Whether physical activity can offset the health risks of a pro-inflammatory diet is a compelling question, but it becomes conceptually misleading when interpreted as simple behavioral compensation. This narrative review integrates evidence on dietary inflammatory potential, movement-related physiological capacity, and chronic disease vulnerability, with particular attention to the Dietary Inflammatory Index, biological translation pathways, and emerging joint diet–activity evidence. Pro-inflammatory dietary exposure may be translated into disease vulnerability through immune activation, oxidative stress, adipose tissue inflammation, metabolic dysfunction, endothelial impairment, and gut-related inflammatory signaling. Habitual movement and exercise training may influence many of these same pathways through skeletal muscle signaling, improved insulin sensitivity, reduced visceral adiposity, redox adaptation, vascular regulation, and higher cardiorespiratory fitness. Taken together, current human evidence is more consistent with partial buffering and joint risk stratification than with full compensation. We therefore propose an Inflammatory Resilience Framework in which physical activity, cardiorespiratory fitness, skeletal muscle function, adiposity, metabolic flexibility, vascular function, and baseline health status are positioned as modifiers of the biological translation from dietary inflammatory exposure to disease vulnerability. This framework shifts the research question from whether exercise cancels dietary risk to how movement-related physiological capacity modifies inflammatory risk expression across individuals, pathways, and outcomes.