The DOI matches its Crossref record; 55 of the 56 references it cites were found in a registry or an index.
The effects of exercise on vaccination responses: A review of chronic and acute exercise interventions in humans
Abstract
Vaccination programs, although feted for success in reducing infectious disease morbidity and mortality, are limited by vaccine efficacy, which is particularly problematic in populations with reduced immune function. Exercise has been identified as a behavioural factor that can improve immune function in some settings and cohorts, and therefore, in the setting of vaccination, it may serve as an adjuvant for immune responses. Here, we summarise the body of evidence that has investigated the effects of chronic or acute exercise interventions on vaccination responses. A systematic search of the literature was conducted including six major databases. Randomised control trials (RCTs), cross-sectional and observational studies that involved a variety of population samples and that employed any modality or intensity of acute exercise or chronic training prior to vaccine administration and measured any immune response were included. Twenty trials met the inclusion criteria for this review. Nine studies investigated the effect of acute exercise on the immune response to vaccination, whilst the remaining eleven studies investigated the effect of chronic exercise. Most of the current published literature suggests that exposure to either acute or chronic exercise significantly augments the immune response to vaccination. The clinical importance of this adjuvant action of exercise, if any, as well as variability in responsiveness across different cohorts, dose-response relationships and the optimal exercise modality to employ for this indication deserve further study.
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In the citing paper
“For example, in vivo antibody responses to novel antigens can be improved with just minutes of exercise undertaken at the time of vaccination.”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Pascoe et al. 2014
In the citing paper
“Moreover, acute bouts of exercise (and also exercise training interventions) have been shown to improve in vivo immune responses in the young and elderly, such as antibody responses to influenza vaccines (Pascoe et al. 2014).”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Pascoe et al. 2014
In the citing paper
“Encouragingly though, even in vaccine studies that have not directly investigated, characterised or controlled for the degree of immunological ageing in the volunteers examined, it has been shown that acute and chronic exercise can improve the response to this in vivo novel antigen challenge (de Araujo et al. 2015; Pascoe et al. 2014).”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Pascoe et al. 2014
Citations
Cites
Antibody response to influenza vaccination in the elderly: A quantitative review
GOODWIN, K., VIBOUD, C., & SIMONSEN, L. (2006) · Vaccine · doi:10.1016/j.vaccine.2005.08.105 · Cited by 1,064
Nicholson, K. G., Wood, J., & Zambon, M. C. F. A. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14854-4 · Cited by 696
Mortality from invasive pneumococcal pneumonia in the era of antibiotic resistance, 1995-1997
Feikin, D. R., Schuchat, A., KOLCZAK, M. S., Barrett, N. L., Harrison, L. H., Lefkowitz, L. B., McGeer, A., Farley, M. M., Vugia, D. J., Lexau, C., et al. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.2.223 · Cited by 586
T Cell Responses Are Better Correlates of Vaccine Protection in the Elderly
McElhaney, J. E., Xie, D., Hager, W. D., Barry, M. B., Wang, Y., Kleppinger, A., Ewen, C., Kane, K. P., & Bleackley, R. C. (2006) · The Journal of Immunology · doi:10.4049/jimmunol.176.10.6333 · Cited by 561
Characterization of inflammatory responses to eccentric exercise in humans
Peake, J. M., Nosaka, K., & Suzuki, K. (2026) · PubMed · doi:10.22029/eir.2005.1616 · Cited by 499
Nieman, D. C., & Pedersen, B. K. (1999) · Sports Medicine · doi:10.2165/00007256-199927020-00001 · Cited by 466
Exercise‐induced increase in serum interleukin‐6 in humans is related to muscle damage.
