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Training — Healthy Ageing

Inflammation, Hormones, and Ageing: The Three Factors Destroying Your Health and How to Fix Them

By Tanvir Singh Rayet|TR PERFORMANCE COACHING

The Three Silent Forces Accelerating Your Ageing

Most people think of ageing as a single process. You get older, things slow down, your body deteriorates. It feels inevitable and uncontrollable. But that is not what the science shows. Ageing is not one process. It is the result of several interconnected biological mechanisms, and three of the most powerful are chronic inflammation, hormonal decline, and nutritional inadequacy. These three forces work together, amplifying each other, accelerating the decline of your body in ways that most people never recognise until the damage is advanced.

The term scientists use for age-related chronic inflammation is ‘inflammaging,’ a concept first described by immunologist Claudio Franceschi(1). It refers to the persistent, low-grade inflammatory state that develops with advancing age, even in people who appear otherwise healthy. This slow-burning inflammation is now recognised as a central driver of virtually every major age-related disease, including cardiovascular disease, type 2 diabetes, cancer, cognitive decline, and sarcopenia(2).

In this article, I am going to explain how inflammation, hormones, and nutrition interact to either accelerate or decelerate your ageing. More importantly, I am going to give you the specific, evidence-based strategies to address all three. This is not theoretical. These are the exact approaches I use with my clients to improve their health markers, body composition, and quality of life.

Part One: Chronic Inflammation and Why It Is Ageing You from the Inside

Acute inflammation is essential. When you cut your finger, twist your ankle, or catch a cold, inflammation is the immune response that fights infection, repairs tissue, and restores function. It is aggressive, targeted, and temporary. Chronic inflammation is the opposite. It is low-grade, systemic, persistent, and destructive. It is not responding to a specific threat. It is responding to an ongoing state of biological imbalance that never resolves.

As you age, pro-inflammatory markers including interleukin-6 (IL-6), tumour necrosis factor-alpha (TNF-alpha), and C-reactive protein (CRP) gradually rise in the bloodstream(2). A systematic review of 44 studies found that IL-6 and CRP were the inflammatory biomarkers most consistently associated with frailty in older adults(3). A separate large-scale study confirmed that both IL-6 and CRP increase in an age-dependent manner and independently predict mortality, even in individuals who appear to be ageing successfully(4).

The Inflammaging Cycle
Excess body fat (especially visceral fat) → Fat cells release inflammatory cytokines
Chronic low-grade inflammation (elevated IL-6, CRP, TNF-α)
Insulin resistance develops → Blood sugar dysregulation
More fat storage (especially abdominal) → More inflammatory signalling
Muscle breakdown accelerates → Metabolism slows further
Cardiovascular damage, cognitive decline, joint degradation, accelerated ageing
This cycle is self-reinforcing. Without intervention, it accelerates with each passing year.

What drives this chronic inflammatory state? Several interconnected factors: excess body fat (particularly visceral fat around the organs, which is itself a highly active inflammatory tissue), poor diet (high in ultra-processed foods, refined sugars, and inflammatory seed oils), chronic psychological stress, inadequate sleep, physical inactivity, gut dysbiosis, and environmental toxins. Most adults over 40 are dealing with some combination of these factors simultaneously.

Anti-Inflammatory Nutrition: The Food That Fights Ageing

Your diet is either fuelling inflammation or fighting it. There is no neutral position. Every meal is either contributing to the chronic inflammatory load on your body or helping to resolve it. This is not hyperbole. It is what the research consistently demonstrates.

A systematic review and meta-analysis of randomised controlled trials found that whole-food dietary patterns, particularly those rich in fruits, vegetables, whole grains, legumes, nuts, seeds, and oily fish, were associated with reductions in key inflammatory markers including CRP(5). The Mediterranean dietary pattern has been the most extensively studied in this context and consistently shows anti-inflammatory effects across multiple trials(6).

