Effects of Exercise on Brain and Cognition Across Age Groups and Health States

Effects of aerobic exercise on memory functions and serum levels of BDNF and TrkB in young adult and older adult male football players

Background/Objective

This study aimed to investigate the effect of aerobic exercise on verbal memory (VM) and non-verbal memory (NVM) functions as well as BDNF and TrkB serum levels in young and older adult male football players.

Methods

Twenty-nine male football players voluntarily participated in this study and were divided into two age groups: G1 (young; 19-30 years old, n = 15, football experience 10.6 ± 2.79 years) and G2 (older; 46-71 years old, n = 14, football experience 35.78 ± 9.48 years). Serum BDNF and TrkB levels and performance on the VM and NVM tests were measured before and after a 60-min aerobic exercise session. A 2 (Time) x 2 (Group) mixed-model repeated measures ANOVA test was used to detect the effects of exercise and age differences.

Results

There was a statistically significant time × group interaction of age and exercise on BDNF and TrkB levels (p < 0.01, p < 0.001; respectively). However, this interaction was not observed for VM and NVM (p = 0.751, p = 0.869; respectively). There was also a significant effect of the group on BDNF, TrkB, and NVM (p < 0.001, p < 0.001, p < 0.01; respectively), whereas there was not a significant effect on VM (p = 0.094). Furthermore, there was a significant effect of time on BDNF, TrkB, and VM (p < 0.001, for all); but not on NVM (p = 0.110).

Conclusion

Regular football training participation can maintain BDNF levels as a neurotrophin that can improve cognitive functions. Likewise, this neurotrophin and its receptor's response to aerobic exercise in old age suggests the effectiveness of exercise as a preventive strategy against age-related memory loss and neurodegeneration.

Effect of prolonged voluntary wheel running on oxidative stress and defence mechanisms in cortex and hippocampus of healthy female rats

Physical exercise promotes brain health and cognitive function possibly through mechanisms that include strengthened resistance to oxidative stress. However, limited research has explored the cumulative effects of regular voluntary exercise on both oxidative stress and defence mechanisms in hippocampus and cortex, two regions essential for cognitive function. Especially, adaptations in the young, healthy brain are insufficiently understood. This study investigates the impact of 8 weeks of voluntary wheel running on oxidative damage and counteracting defence mechanisms in the cortex and hippocampus of young, healthy female rats. To this end, we assessed oxidative damage to proteins and DNA, antioxidant defence, and DNA repair mechanisms, focusing on the base excision repair pathway. Our findings show that 8 weeks of voluntary exercise does not significantly modify oxidative damage or antioxidant defences in either cortical or hippocampal brain regions. Instead, the voluntary wheel running intervention led to a reduction in the levels of DNA polymerase β and mitochondrial apurinic/apyrimidinic endonuclease 1, key enzymes involved in base excision repair. Moreover, mitochondrial DNA copy number increased in the cortex, but decreased in the hippocampus, suggesting distinct regional adaptations. Collectively, these results indicate that the healthy young brain maintains redox homeostasis despite reduced DNA repair capacity. By analysing a comprehensive array of biomarkers in two brain regions, this study addresses gaps in our current knowledge on prolonged training and brain health and provides valuable insights into how regular exercise produces region-specific and shared responses in the healthy state.

Does a Real-Life Cognitively Enriched Walking Program "Take a Walk With Your Brain" Benefit Cognitive Functioning and Physical Activity in Community-Dwelling Older Adults? A Randomized Controlled Trial

BACKGROUND AND OBJECTIVES

Most studies examining combined cognitive and physical activity are conducted in laboratory settings. This randomized controlled trial (RCT) examines the effects of a real-life cognitively enriched walking program on cognitive functioning and moderate-to-vigorous physical activity (MVPA) in adults aged ≥65 years.

RESEARCH DESIGN AND METHODS

A three-arm RCT was conducted, comparing the cognitively enriched walking program (WALK+, doing cognitive tasks while walking) with a walking program without enrichment (WALK-only) and a passive control condition (CONT). Both WALK+ and WALK-only had a duration of 6 months, with 2 outdoors, supervised group-based sessions per week (60-90 min/session). Cognitive functioning (short- and long-term memory, executive functioning, and processing speed) and MVPA were measured at baseline, 3, 6, and 12 months using the Cambridge Neuropsychological Test Automated Battery (CANTAB) and ActiGraph GT3X+ accelerometers, respectively.

