RESUMEN
BACKGROUND: Bone marrow adipocytes are derived from mesenchymal stem cells. It has been found that mesenchymal stem cells can also differentiate into osteoblasts, chondrocytes and myocytes. Current results show that marrow adipose tissue could negatively regulate the osteogenesis process because mesenchymal stem cells can differentiate into adipocytes in priority. Exercise promotes bone formation and plays an important role in preventing fractures. Exercise, diet, and rosiglitazone are shown to affect the generation of marrow adipose tissue, but the relationship between them is not clear. OBJECTIVE: To summarize the effects of exercise, diet and rosiglitazone on marrow adipose tissue and their relationship with bone mineral density. METHODS: Studies related to exercise regulating marrow adipose tissue published from January 1999 to June 2019 in CNKI, WanFang and PubMed databases were retrieved. The search terms were “marrow adipose tissue, exercise, rosiglitazone, high fat-diet, mesenchymal stem cell” in English and Chinese, respectively. Finally 66 eligible articles were enrolled for analysis. RESULTS AND CONCLUSION: Based on the current research results, exercise can affect the regulation of high-fat diet and rosiglitazone on the formation of bone marrow adipose tissue. Exercise intervention can inhibit the differentiation of mesenchymal stem cells into marrow adipose tissue. In the process of exercise intervention on marrow adipose tissue, there are many other ways participating in the regulation of fat synthesis, lipid absorption, bone metabolism, bone marrow hematopoietic function. Therefore, exercise intervention has an important part in regulating the above metabolic processes. In the future, the specific mechanism of exercise intervention in bone marrow adipose tissue should be further explored to make exercises become an important measure for regulating the above metabolic processes.