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Updated: Jan 9, 2026

Imaging Approaches to Assessments of Toxicological Oxidative Stress Using Genetically-encoded Fluorogenic Sensors
Published on: February 7, 2018
Optimal timing to assess exercise-induced oxidative stress: A systematic review and meta-analysis
Chrysovalantis Stachteas1, Nikolaos Georgogiannis1, George G Nastos1
1Department of Physical Education and Sports Science at Serres, Aristotle University of Thessaloniki, Serres, Greece.
None:
There is a lack of consensus on optimal timing to assess redox biomarkers post-exercise, limiting methodological standardisation and linking oxidative stress to physiology. We determined optimal post-exercise oxidative stress assessment times using three redox biomarkers: glutathione, F2-isoprostanes and protein carbonyls. Standardised mean differences were calculated using random-effects models, with 95% confidence and prediction intervals. Risk of bias was assessed via RoB2 and ROBINS-I tools. Egger's test and funnel plots evaluated publication bias. Certainty of evidence was rated using GRADE. PROSPERO preregistration: CRD42024508049. A total of 103 studies (n = 1418) were included. Glutathione levels decreased immediately (g = -0.70; 95% CI: -0.96, -0.44; P < 0.001), at 30 min to 2 h (g = -0.81; 95% CI: -1.19, -0.43; P < 0.001), and 48 h post-exercise (g = -0.98; 95% CI: -1.50, -0.46; P < 0.01). F2-isoprostanes increased immediately post-exercise (g = 1.01; 95% CI: 0.70, 1.33; P < 0.001) and at 30 min to 2 h (g = 0.46; 95% CI: 0.23, 0.69; P < 0.001). Protein carbonyls increased at all time points, especially at 48 h post-exercise (g = 1.17; 95% CI: 0.73, 1.60; P < 0.001), peaking at 72 h (g = 1.33; 95% CI: 0.52, 2.14; P = 0.0048). Subgroup analyses revealed that non-muscle-damaging exercise elicits responses immediately after exercise or within the first 2 h, while muscle-damaging exercise induces peaks at 48 and 72 h post-exercise. Egger's test indicated publication bias for F2-isoprostanes (P = 0.017) and protein carbonyls (P = 0.031) post-exercise. Risk of bias was moderate in randomised controlled trials and serious in non-randomised studies. Certainty of evidence ranged from moderate to high. In conclusion, non-muscle-damaging exercise elicits early responses within hours, while muscle-damaging protocols produce delayed peaks at 48-72 h. These findings support methodological consistency and are useful for optimising study design, sample size estimation and providing links between redox biology and physiological outcomes.
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