RESULTS

A total of 148 community-dwelling adults (median age: 69 years, range: 65-85; 72% [n = 107] female) were included. Comparing WALK+ to WALK-only and CONT, and WALK-only to CONT, there were no significant intervention effects on cognitive functioning at 3, 6, or 12 months. MVPA decreased with 13 min/day in WALK+ between baseline and 12 months, while it increased between baseline and 6 months with 12 min/day in WALK-only and between 3 and 6 months with 16 min/day in CONT.

DISCUSSION AND IMPLICATIONS

The WALK+ program did not lead to statistically significant benefits for cognitive functioning or MVPA compared to WALK-only or CONT. Future studies should explore for whom combined interventions may work and determine the optimal dosage.

Forecasting Subjective Cognitive Decline: AI Approach Using Dynamic Bayesian Networks

BACKGROUND

Several potentially modifiable risk factors are associated with subjective cognitive decline (SCD). However, developmental patterns of these risk factors have not been used before to forecast later SCD. Practical tools for the prevention of cognitive decline are needed.

OBJECTIVE

We examined multifactorial trajectories of risk factors and their associations with SCD using an artificial intelligence (AI) approach to build a score calculator that forecasts later SCD. In addition, we aimed to develop a new risk score tool to facilitate personalized risk assessment and intervention planning and to validate SCD against register-based dementia diagnoses and dementia-related medications.

METHODS

Five repeated surveys (2000-2022) of the Helsinki Health Study (N=8960; n=7168, 80% women, aged 40-60 years in phase 1) were used to build dynamic Bayesian networks for estimating the odds of SCD. The model structure was developed using expert knowledge and automated techniques, implementing a score-based approach for training dynamic Bayesian networks with the quotient normalized maximum likelihood criterion. The developed model was used to predict SCD (memory, learning, and concentration) based on the history of consumption of fruit and vegetables, smoking, alcohol consumption, leisure time physical activity, BMI, and insomnia symptoms, adjusting for sociodemographic covariates. Model performance was assessed using 5-fold cross-validation to calculate the area under the receiver operating characteristic curve. Bayesian credible intervals were used to quantify uncertainty in model estimates.

RESULTS

Of the participants, 1842 of 5865 (31%) reported a decline in memory, 2818 of 5879 (47.4%) in learning abilities, and 1828 of 5888 (30.7%) in concentration in 2022. Physical activity was the strongest predictor of SCD in a 5-year interval, with an odds ratio of 0.76 (95% Bayesian credible interval 0.59-0.99) for physically active compared to inactive participants. Alcohol consumption showed a U-shaped relationship with SCD. Other risk factors had minor effects. Moreover, our validation confirmed that SCD has prognostic value for diagnosed dementia, with individuals reporting memory decline being over 3 times more likely to have dementia in 2017 (age 57-77 years), and this risk increased to more than 5 times by 2022 (age 62-82 years). The receiver operating characteristic curve analysis further supported the predictive validity of our outcome, with an area under the curve of 0.78 in 2017 and 0.75 in 2022.

CONCLUSIONS

A new risk score tool was developed that enables individuals to inspect their risk profiles and explore potential targets for interventions and their estimated contributions to later SCD. Using AI-driven predictive modeling, the tool can aid health care professionals in providing personalized prevention strategies. A dynamic decision heatmap was presented as a communication tool to be used at health care consultations. Our findings suggest that early identification of individuals with SCD could improve targeted intervention strategies for reducing dementia risk. Future research should explore the integration of AI-based risk prediction models into clinical workflows and assess their effectiveness in guiding lifestyle interventions to mitigate SCD and dementia.

