Evidence map›Paper›PMID 41924093›Full record

ReviewFrontiers in cell and developmental biology2026

Redox regulation in aging muscles: exercise as a key modulator to combat sarcopenia and frailty.

Hua Guo, Xueqin Jiang, Wang Zhiming, Yang Gui, Zhanguo Su

Abstract readReview
In one paragraph

Review in Frontiers in cell and developmental biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hua GuoDepartment of General Practice, The Affliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Medical Center, Nanjing Medical University, Wuxi People's Hospital, Wuxi, Jiangsu, China.
Xueqin JiangDepartment of Geriatrics, Shanghai health and medical center, Wuxi, Jiangsu, China.
Wang ZhimingFaculty of Physical Education, Huainan Normal University, Huainan, Anhui, China.
Yang GuiPhysical Institute of Nanchang Institute of Technology, Nanchang, China.
Zhanguo SuFaculty of Physical Education, Huainan Normal University, Huainan, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Context: Aging is characterized by progressive decline in skeletal muscle function, which can lead to sarcopenia (loss of muscle mass and strength) and frailty (increased vulnerability to stressors), with oxidative stress-arising from an imbalance between reactive oxygen species (ROS) production and antioxidant defenses-playing a central role. This narrative review synthesizes evidence on how exercise modulates redox homeostasis to mitigate these conditions in older adults. Objectives: To explore the sources and consequences of oxidative stress in aging muscle, examine exercise's role in restoring redox balance, evaluate its impact on sarcopenia and frailty, and identify relevant biomarkers and future research directions. We achieve this by exploring key sources through representative studies, examining molecular mechanisms via pathway analyses, evaluating intervention effects using RCTs and meta-analyses, and identifying biomarkers and gaps through critical synthesis. Methods: This narrative review involved a comprehensive literature search in databases such as PubMed, Web of Science, and Scopus, focusing on studies from 2000 to 2025 on oxidative stress, exercise, sarcopenia, and frailty in adults aged 60+. Inclusion criteria prioritized peer-reviewed articles, meta-analyses, and RCTs; exclusion applied to non-English or irrelevant studies. Over 100 articles were selected qualitatively for synthesis. Key Findings: Aerobic and resistance exercises reduce oxidant markers (e.g., MDA decreased by 10%-20% in meta-analyses) and enhance antioxidants (e.g., SOD increased by 15%-30%), upregulating pathways like Nrf2, AMPK, and PGC-1α. Multicomponent programs improve muscle strength (e.g., 20%-40% gains in RCTs) and frailty scores (e.g., reductions in Fried Frailty Phenotype by 1-2 points). However, heterogeneous responses exist, with some studies showing neutral effects on certain markers. Conclusion: Exercise emerges as a non-pharmacological intervention to attenuate oxidative stress-driven muscle aging, promoting healthy aging. Future studies should focus on personalized regimens and long-term biomarkers for clinical translation.

Indexed as

antioxidant defenseexercisemitochondrial biogenesismuscle agingoxidative stress

Identifiers

PMID41924093
PMCPMC13036230

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.