Exercise pills for cardiometabolic health cannot mimic the exercise milieu.

Trends Endocrinol Metab

Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable, Instituto de Salud Carlos III, Madrid, Spain; Department of Sport Sciences, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Madrid, Spain. Electronic address: alejandro.lucia@universidadeurope

Published: August 2025


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Article Abstract

Physical exercise can play an important role both in primary and secondary cardiovascular disease prevention by virtue of its multisystem effects. These beneficial adaptations at the whole-body level include improvements in mitochondrial health, vascular function, and autonomic balance, together with attenuation of inflammation and the release of 'exerkines' with pleiotropic effects. Thus, several research groups have attempted to develop so-called 'exercise pills' or 'exercise mimetics': that is, substances that are theoretically capable of reproducing some of the cardiometabolic benefits associated with regular exercise. In this review we summarize pharmacological and phytochemical agents which, when used alone or in combination with exercise, may improve cardiometabolic health. We also discuss the current gaps and future steps needed to translate these findings into therapeutic applications.

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http://dx.doi.org/10.1016/j.tem.2025.07.005DOI Listing

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