The effects of exercise interventions on brain-derived neurotrophic factor levels in children and adolescents: a meta-analysis

Brain-derived neurotrophic factor is a crucial neurotrophic factor that plays a significant role in brain health. Although the vast majority of meta-analyses have confirmed that exercise interventions can increase brain-derived neurotrophic factor levels in children and adolescents, the effects of specific types of exercise on brain-derived neurotrophic factor levels are still controversial. To address this issue, we used meta-analytic methods to quantitatively evaluate, analyze, and integrate relevant studies. Our goals were to formulate general conclusions regarding the use of exercise interventions, explore the physiological mechanisms by which exercise improves brain health and cognitive ability in children and adolescents, and provide a reliable foundation for follow-up research. We used the PubMed, Web of Science, Science Direct, Springer, Wiley Online Library, Weipu, Wanfang, and China National Knowledge Infrastructure databases to search for randomized controlled trials examining the influences of exercise interventions on brain-derived neurotrophic factor levels in children and adolescents. The extracted data were analyzed using ReviewManager 5.3. According to the inclusion criteria, we assessed randomized controlled trials in which the samples were mainly children and adolescents, and the outcome indicators were measured before and after the intervention. We excluded animal experiments, studies that lacked a control group, and those that did not report quantitative results. The mean difference (MD; before versus after intervention) was used to evaluate the effect of exercise on brain-derived neurotrophic factor levels in children and adolescents. Overall, 531 participants (60 children and 471 adolescents, 10.9-16.1 years) were included from 13 randomized controlled trials. Heterogeneity was evaluated using the Q statistic and I2 test provided by ReviewManager software. The meta-analysis showed that there was no heterogeneity among the studies (P = 0.67, I2 = 0.00%). The combined effect of the interventions was significant (MD = 2.88, 95% CI: 1.53-4.22, P < 0.0001), indicating that the brain-derived neurotrophic factor levels of the children and adolescents in the exercise group were significantly higher than those in the control group. In conclusion, different types of exercise interventions significantly increased brain-derived neurotrophic factor levels in children and adolescents. However, because of the small sample size of this meta-analysis, more high-quality research is needed to verify our conclusions. This meta-analysis was registered at PROSPERO (registration ID: CRD42023439408).

Interactions of physical activity and lung function on cognitive health in older adults: Joint association and mediation analysis

BACKGROUND

Maintaining cognitive health in old adults has become a significant public health challenge, with lung function and physical activity (PA) as essential modifiable factors. However, the joint and mediation effects of these two factors with cognition remain unclear.

OBJECTIVES

This study assesses the joint association and mediation effects of lung function and PA with cognition.

DESIGN, SETTING, AND PARTICIPANTS

We utilized cross-sectional data from the 2011-2012 U.S. National Health and Nutrition Examination Survey, including adults aged 60-79 assessed for lung function, PA, and cognition.

MAIN OUTCOMES AND MEASURES

Lung function included forced expiratory volume in one second (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF) and FEV1/FVC. PA was assessed using the Global Physical Activity Questionnaire, covering occupational PA (OPA), transportation-related PA (TPA), and leisure-time PA (LTPA). Cognition was evaluated using the Digit Symbol Substitution Test, Animal Fluency Test, Delayed Recall Test and Immediate Recall Test. Weighted multiple linear regression models were used to analyze the separate and joint associations of lung function and PA with cognition, while also exploring potential mediation effects between these factors.

RESULTS

A total of 927 participants, representing 35,525,782 U.S. residents, were included, with a weighted median age of 65 (IQR, 63 -71) years, and 53.6 % were female. The results showed a significant positive association between lung function and cognitive function, with FEV1, FVC, and PEF all positively correlated, while the FEV1/FVC showed no notable link. Further analysis revealed the best cognitive performance observed in participants with active LTPA and the highest quartile of lung function, indicating a joint association of LTPA and lung function with cognition. Mediation analysis indicated that lung function mediated 24.1 % (95 %CI: 6.3 % - 47.0 %, P = 0.03) of the relationship between LTPA and cognition, while cognition mediated 10.2 % (95 %CI: 0.5 % - 27.0 %, P = 0.04) of the relationship between LTPA and lung function.

CONCLUSION

Lung function and cognition may have a bidirectional relationship. The combination of active LTPA and better lung function was strongly associated with higher cognition, highlighting the need to strengthen exercise focused on lung function to maintain cognitive health in older adults.