Brüünsgaard, H., Galbo, H., Halkjær-Kristensen, J., Johansen, T., MacLean, D. A., & Pedersen, B. K. (1997) · The Journal of Physiology · doi:10.1113/jphysiol.1997.sp021972 · Cited by 455
Coudeville, L., Bailleux, F., Riche, B., Megas, F., Andre, P., & Écochard, R. (2010) · BMC Medical Research Methodology · doi:10.1186/1471-2288-10-18 · Cited by 376
Immunosenescence and vaccine failure in the elderly
Grubeck-Loebenstein, B., Della Bella, S., Iorio, A. M., Michel, J.-P., Pawelec, G., & Solana, R. (2009) · Aging Clinical and Experimental Research · doi:10.1007/bf03324904 · Cited by 269
Immunogenicity and protective efficacy of influenza vaccination
HANNOUN, C., Megas, F., & Piercy, J. (2004) · Virus Research · doi:10.1016/j.virusres.2004.02.025 · Cited by 261
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Ayling, K., Brown, M., Carlisle, S., Bennett, R. W., Buchanan, H., Dumbleton, J., Hawkey, C. J., Höschler, K., Jack, R. H., Nguyen‐Van‐Tam, J. S., et al. (2023) · Health Psychology · doi:10.1037/hea0001267 · Cited by 1
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Sun, Y., Pence, B. D., Wang, S. S., & Woods, J. A. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001971 · Cited by 1
Exercising to enhance the efficacy of COVID-19 vaccines
Gasibat, Q. (2021) · Christian Journal for Global Health · doi:10.15566/cjgh.v8i1.545 · Cited by 1
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von Dawans, B., & Heinrichs, M. (2016) · Springer eBooks · doi:10.1007/978-3-662-49411-0_3-1 · Cited by 1
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Self-citationMethnani, J., Amor, D., Yousfi, N., Bouslama, A., Omezzine, A., & Bouhlel, E. (2020) · Preprints.org · doi:10.20944/preprints202010.0270.v1 · Cited by 1
Vaccination of elite athletes against SARS-CoV-2 and broader implications for public health policyPreprint
Sheehan, J. (2022) · doi:10.31219/osf.io/z64gx · Cited by 1
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Rector, J. L. (2015) · University of Birmingham Institutional Research Archive (University of Birmingham)
Exercise stress, nutrition and novel measures of in vivo immunity
Diment, B. C. (2015) · Bangor University Research Portal (Bangor University)
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de Luna, M. D. F. G., Fisher, G. B., de Luna, J. R. G., da Silva, M. G. C., de Almeida, P. C., & Chiesa, D. (2013) · Brazilian Journal of Allergy and Immunology (BJAI) · doi:10.5935/2318-5015.20130039
da Silva, E. M., Silva, G. A. E., Rubini, N. D. P. M., & de Sá, C. A. M. (2013) · Brazilian Journal of Allergy and Immunology (BJAI) · doi:10.5935/2318-5015.20130047
Immune Response in Young Men to the 2014/15 Seasonal Influenza Vaccine
Stewart, A. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/26453
Buss, L. A. (2020) · Otago University Research Archive (University of Otago)
Védőoltások a Covid-19-pandémia ellen
Falus, A., & Szekanecz, Z. (2021) · Lege Artis Medicinae · doi:10.33616/lam.31.002
The Multifaceted Benefits of Exercise in Prevention of COVID-19
Schlicht, J. A., & Edwards, K. M. (2021) · Journal of Clinical Exercise Physiology · doi:10.31189/2165-7629-10.1.35
Self-citationAlley, J. (2021) · Iowa State University Digital Repository (Iowa State University) · doi:10.31274/etd-20210609-3
Aging Immunity and the Impact of Physical Exercise
Bigley, A. B., Baker, F. L., Spielmann, G., & Simpson, R. J. (2017) · Springer eBooks · doi:10.1007/978-3-319-64597-1_165-1
Pawelec, G. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.737114417.793573751
Vaccination as an immune system status optimization tool for the high-performance sports: review
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Nabiev, T., & Varlamova, L. P. (2022) · Globus · doi:10.52013/2658-5197-68-3-7
Physical Activity as a Protective Factor of COVID-19
Carbonell‐Baeza, A., Morales, J. S., Losa‐Reyna, J., Martínez-Sánchez, L., Ortega‐Gómez, S., Mihaiescu-Ion, V., Martín-Costa, I. H., Baena-Aguilera, M., García-Rodríguez, E., España‐Romero, V., et al. (2023) · Springer eBooks · doi:10.1007/978-981-99-1802-7_2