The Anti-Inflammatory Food Framework

CategoryFoods to PrioritiseHow They Help
Oily fish (or algae alternative)Salmon, mackerel, sardines, anchovies; algae oil supplement for vegetarians/vegansRich in EPA and DHA omega-3 fatty acids which directly reduce inflammatory cytokine production
Colourful vegetablesBroccoli, spinach, kale, peppers, beetroot, sweet potato, tomatoes, red cabbageRich in polyphenols, carotenoids, and antioxidants that neutralise free radicals and reduce oxidative stress
Berries and dark fruitsBlueberries, blackberries, raspberries, cherries, pomegranateAmong the highest antioxidant capacity of any foods; anthocyanins actively reduce inflammatory signalling
Nuts and seedsWalnuts, almonds, flaxseed, chia seeds, hemp seeds, pumpkin seedsProvide omega-3 (ALA), vitamin E, magnesium, and zinc; all support anti-inflammatory pathways
Legumes and pulsesLentils, chickpeas, black beans, kidney beans, edamameHigh in fibre which feeds anti-inflammatory gut bacteria; excellent plant protein source
Whole grainsOats, quinoa, brown rice, buckwheat, barleyFibre supports gut health and blood sugar regulation; refined grains have the opposite effect
Herbs and spicesTurmeric, ginger, garlic, cinnamon, rosemary, oreganoConcentrated sources of bioactive anti-inflammatory compounds (curcumin in turmeric most studied)
Extra virgin olive oilUsed as primary cooking oil or dressingContains oleocanthal which has anti-inflammatory properties comparable to ibuprofen in mechanism
Fermented foodsNatural yoghurt, kefir, kimchi, sauerkraut, miso, tempehSupport gut microbiome diversity which is critical for immune regulation and inflammation control

Top Tip

Eat at least five different colours of vegetables and fruits every day. The pigments that give plant foods their colour (anthocyanins in berries, lycopene in tomatoes, beta-carotene in sweet potato, chlorophyll in greens) are themselves anti-inflammatory compounds. More colour means broader protection.

Infographic titled 'Every Meal Is a Choice — Inflammatory vs Anti-Inflammatory — every meal either fuels inflammation or fights it. There is no neutral position.' contrasting two side-by-side panels: Avoid (Fuels Inflammation) — ultra-processed foods, ready meals and fast food; refined sugars, sweets, fizzy drinks and pastries; industrial seed oils such as sunflower, corn and soybean; trans fats in some margarines and fried foods; excess alcohol over 14 units per week — 'these elevate CRP, IL-6 and TNF-alpha' — versus Prioritise (Resolves Inflammation) — oily fish or algae oil for vegans and vegetarians; five-plus colours of vegetables and fruit daily; berries (blueberries, raspberries, blackberries); nuts, seeds, legumes in daily variety; olive oil, turmeric, ginger and garlic — 'these directly lower inflammatory cytokines' — closing '80% anti-inflammatory. 20% flexibility. This is the formula. Perfection is not the goal. The balance is.'

The Foods That Are Making Inflammation Worse

Just as some foods reduce inflammation, others actively promote it. And the unfortunate reality is that the standard modern diet is heavily weighted toward the inflammatory side. Ultra-processed foods, refined sugars, excess alcohol, and industrial seed oils are not just nutritionally empty. They are actively harmful, driving up the inflammatory markers that accelerate every aspect of biological ageing.

Inflammatory FactorCommon SourcesWhy It Is Harmful
Ultra-processed foodsReady meals, fast food, processed meats, crisps, biscuits, sugary cerealsEngineered combinations of refined ingredients, additives, and preservatives that promote systemic inflammation and gut dysbiosis
Added sugars and refined carbohydratesSweets, fizzy drinks, white bread, pastries, fruit juices, breakfast cerealsCause rapid blood sugar spikes which trigger insulin surges and increase production of inflammatory cytokines
Excess alcoholAny consumption above moderate levels (>14 units per week)Disrupts gut barrier integrity, promotes endotoxin release into bloodstream, directly increases liver inflammation
Industrial seed oils (excess omega-6)Sunflower oil, corn oil, soybean oil, vegetable oil blends in packaged foodsExcessive omega-6 relative to omega-3 promotes pro-inflammatory eicosanoid production; the modern diet has a ratio of 15:1 to 20:1 versus the ideal of 2:1 to 4:1
Trans fatsSome margarines, fried foods, commercially baked goodsDirectly increase CRP and IL-6; one of the most potent dietary promoters of inflammation

I am not suggesting you need to be perfect. Nobody eats perfectly all the time and striving for perfection creates its own stress. But I am suggesting that the balance matters. If 80 percent of your diet is built from the anti-inflammatory foods in the table above, and 20 percent allows for flexibility, you will be in a strong position. The problem most people face is that the ratio is reversed.

Omega-3 Fatty Acids: The Most Important Anti-Inflammatory Nutrient

If I had to choose a single nutrient that has the greatest impact on chronic inflammation, it would be omega-3 fatty acids, specifically EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These long-chain omega-3s are direct precursors to specialised pro-resolving mediators (SPMs), molecules that actively resolve inflammation rather than simply suppressing it(7).

