8.00)g/mL, and the differences were statistically significant (H=10.66, 11.38, 27.79, 14.13, 9.44, P < 0.05). After adjusting for variables such as gender, body mass index, smoking, alcohol consumption and health status, the results of Generalized Linear Model showed that compared with the high physical activity group, the low physical activity group (OR=2.20, 95%CI=1.46-3.31) and the moderate physical activity group (OR=1.65, 95%CI=1.22-2.25) were more likely to have high levels of hsCRP, and the moderate physical activity group was more likely to have high levels of IL-1β (OR=1.85, 95%CI=1.36-2.51), IL-6 (OR=1.44, 95%CI=1.06-1.96), and TNF-α (OR=1.43, 95%CI=1.05-1.94) (P < 0.05). The Restricted Cubic Spline Model showed that there was no linear dose-response relationship between the time of moderate-to-vigorous physical activity weekly and IL-10, IL-6, II-1β, and TNF-α (P < 0.05).   Conclusion   There is an association between physical activity and inflammation in college students, and moderate to high intensity per week could reduce inflammation levels to promote cardiometabolic health in college students.
  • loading
  • [1]
    LIU C H, ABRAMS N D, CARRICK D M, et al. Biomarkers of chronic inflammation in disease development and prevention: challenges and opportunities[J]. Nat Immunol, 2017, 18(11): 1175-1180. doi: 10.1038/ni.3828
    [2]
    RUIZ-CANELA M, BES-RASTROLLO M, MARTÍNEZ-GONZÁL-EZ M A. The role of dietary inflammatory index in cardiovascular disease, metabolic syndrome and mortality[J]. Int J Mol Sci, 2016, 17(8): 1265. doi: 10.3390/ijms17081265
    [3]
    GLEESON M, BISHOP N C, STENSEL D J, et al. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease[J]. Nat Rev Immunol, 2011, 11(9): 607-615. doi: 10.1038/nri3041
    [4]
    AREM H, MOORE S C, PATEL A, et al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship[J]. JAMA Intern Med, 2015, 175(6): 959-967. doi: 10.1001/jamainternmed.2015.0533
    [5]
    JEONG S W, KIM S H, KANG S H, et al. Mortality reduction with physical activity in patients with and without cardiovascular disease[J]. Eur Heart J, 2019, 40(43): 3547-3555. doi: 10.1093/eurheartj/ehz564
    [6]
    HAMER M. The relative influences of fitness and fatness on inflammatory factors[J]. Prev Med, 2007, 44(1): 3-11. doi: 10.1016/j.ypmed.2006.09.005
    [7]
    BULL F C, AL-ANSARI S S, BIDDLE S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. doi: 10.1136/bjsports-2020-102955
    [8]
    WEST A B, BOMYSOAD R N, RUSSELL M A, et al. Daily physical activity, sedentary behavior and alcohol use in at-risk college students[J]. Ann Behav Med, 2022, 56(7): 712-725. doi: 10.1093/abm/kaab085
    [9]
    YOU T, ARSENIS N C, DISANZO B L, et al. Effects of exercise training on chronic inflammation in obesity: current evidence and potential mechanisms[J]. Sports Med, 2013, 43: 243-256. doi: 10.1007/s40279-013-0023-3
    [10]
    BEAVERS K M, BRINKLEY T E, NICKLAS B J. Effect of exercise training on chronic inflammation[J]. Clin Chim Acta, 2010, 411(11/12): 785-793.
    [11]
    中华人民共和国国家卫生和计划生育委员会. 成人体重判定: WS/T 428—2013[S]. 北京: 中国标准出版社, 2013: 1-2.

    National Health and Family Planning Commission of the PRC. Criteria of weight for adults: WS/T 428-2013[S]. Beijing: Standards Press of China, 2013: 1-2. (in Chinese)
    [12]
    CRAIG C L, MARSHALL A L, SJÖSTRÖM M, et al. International Physical Activity Questionnaire: 12-country reliability and validity[J]. Med Sci Sports Exerc, 2003, 35(8): 1381-1395. doi: 10.1249/01.MSS.0000078924.61453.FB
    [13]
    AINSWORTH B E, HASKELL W L, WHITT M C, et al. Compendium of physical activities: an update of activity codes and MET intensities[J]. Med Sci Sports Exerc, 2000, 32(9 Suppl): S498-S504.
    [14]
    PUCIATO D, BORYSIUK Z, ROZPARA M. Quality of life and physical activity in an older working-age population[J]. Clin Interv Aging, 2017, 12: 1627-1634. doi: 10.2147/CIA.S144045
    [15]
    BLASCO-PERIS C, CLIMENT-PAYA V, VETROVSKY T, et al. International Physical Activity Questionnaire Short Form and accelerometer-assessed physical activity: concurrent validity using six cut-points in HF patients[J]. ESC Heart Fail, 2024, 11(1): 126-135. doi: 10.1002/ehf2.14514
    [16]
    GARCÍA P F, HERAZO B Y, TUESCA M R. Levels of physical activity among colombian university students[J]. Rev Med Chil, 2015, 143(11): 1411-1418. doi: 10.4067/S0034-98872015001100006
    [17]
    李奕, 万琼, 徐国栋. 武汉地区高校大学生日常体力活动现状调查研究[J]. 江汉大学学报(自然科学版), 2020, 48(3): 77-83.

