Background: The aging global population presents a growing challenge, with age-related diseases causing significant issues for humanity. Currently, most drugs are tested on animal models to explore their efficacy in the elderly, but beneficial effects in delaying immune aging have not been observed in clinical trials. This article reviews recent research on combating immune senescence through exercise. Methods: By accessing the Pubmed database and CNKI database, "exercise" and "immune aging" were entered as keywords to retrieve related literature. A thorough examination of the literature involved screening to eliminate duplicate studies that were deemed irrelevant. Results: This paper systematically reviewed the role of exercise in combating immune aging, highlighting its positive effects on immune cell morphology, function, and molecular changes. Exercise increases naive and central memory cells, reduces CD8 EMRA T cells, enhances naive T cell diversity, and improves neutrophil chemotaxis. Meanwhile, it calls for further animal studies to understand the mechanisms behind exercise-mediated anti-aging effects on the immune system. Conclusions: Exercise mitigates immune aging by enhancing cell diversity, reducing harmful T cells, and improving neutrophil function, while the underlying mechanism remains to be investigated.
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