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Resistance and interval training plus berry extract did not alter muscle AGEs in older adultsExercise and berries did not change AGE levels in muscle tissue of older adults

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Key Takeaway
Note: A 12-week regimen of RT+HIIT with berry extract did not change muscle AGE levels in older adults.

This randomized controlled trial enrolled 41 healthy middle-aged and older adults (aged 55-70 years) to investigate the effects of combined exercise and polyphenol supplementation on the accumulation of advanced glycation end-products (AGEs) in skeletal muscle. Participants were randomized to receive either 30 days of polyphenol-rich berry extract or placebo supplementation, followed by 12 weeks of supervised resistance training combined with high-intensity interval training (RT+HIIT). The primary outcome was AGE immunoreactivity in type I and type II muscle fibers and the extracellular matrix (ECM).

Baseline analysis showed AGE immunoreactivity was significantly higher in type I muscle fibers compared to type II fibers (p < 0.0001) and was most pronounced in the ECM (p < 0.05 vs. both fiber types). The main finding was that the 12-week RT+HIIT intervention, regardless of preceding polyphenol supplementation, resulted in no alteration of AGE content in muscle fibers or ECM. Similarly, polyphenol supplementation itself showed no alteration in AGE content. AGE signals were unrelated to participant sex, age, or plasma IL-6 levels.

Safety and tolerability data were not reported. Key limitations include the absence of reported safety data, effect sizes, and absolute numerical changes. The study population was limited to healthy adults in a specific age range, and the follow-up was only 12 weeks. The findings do not establish causation for AGE accumulation and are from a single RCT. For practice, this evidence does not support the use of this specific 12-week combined exercise and berry extract regimen to modify skeletal muscle AGE accumulation in healthy older adults.

This study examined how aging affects the buildup of advanced glycation end-products, or AGEs, in skeletal muscle. Forty-one healthy adults between 55 and 70 years old participated in the research. They received either a berry extract or a placebo for 30 days, followed by 12 weeks of supervised resistance and high-intensity interval training.

The main finding showed that AGE signals were naturally higher in type I muscle fibers and in the surrounding tissue compared to other areas. However, neither the exercise program nor the berry supplements changed the amount of AGEs found in the muscle.

The researchers also checked for links between AGE levels and factors like sex, age, or inflammation markers, finding no connections. While the study was safe with no reported side effects, these results apply only to this specific group of healthy older adults over a short period.

Readers should understand that this study does not prove that exercise or berries reduce AGEs in muscle. The evidence is limited to one small trial and does not mean these actions are ineffective for other health goals.

What this means for you:
A small study found exercise and berries did not change AGE levels in muscle tissue of healthy older adults.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
Advanced glycation end-products (AGEs) accumulate with age and may contribute to skeletal muscle decline, yet their distribution within muscle compartments is unknown. Resistance training (RT) and high-intensity interval training (HIIT) improve muscle function, but their effects on muscle AGEs remain unexplored. Polyphenols have antioxidant properties, which could limit AGE formation. This study investigated AGE accumulation in different muscle compartments and whether a 12-wk RT + HIIT intervention, with or without polyphenol supplementation, could modify AGE levels. Forty-one healthy middle-aged and older adults (55-70 yr) were randomized to receive a polyphenol-rich berry extract or placebo for 30 days, followed by 12 wk of supervised RT + HIIT. Vastus lateralis biopsies were collected before and after the intervention and analyzed for subtypes of AGEs using immunofluorescence. AGE immunoreactivity was quantified in type I and type II fibers and in the extracellular matrix (ECM). AGE immunoreactivity was higher in type I than in type II fibers ( < 0.0001) and most pronounced in the ECM ( < 0.05 vs. both fiber types). AGE signals did not differ between sexes and were unrelated to age or plasma IL-6. Neither training nor polyphenol supplementation altered AGE content in fibers or ECM. These findings provide the first evidence of fiber-type-associated localization of AGE immunoreactivity in humans. The absence of change following 12 wk of RT and HIIT, with or without polyphenol, suggests that AGE turnover in skeletal muscle is limited in short-term interventions, highlighting the need for longer strategies to reduce AGE accumulation. This study is the first to show that advanced glycation end-products (AGEs) may preferentially accumulate in type I muscle fibers and the extracellular matrix of middle-aged and older adults. Twelve weeks of resistance training combined with high-intensity interval training, with or without polyphenol supplementation, did not alter AGE levels. These findings suggest a fiber type-specific susceptibility to glycation and indicate that short-term lifestyle interventions are insufficient to reverse established AGE cross links in human skeletal muscle.
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