The modern Western diet is dramatically deficient in omega-3 and excessively loaded with omega-6 fatty acids. Simopoulos estimated the current omega-6 to omega-3 ratio in Western diets at approximately 15:1 to 20:1, compared with the evolutionary ratio of approximately 1:1 to 2:1(8). This imbalance is not trivial. It directly skews the body’s inflammatory signalling toward a pro-inflammatory state.

Dietary PatternBest Omega-3 SourcesSupplementation
Omnivore / PescatarianSalmon, mackerel, sardines, anchovies (2–3 portions per week)Fish oil supplement if oily fish intake is low (minimum 500mg combined EPA/DHA daily)
VegetarianFlaxseed, chia seeds, walnuts, hemp seeds provide ALA; limited conversion to EPA/DHA (<10%)Algae-based omega-3 supplement essential (minimum 250mg combined EPA/DHA daily)
VeganSame plant sources as vegetarian; ALA alone is insufficient for anti-inflammatory EPA/DHAAlgae-based omega-3 supplement non-negotiable (minimum 250mg combined EPA/DHA daily)

As a lifelong vegetarian, I supplement with algae-based omega-3 every day and I recommend the same to every vegetarian and vegan client I work with. This is not optional. The conversion rate from plant-based ALA to the active EPA and DHA forms is too low to rely on food alone(9).

Top Tip

If you eat no oily fish, take an algae-based omega-3 supplement providing at least 250mg combined EPA and DHA daily. If you eat oily fish, aim for 2 to 3 portions per week. This single intervention addresses one of the most significant dietary contributors to chronic inflammation.

Gut Health: The Inflammation Control Centre

Approximately 70 percent of your immune system resides in your gut. The health of your gut microbiome, the trillions of bacteria that inhabit your digestive tract, directly influences systemic inflammation throughout your entire body. A diverse, well-balanced microbiome supports immune regulation and helps keep inflammatory responses in check. A depleted or imbalanced microbiome promotes immune dysfunction and chronic inflammation(10).

What damages gut health? Antibiotics (necessary sometimes, but destructive to gut diversity), chronic stress, poor sleep, low fibre intake, excessive alcohol, artificial sweeteners, and a diet dominated by ultra-processed foods. What supports it? Fibre, diversity of plant foods, fermented foods, adequate hydration, and regular exercise.

Top Tip

Aim for 30 different plant foods per week. This includes vegetables, fruits, legumes, whole grains, nuts, seeds, herbs, and spices. Diversity of plant intake is the single strongest predictor of gut microbiome health. Count your variety for one week and you may be surprised how limited it is.

An overhead spread of gut-friendly, anti-inflammatory foods on a linen cloth — broccoli, kale, beetroot, carrots, micro greens, avocado, mixed berries and pomegranate seeds, walnuts and almonds, lentils and quinoa, fresh turmeric and ginger root, rosemary, olive oil, miso, natural yoghurt, kefir, kimchi and sourdough crackers — illustrating the 30-plants-per-week diversity and daily fermented foods that feed a healthy gut microbiome and keep systemic inflammation in check

Part Two: Hormonal Decline and What You Can Do About It

Hormones regulate virtually every process in your body: metabolism, muscle building, fat storage, energy, mood, sleep, libido, bone density, cognitive function. After 30, the hormonal environment begins to shift, and by 40, 50, and beyond, these changes become increasingly significant for both men and women.

The key hormonal changes are well documented. In men, testosterone declines by approximately 1 to 2 percent per year after age 30(11). In women, oestrogen and progesterone fluctuate increasingly through the late 30s and 40s (perimenopause), then decline dramatically through menopause. Growth hormone output decreases steadily in both sexes. Cortisol, the stress hormone, often becomes chronically elevated due to lifestyle factors, further compounding the problem.

