Key result
Aerobic training significantly boosts endothelial progenitor cell mobilization in cardiovascular disease.
Why the study?
Physical exercise stimulates endothelial progenitor cell mobilization and affects VEGF, but comprehensive evidence on exercise-induced mobilization across CVD patients and healthy individuals was needed.
Does physical exercise improve endothelial progenitor cell mobilization in patients with cardiovascular disease and healthy individuals?
Meta-Analysis (n=1,460)
Does physical exercise improve endothelial progenitor cell mobilization in patients with cardiovascular disease and healthy individuals?
Standardized Mean Difference: 1.23 (95% CI 0.7–1.76)
p-value: p=<0.00001
Adequate exercise volume (>60% VO2max for >30 min) significantly stimulates endothelial progenitor cell mobilization and increases VEGF in both cardiovascular disease patients and healthy individuals.
Supports aerobic exercise prescriptions for vascular repair in CVD; reinforces consensus on exercise-induced EPC mobilization.
Endothelial progenitor cells (EPCs) play a vital role in protecting endothelial dysfunction and cardiovascular disease (CVD). Physical exercise stimulates the mobilization of EPCs, and along with vascular endothelial growth factor (VEGF), promotes EPC differentiation, and contributes to vasculogenesis. The present meta-analysis examines the exercise-induced EPC mobilization and has an impact on VEGF in patients with CVD and healthy individuals. Database research was conducted (PubMed, EMBASE, Cochrane Library of Controlled Trials) by using an appropriate algorithm to indicate the exercise-induced EPC mobilization studies. Eligibility criteria included EPC measurements following exercise in patients with CVD and healthy individuals. A continuous random effect model meta-analysis (PROSPERO-CRD42019128122) was used to calculate mean differences in EPCs (between baseline and post-exercise values or between an experimental and control group). A total of 1460 participants (36 studies) were identified. Data are presented as standard mean difference (Std.MD) and 95% confidence interval (95% CI). Aerobic training stimulates the mobilization of EPCs and increases VEGF in patients with CVD (EPCs: Std.MD: 1.23, 95% CI: 0.70–1.76; VEGF: Std.MD: 0.76, 95% CI:0.16–1.35) and healthy individuals (EPCs: Std.MD: 1.11, 95% CI:0.53–1.69; VEGF: Std.MD: 0.75, 95% CI: 0.01-1.48). Acute aerobic exercise (Std.MD: 1.40, 95% CI: 1.00–1.80) and resistance exercise (Std.MD: 0.46, 95%CI: 0.10–0.82) enhance EPC numbers in healthy individuals. Combined aerobic and resistance training increases EPC mobilization (Std.MD:1.84, 95% CI: 1.03–2.64) in patients with CVD. Adequate exercise volume (>60%VO2max >30 min; P = 0.00001) yields desirable results. Our meta-analysis supports the findings of the literature. Exercise volume is required to obtain clinically significant results. Continuous exercise training of high-to-moderate intensity with adequate duration as well as combined training with aerobic and resistance exercise stimulates EPC mobilization and increases VEGF in patients with CVD and healthy individuals.
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Mitsiou et al. (2022) conducted a meta-analysis in Cardiovascular disease and healthy individuals (n=1,460). Aerobic training vs. Baseline or non-exercise control was evaluated on Endothelial progenitor cell (EPC) mobilization in patients with CVD (Std.MD 1.23, 95% CI 0.70-1.76, p=<0.00001). Aerobic training significantly stimulated the mobilization of endothelial progenitor cells in patients with cardiovascular disease (Std.MD 1.23) and healthy individuals (Std.MD 1.11).
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