Afonso, A. D. Q., SILVA, D. J. F. D., & Barreto, J. G. (2023) · doi:10.22533/at.ed.54123270611
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COSTA, N. S. D., Costa, T. D. L., & Neto, J. S. D. M. (2023) · doi:10.22533/at.ed.54123270612
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Castanheira, L. F. D. S., Moda, T. E. D. R., FARACHE, W. L. P., & Coswig, V. S. (2023) · doi:10.22533/at.ed.5412327063
Penna, E. M., & Coswig, V. S. (2023) · doi:10.22533/at.ed.5412327061
Tomás, A. M., Moraes, P. M., & Bento-Torres, N. V. O. (2023) · doi:10.22533/at.ed.5412327067
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Noronha, Á. S. N., de Azevedo, A. B. C., Dias, R. K. N., & Coswig, V. S. (2023) · doi:10.22533/at.ed.5412327065
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Cruz, S. D. J. V., Moraes, W. R. A., de Castro, V. L., Almeida, C. N. S., Ribeiro, B. C., & Neves, L. M. T. (2023) · doi:10.22533/at.ed.5412327064
Shamsi, M. M., Soudi, S., Afshounpour, M. T., Jamali, A., Soleimanjahi, H., Quinn, L. S., Gharakhanlou, R., & Karimi, H. (2023) · Comparative Exercise Physiology · doi:10.1163/17552559-20220060
Ghelli, F., Squillacioti, G., Bellisario, V., Sherbiny, S. E., Guglieri, F., Picone, G. M., & Bono, R. (2023) · Digital Health · doi:10.1177/20552076231218921
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Haerianti, M., & Yunding, J. (2023) · Journal of Health Education and Literacy · doi:10.31605/j-healt.v6i1.2853
Murata, F., Maeda, M., Ono, R., & Fukuda, H. (2024) · Vaccine · doi:10.1016/j.vaccine.2024.01.060
Functional exercise rehabilitation guidance improves the prognosis for COVID-19 patients
Qian, H., Seongno, L. E. E., Tianwei, L. I., Dong, L. I., & Shu, W. (2024) · Gazzetta Medica Italiana Archivio per le Scienze Mediche · doi:10.23736/s0393-3660.23.05106-9
Klemis, V., Schmidt, T., Venhorst, A., Halmans, L., Marx, S., Hielscher, F., Urschel, R., Guckelmus, C., Greiß, F., Sester, U., et al. (2025) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003757
Ramírez‐Vélez, R., Oteiza, J., de Tejerina, J. M. C. F., García-Alonso, N., Legarra‐Gorgoñon, G., Oscoz-Ochandorena, S., Arasanz, H., García‐Alonso, Y., Correa-Rodríguez, M., & Izquierdo, M. (2022) · Figshare · doi:10.6084/m9.figshare.20462373
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Noureddine, M., & Schotsaert, M. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1808541
Ateş, F., Demi̇rgüç, A., Demirbakan, H., Ergün, N., Ceylan, B. D., Kuzudişli, N., Karadeniz, P. G., & Bayram, A. (2026) · Van Sağlık Bilimleri Dergisi · doi:10.52976/vansaglik.1741773
COVID-19 vaccination in relation to immune response and physical activity levels
Voulgaridi, I., Dinas, P. C., Bogogiannidou, Z., Dadouli, K., Lianos, A. G., Papageorgiou, N., Georgiou, D., Zigas, N., Bouloumpasi, E., Syrakouli, E., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1839099
Song, X., Lv, J., Ge, S., Xu, S., Wu, Y., Zheng, Y., Zhou, W., Li, L., Zhang, Y., Zhang, J., et al. (2026) · Science Advances · doi:10.1126/sciadv.aeh0260
Ferguson-Stegall, L., Huesman, R., Huesman, K., & Nieman, D. C. (2026) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000404
Metadata
- Authors
- Pascoe, A. R., Fiatarone Singh, M. A., & Edwards, K. M.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Edwards, Kate M.
- ORCID
- Edwards, Kate M.
- Venue
- Brain, Behavior, and Immunity
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 39
- Pages
- 33-41
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W2077828153
- Cited by
- 149
- References
- 56
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 4 · 2023: 31 · 2022: 17 · 2021: 23 · 2020: 18 · 2019: 11 · 2018: 7 · 2017: 5 · 2016: 7 · 2015: 10 · 2014: 3
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- physical activity, vaccination, vaccine response, acute exercise, exercise training, immune function, vaccine efficacy, dose-response relationship, exercise modalities
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Vaccination, Vaccines, Exercise, Treatment Outcome, Young Adult
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