The Hormonal Shift After 40Direction
MEN: TestosteroneDeclines 1–2% per year after 30
MEN: Growth hormoneDeclines steadily from mid-20s
MEN: CortisolRises if chronic stress, poor sleep, excess body fat
MEN: Insulin sensitivityDeclines especially with inactivity and weight gain
WOMEN: OestrogenFluctuates in perimenopause (late 30s–40s), drops dramatically at menopause
WOMEN: ProgesteroneDeclines before oestrogen, often from mid-30s
WOMEN: Growth hormoneDeclines steadily
WOMEN: CortisolRises with same drivers as men, amplified by hormonal fluctuations
WOMEN: Insulin sensitivityDeclines particularly post-menopause
These shifts are natural. But the rate and severity of decline are heavily influenced by lifestyle.
A silver-haired man past 40 sitting at a sunlit kitchen table eating a hormone-supportive meal — grilled tofu with sautéed greens, lentils, avocado, natural yoghurt and a small bowl of mixed berries alongside black coffee — illustrating that adequate protein, healthy fats, fibre and phytoestrogens at every meal create the nutritional environment that slows hormonal decline after 40

Nutrition That Supports Hormonal Health

You cannot eat your way to the testosterone levels of a 25-year-old or fully replace oestrogen through food. But you can create a nutritional environment that supports optimal hormonal function and slows the rate of decline. This is the difference between a gradual, manageable shift and a dramatic hormonal collapse.

Hormone / SystemNutritional Support StrategyKey Foods (All Diets)
Testosterone (men)Adequate zinc, vitamin D, healthy fats, sufficient calories (chronic undereating suppresses testosterone), adequate sleepPumpkin seeds, oysters (if omnivore), eggs, avocado, olive oil, nuts, fortified foods; supplement vitamin D 1,000–4,000 IU
Oestrogen balance (women)Phytoestrogens (plant compounds with mild oestrogenic activity), adequate calcium, vitamin D, magnesium, B vitaminsSoy foods (tofu, tempeh, edamame, soy milk), flaxseed, sesame seeds, legumes, wholegrains; fermented soy particularly beneficial
Growth hormoneAdequate protein (stimulates GH release), adequate sleep (GH released during deep sleep), intermittent fasting may support (evidence mixed)High-quality protein at every meal; prioritise sleep above all other interventions for GH
Cortisol regulationStable blood sugar (avoid long gaps between meals), adequate magnesium, omega-3s, limit caffeine after midday, limit alcoholRegular balanced meals every 3–5 hours; magnesium-rich foods (dark chocolate, almonds, spinach); omega-3 sources
Insulin sensitivityFibre at every meal, adequate protein, minimise refined carbohydrates, prioritise low-GI foodsLegumes, vegetables, wholegrains, protein at every meal; cinnamon may modestly improve insulin sensitivity
Thyroid functionAdequate iodine, selenium, zinc, iron; avoid excessive soy if thyroid is compromised (moderate soy intake is fine for most)Seaweed, iodised salt, Brazil nuts (selenium), eggs, dairy; vegans should supplement iodine (150mcg/day)

For women navigating perimenopause and menopause, I want to highlight the role of phytoestrogens. Soy foods, including tofu, tempeh, edamame, and soy milk, contain isoflavones that have mild oestrogenic activity. Population studies consistently show that women in cultures with high soy consumption report fewer menopausal symptoms(12). This does not mean soy replaces hormone replacement therapy where it is indicated, but it can be a valuable nutritional tool, and it is one that vegetarian and vegan women often have natural access to.

Top Tip

For men over 40 concerned about testosterone: before considering any supplement, fix your sleep, reduce excess body fat, lift weights three times per week, eat adequate zinc and vitamin D, and manage stress. These five interventions address the most common modifiable causes of low testosterone. Most men who do all five see meaningful improvement.

Exercise: The Most Powerful Hormonal Intervention

Resistance training is not just about building muscle. It is a hormonal intervention. Every time you lift weights, you trigger acute increases in testosterone, growth hormone, and insulin-like growth factor 1 (IGF-1)(13). While these acute elevations are transient, the cumulative effect of consistent training creates a more favourable hormonal environment over time.

More importantly, resistance training builds and preserves the muscle tissue that is itself hormonally active. Muscle functions as an endocrine organ, releasing myokines during contraction that have systemic anti-inflammatory, metabolic, and neuroprotective effects(14). The more muscle you carry, the greater this protective effect. The less muscle you have, the more vulnerable you become to the inflammatory and hormonal decline of ageing.

A meta-analysis confirmed that resistance exercise significantly lowers CRP and tends to reduce IL-6 in older adults, providing direct evidence that lifting weights reduces the chronic inflammation driving age-related disease(15). Lifelong exercisers show lower levels of inflammatory markers compared with sedentary age-matched peers, though some age-related increase in inflammation appears to occur regardless(16).

Top Tip

Combine resistance training (3 sessions per week) with daily walking (20 to 40 minutes) and 2 to 3 portions of oily fish or an algae supplement per week. This combination addresses inflammation, hormonal health, and muscle preservation simultaneously. It is the most powerful anti-ageing prescription available.