    LI Y, WAN Q, XU G D. Research on daily physical activity of college students in Wuhan[J]. J Jianghan Univ (Nat Sci Ed), 2020, 48(3): 77-83. (in Chinese)
    [18]
    LYU J, WEI Y, LI H, et al. The effect of three-circle post standing (Zhanzhuang) Qigong on the physical and psychological well-being of college students: a randomized controlled trial[J]. Medicine, 2021, 100(24): e26368. doi: 10.1097/MD.0000000000026368
    [19]
    HERTIŠ PETEK T, PETEK T, MOČNIK M, et al. Systemic inflammation, oxidative stress and cardiovascular health in children and adolescents: a systematic review[J]. Antioxidants, 2022, 11(5): 894. doi: 10.3390/antiox11050894
    [20]
    FOTOPOULOU C, KHAN T, BRACINIK J, et al. Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective covidsurg-gynecologic oncology cancer study[J]. Am J Obstet Gynecol, 2022, 227(5): 735. e1-735. e25.
    [21]
    JANKORD R, JEMIOLO B. Influence of physical activity on serum IL-6 and IL-10 levels in healthy older men[J]. Med Sci Sports Exerc, 2004, 36(6): 960-964. doi: 10.1249/01.MSS.0000128186.09416.18
    [22]
    JAHROMI A S, ZAR A, AHMADI F, et al. Effects of endurance training on the serum levels of tumour necrosis factor-α and interferon-γ in sedentary men[J]. Immune Netw, 2014, 14(5): 255-259. doi: 10.4110/in.2014.14.5.255
    [23]
    HJELSTUEN A, ANDERSSEN S A, HOLME I, et al. Markers of inflammation are inversely related to physical activity and fitness in sedentary men with treated hypertension[J]. Am J Hypertens, 2006, 19(7): 669-675. doi: 10.1016/j.amjhyper.2005.11.012
    [24]
    YARIBEYGI H, MALEKI M, BUTLER A E, et al. The impact of incretin-based medications on lipid metabolism[J]. J Diabetes Res, 2021, 2021: 1815178.
    [25]
    KERR N R, BOOTH F W. Contributions of physical inactivity and sedentary behavior to metabolic and endocrine diseases[J]. Trends Endocrinol Metab, 2022, 33(12): 817-827.
    [26]
    FERREIRA J P, DUARTE-MENDES P, TEIXEIRA A M, et al. Effects of combined training on metabolic profile, lung function, stress and quality of life in sedentary adults: a study protocol for a randomized controlled trial[J]. PLoS One, 2022, 17(2): e0263455.
    [27]
    BOWDEN DAVIES K A, SPRUNG V S, NORMAN J A, et al. Short-term decreased physical activity with increased sedentary behaviour causes metabolic derangements and altered body composition: effects in individuals with and without a first-degree relative with type 2 diabetes[J]. Diabetologia, 2018, 61(6): 1282-1294.
    [28]
    VODOVOTZ Y, BARNARD N, HU F B, et al. Prioritized research for the prevention, treatment, and reversal of chronic disease: recommendations from the lifestyle medicine research summit[J]. Front Med, 2020, 7: 585744.
    [29]
    LI M, CHI X, WANG Y, et al. Trends in insulin resistance: insights into mechanisms and therapeutic strategy[J]. Signal Transduct Target Ther, 2022, 7(1): 216.
    [30]
    WONDMKUN Y T. Obesity, insulin resistance, and type 2 diabetes: associations and therapeutic implications[J]. Diabetes Metab Syndr Obes, 2020, 13: 3611-3616.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(3)

    Article Metrics

    Article views (33) PDF downloads(5) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return