[1] Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. doi:10.1136/bjsports-2020-
[2] Umpierre D, Ribeiro PAB, Kramer CK, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-1799. doi:10.1001/jama.2011.576.
[3] Recchia F, Leung CK, Yu AP, et al. Dose-response effects of exercise and caloric restriction on visceral adiposity in overweight and obese adults: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2023;57(16):1035-1041. doi:10.1136/bjsports-2022-
[4] Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nat Rev Immunol. 2011;11(9):607-615. doi:10.1038/nri3041.
[5] Severinsen MCK, Pedersen BK. Muscle–organ crosstalk: the emerging roles of myokines. Endocr Rev. 2020;41(4):594-609. doi:10.1210/endrev/bnaa016.
[6] Singh B, Olds T, Curtis R, et al. Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. Br J Sports Med. 2023;57(18):1203-1209. doi:10.1136/bjsports-2022-
[7] Hajishengallis G, Chavakis T. Local and systemic mechanisms linking periodontal disease and inflammatory comorbidities. Nat Rev Immunol. 2021;21(7):426-440. doi:10.1038/s41577-020-00488-
[8] Cao R, Qiu P, Zhou Y, Dong B, Han Y, Fan Z. The underlying relationship between exercise and the prevalence of periodontitis: a systematic review and meta-analysis. BMC Sports Sci Med Rehabil. 2023;15:161. doi:10.1186/s13102-023-00759-
[9] Mauland EK, Neupane SP. The influence of psychological stress and stress-related disorders in the treatment outcome of periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2025;52(12):1760-1778. doi:10.
[10] Hajishengallis G. The inflammophilic character of the periodontitis-associated microbiota. Mol Oral Microbiol. 2014;29(6):248-257. doi:10.1111/omi.12065.
[11] Carrozzo M, Porter S, Mercadante V, Fedele S. Oral lichen planus: a disease or a spectrum of tissue reactions? Types, causes, diagnostic algorhythms, prognosis, management strategies. Periodontol 2000. 2019;80(1):105-125. doi:10.1111/prd.12260.
[12] Akintoye SO, Greenberg MS. Recurrent aphthous stomatitis. Dent Clin North Am. 2014;58(2):281-297. doi:10.1016/j.cden.2013.12.
[13] Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis, and treatment of the overtraining syndrome: joint consensus statement of the European College of Sport Science and the American College of Sports Medicine. Med Sci Sports Exerc. 2013;45(1):186-205. doi:10.1249/MSS.
[14] Needleman I, Ashley P, Fine P, et al. Oral health and elite sport performance. Br J Sports Med. 2015;49(1):3-6. doi:10.1136/bjsports-2014-