A silver-haired man past 40 in the bottom position of a heavy barbell back squat inside a sunlit industrial gym, illustrating that resistance training is the most powerful single hormonal intervention available — acutely raising testosterone, growth hormone and IGF-1, building the muscle tissue that releases anti-inflammatory myokines, and directly lowering CRP and IL-6

Sleep and Stress: Where Inflammation and Hormones Collide

Poor sleep and chronic stress are where inflammation and hormonal decline converge in the most destructive way. They amplify each other and accelerate every negative process I have described in this article.

Sleep deprivation increases inflammatory markers including IL-6 and CRP, impairs insulin sensitivity within days, reduces testosterone in men, disrupts oestrogen and progesterone cycling in women, suppresses growth hormone release, and increases cortisol. A single week of sleeping fewer than 6 hours per night reduces testosterone in young men by 10 to 15 percent(17). In older adults, the effects are compounded because the hormonal baseline is already lower.

Chronic psychological stress operates through cortisol. Sustained cortisol elevation promotes visceral fat storage (the most inflammatory type of body fat), impairs immune function, accelerates muscle breakdown, disrupts blood sugar regulation, and interferes with sleep. It creates a vicious cycle: stress causes poor sleep, poor sleep elevates cortisol, elevated cortisol increases inflammation, inflammation disrupts hormones, and disrupted hormones make you more vulnerable to stress.

The Stress-Inflammation-Hormone Vicious Cycle
CHRONIC STRESS → Cortisol stays elevated
Cortisol promotes visceral fat storage + disrupts sleep
Visceral fat releases inflammatory cytokines (IL-6, TNF-α, CRP)
Inflammation impairs insulin sensitivity + suppresses testosterone/oestrogen
Hormonal disruption → more fat storage + less muscle + worse sleep
Worse sleep + more fat + less muscle → MORE STRESS on the body
CYCLE REPEATS AND ACCELERATES. Breaking this cycle at any point (sleep, stress, nutrition, training) creates a positive cascade.
Infographic titled 'Where Everything Collides — The Stress · Inflammation · Hormone Cycle — six stages that feed each other and accelerate ageing every time the loop closes' showing a circular flow diagram around a central 'Accelerated Ageing' label, moving through six numbered stages: 01 Chronic Stress (cortisol stays elevated), 02 Cortisol (promotes visceral fat, disrupts sleep), 03 Visceral Fat (releases IL-6, TNF-alpha, CRP), 04 Inflammation (impairs insulin, suppresses hormones), 05 Hormonal Disruption (more fat, less muscle, worse sleep), 06 More Stress (body under physiological siege), closing 'Break the cycle at any point. A positive cascade begins. Sleep · Stress · Nutrition · Training. Pull one lever and the others shift with it.'

The Complete Anti-Ageing Protocol: Bringing It All Together

Everything I have covered in this article, inflammation, hormones, and nutrition, is interconnected. You cannot address one without affecting the others. The good news is that the interventions overlap. The same strategies that reduce inflammation also support hormonal health and improve nutritional status. Here is the complete protocol.

InterventionWhat to DoWhat It Addresses
Resistance training3 sessions per week, compound movements, progressive overloadReduces CRP/IL-6, stimulates testosterone/GH, builds muscle (endocrine organ), improves insulin sensitivity
Daily walking20–40 minutes, ideally outdoors in daylightLowers cortisol, supports cardiovascular health, aids digestion, improves mood, regulates circadian rhythm
Anti-inflammatory diet80% whole foods: vegetables, fruits, legumes, whole grains, nuts, seeds, oily fish/algae oilReduces systemic inflammation, supports gut microbiome, provides micronutrients for hormonal function
Adequate protein1.4–2.0g/kg bodyweight, spread across 3–4 meals dailySupports muscle protein synthesis, stimulates GH release, improves satiety and blood sugar control
Omega-3 intakeOily fish 2–3x/week or algae-based supplement daily (250mg+ EPA/DHA)Directly reduces inflammatory cytokine production, supports brain and cardiovascular health
Gut health30+ plant foods per week, fermented foods daily, 30g+ fibre per daySupports immune regulation, reduces systemic inflammation, improves nutrient absorption
Sleep7–9 hours per night, consistent schedule, dark cool roomGH release, testosterone/oestrogen regulation, cortisol normalisation, immune function, cellular repair
Stress managementDaily deliberate practice: walking, boundaries, breathing, trainingReduces cortisol, breaks the stress-inflammation cycle, protects hormonal function
Vitamin DSupplement 1,000–4,000 IU daily, year-round in UKImmune regulation, bone health, hormonal support (testosterone, insulin sensitivity)
Limit alcohol<14 units per week, ideally lessReduces gut inflammation, improves sleep quality, supports liver function and hormonal metabolism

How I Can Help You

The interaction between inflammation, hormones, and nutrition is complex. But the solutions are practical, achievable, and within your control. You do not need to be a scientist to implement them. You need a plan, accountability, and someone who understands how these factors work together in real people, not just in research papers.