Associations of cardiorespiratory fitness with brain white matter microstructural integrity and white matter hyperintensity volume across the adult lifespan

Higher cardiorespiratory fitness (CRF) is associated with less deterioration in brain microstructural white matter (WM) integrity in older adults assessed with MRI diffusion tensor imaging (DTI) and brain WM hyperintensities (WMH) volume measured with fluid-attenuated-inversion-recovery (FLAIR) imaging. This study investigated associations of CRF measured with peak oxygen consumption (V̇O2peak) with brain WM microstructural integrity and WMH in healthy individuals across the adult lifespan. We hypothesized that higher CRF is associated with less deterioration in WM microstructural integrity and WMH across the adult lifespan, which in turn is associated with better cognitive performance. A total of 177 healthy adults underwent treadmill exercise testing to measure V̇O2peak, MRI scan to measure free water (FW)-corrected DTI metrics and whole-brain WMH volume, and a comprehensive cognitive test battery. Linear regression models were used to examine the associations of DTI metrics and WMH volume with age, V̇O2peak, and age × V̇O2peak interaction. Higher CRF was associated with lower FW. Age × V̇O2peak interactions were observed in FW of the corpus callosum (CC) and WMH volume, such that the positive regression slopes of FW and WMH volume with age were lower in those with higher V̇O2peak than those with lower V̇O2peak. Lower WMH volume and FW in the CC were associated with better fluid cognition composite score. In conclusion, higher CRF is associated with less deteriorations in brain WM integrity and better cognitive function across the adult lifespan. These findings highlight the importance of maintaining and improving CRF to slow brain aging.

Impact of exercise on health outcomes in people with cancer: an umbrella review of systematic reviews and meta-analyses of randomised controlled trials

OBJECTIVE

To examine the comprehensive health impacts of exercise on people with cancer by systematically summarising existing evidence and assessing the strength and reliability of the associations.

DESIGN

Umbrella review of meta-analyses.

DATA SOURCE

PubMed, Embase, Cochrane and Web of Science databases were searched from their inception to 23 July 2024.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES

Meta-analyses of randomised controlled trials that investigated the associations between exercise and health outcomes among people with cancer.

RESULTS

This umbrella review identified 485 associations from 80 articles, all evaluated as moderate to high quality using A Measurement Tool to Assess Systematic Reviews (AMSTAR). Two hundred and sixty (53.6%) associations were statistically significant (p<0.05), 81/485 (16.7%) were supported by high-certainty evidence according to the Grading of Recommendations Assessment, Development, and Evaluation criteria. Compared with usual care or no exercise, moderate- to high-certainty evidence supported the view that exercise significantly mitigates adverse events associated with cancer and its treatments (eg, cardiac toxicity, chemotherapy-induced peripheral neuropathy, cognitive impairment and dyspnoea). Exercise also modulates body composition and biomarkers (eg, insulin, insulin-like growth factor-1, insulin-like growth factor-binding protein-1 and C-reactive protein) in people with cancer, and enhances sleep quality, psychological well-being, physiological functioning and social interaction, while improving overall quality of life.

CONCLUSION

Exercise reduces adverse events and enhances well-being through a range of health outcomes in people with cancer.

Effects of Physical Exercise on Executive Function in Schizophrenia: Systematic Review and Meta-Analysis

Executive functions are often impaired in individuals with schizophrenia spectrum disorders. Understanding the impact of physical exercise on these cognitive domains is essential for developing effective interventions. The aim of this review is to assess the effect of physical exercise on executive functions in adults diagnosed with schizophrenia spectrum disorders. A systematic search was conducted in Web of Science, PubMed, Scopus, and EBSCO, initially from inception through January 2024, followed by an update through January 2025. Studies involved adults diagnosed with schizophrenia spectrum disorders, employed physical exercise as an intervention, and measured executive functions as outcomes. The selection followed PRISMA guidelines, with inclusion determined by consensus among multiple reviewers. Data extraction and risk of bias assessment were conducted independently by two reviewers using the Cochrane RoB 2 tool and GRADE approach for certainty of evidence. Meta-analyses were performed using random-effects models, with effect sizes (ES) and 95% confidence intervals (CI) calculated for each outcome. From 1517 records, 9 studies were included in the meta-analysis. The analysis revealed a small but significant effect of physical exercise on working memory (ES = 0.300, 95% CI = 0.060-0.539, p = 0.014; I2 = 0.0%, Q = 2.2, p = 0.951) and a non-significant effect on emotion recognition (ES = 0.51, 95% CI = -0.291-1.303, p = 0.213; I2 = 83%), inhibition (ES = 0.156, 95% CI = -0.173 to 0.484, p = 0.353; I2 = 0.0%, Q = 1.1, p = 0.781), and cognitive flexibility (ES = 0.240, 95% CI = -0.270 to 0.749, 95% PI = -1.706 to 2.185; p = 0.356; I2 = 53.2%, Q = 3.0, p = 0.094). Physical exercise, particularly aerobic exercise, appears to have a small beneficial effect on working memory in individuals with schizophrenia spectrum disorders. However, the evidence for its effect on emotion recognition is less clear and may be influenced by the type of exercise, such as yoga. Further research is needed to provide more robust conclusions. PROSPERO registration number: CRD42023392295.