That is what I provide. I am a performance coach. I have helped hundreds of clients through body transformations. I work one-to-one with clients online globally. I coach clients of all dietary backgrounds. As a lifelong vegetarian, I bring personal understanding to the anti-inflammatory and hormonal challenges of plant-based nutrition.

I offer one-to-one coaching online globally. If this article has given you a clearer picture of what is happening inside your body, let me help you do something about it.

Contact me at trperformancecoaching.com. Your body is either inflaming or healing. Let me help you shift the balance.

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References

  1. Franceschi C, Bonafe M, Marchegiani F, Olivieri F, Cardelli M, Cavallone L, et al. Inflamm-aging: an evolutionary perspective on immunosenescence. Annals of the New York Academy of Sciences. 2000; 908: 244–254.
  2. Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nature Reviews Cardiology. 2018; 15(9): 505–522.
  3. Marcos-Perez D, Sanchez-Flores M, Proano E, Rivadeneira F, Ikram MA, Suarez-Alvarez B, et al. Biomarkers of the ageing immune system and their association with frailty: a systematic review. Experimental Gerontology. 2023; 176: 112163.
  4. Puzianowska-Kuznicka M, Owczarz M, Wieczorowska-Tobis K, Nadrowski P, Chudek J, Slusarczyk P, et al. Interleukin-6 and C-reactive protein, successful aging, and mortality: the PolSenior study. Immunity and Ageing. 2016; 13: 21.
  5. Eichelmann F, Schwingshackl L, Fedirko V, Aleksandrova K. Effects of dietary patterns on biomarkers of inflammation and immune responses: a systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition. 2022; 13(3): 101–113.
  6. Martucci M, Ostan R, Biondi F, Bellavista E, Fabbri C, Bertarelli C, et al. Mediterranean diet and inflammaging within the hormesis paradigm. Nutrition Reviews. 2017; 75(6): 442–455.
  7. Calder PC. Omega-3 fatty acids and inflammatory processes: from molecules to man. Biochemical Society Transactions. 2017; 45(5): 1105–1115.
  8. Simopoulos AP. The importance of the ratio of omega-6/omega-3 essential fatty acids. Biomedicine and Pharmacotherapy. 2002; 56(8): 365–379.
  9. Burdge GC, Calder PC. Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reproduction, Nutrition, Development. 2005; 45(5): 581–597.
  10. Claesson MJ, Jeffery IB, Conde S, Power SE, O’Connor EM, Cusack S, et al. Gut microbiota composition correlates with diet and health in the elderly. Nature. 2012; 488(7410): 178–184.
  11. Feldman HA, Longcope C, Derby CA, Johannes CB, Araujo AB, Coviello AD, et al. Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts Male Aging Study. Journal of Clinical Endocrinology and Metabolism. 2002; 87(2): 589–598.
  12. Messina M. Soy and health update: evaluation of the clinical and epidemiologic literature. Nutrients. 2016; 8(12): 754.
  13. Kraemer WJ, Ratamess NA. Hormonal responses and adaptations to resistance exercise and training. Sports Medicine. 2005; 35(4): 339–361.
  14. Pedersen BK, Febbraio MA. Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nature Reviews Endocrinology. 2012; 8(8): 457–465.
  15. Sardeli AV, Tomeleri CM, Cyrino ES, Fernhall B, Cavaglieri CR, Chacon-Mikahil MPT. Effect of resistance training on inflammatory markers of older adults: a meta-analysis. Experimental Gerontology. 2018; 111: 188–196.
  16. Monteiro-Junior RS, et al. Does lifelong exercise counteract low-grade inflammation associated with aging? A systematic review and meta-analysis. Sports Medicine. 2025; 55: 231–250.
  17. Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011; 305(21): 2173–2174.

Disclaimer: This article is for educational purposes only and does not constitute medical advice. If you have existing health conditions, consult your GP or relevant healthcare professional before starting any new exercise or nutrition programme.

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