Effects of physical activity, social capital on positive emotions in older adults-A study based on data from the 2022 CFPS survey

Background

Existing literature indicates that physical activity has a significant positive impact on the positive emotions in older adults; however, the mechanism of the relationship between physical activity and positive emotions remains unclear. This study aims to explore the role of social capital in the relationship between physical activity and positive emotions among older adults.

Methods

First, the positive mood indicators of the elderly were constructed through the Euclidean distance method, and descriptive statistics and correlation analyses were performed on the relevant variables involved in this paper. Secondly, structural equation (SEM) was used to establish a parallel mediation model to analyze the mediating effect of social capital between physical activity and positive emotions of the elderly. Meanwhile, in order to test the potential influence of gender on the mediating path, this study used Multi-group SEM to divide the samples into two groups of males and females, and compared the path coefficients between groups through the Likelihood Ratio Test (LRT). Finally, the average treatment effect of ATT, i.e., the experimental group, was obtained through the propensity score matching test.

Result

The results show that: (1) Physical activity has a significant positive effect on the positive emotions of older adults. (2) Social capital (i.e., individual social capital and collective social capital) significantly positively influences the positive emotions of older adults. (3) Physical activity has a significant positive effect only on collective social capital, and the mediation analysis reveals that collective social capital plays a significant mediating role in the relationship between physical activity and positive emotions in older adults.

Conclusion

This study reveals that physical activity not only directly enhances the positive emotions of older adults, but also exerts an indirect effect by strengthening collective social capital. Therefore, it is recommended that the Chinese government promote the social connections and collective interactions of older adults by providing public spaces, organizing community activities, and strengthening social interaction platforms. These efforts could help improve the positive emotions of older adults and contribute to the achievement of healthy aging goals.

The Detrimental Effects of Mental Fatigue on Cognitive and Physical Performance in Older Adults Are Accentuated by Age and Attenuated by Habitual Physical Activity

OBJECTIVE

Our research objectives were to evaluate the extent to which cognitive and physical performance in older adults, when fresh, and when fatigued vary with age and habitual physical activity.

METHODS

We employed experimental study designs, with between- (Study 1: age: 51-64 and 65-80 years and Study 2: habitual physical activity: active and sedentary) and within-participants factors (Study 1: test: before cognitive task and after cognitive task and Study 2: session: fatigue and control and test: before and after cognitive task). In testing sessions, participants performed exercise (6-min walk, 30-s sit stand, and 30-s arm curl) and cognitive (response inhibition and vigilance) tasks before and after a 20-min demanding cognitive task (time load dual back [TLDB] task). In Study 2, participants completed a paced breathing task (control session) as well as the TLDB (fatigue session). Ratings of mental fatigue and exercise-related perceived exertion were obtained.

RESULTS

The 20-min TLDB task elicited a state of mental fatigue. Cognitive and physical performance was worse after than before the TLDB task. These impairments in performance were moderated by age (Study 1) and habitual physical activity (Study 2).

CONCLUSION

The deleterious effects of mental fatigue on cognitive and physical performance were accentuated by aging and attenuated by habitual physical activity.

IMPLICATIONS

Cognitive and/or physical training could mitigate the negative effects of mental fatigue on performance in older adults.

Adherence to 24-hour activity cycle and a whole brain volumetric approach in adolescence: A cross-sectional study - The Cogni-Action project

BACKGROUND

While adherence to the WHO 24-hour movement guidelines has been linked to improved health outcomes, its relationship with brain morphology remains underexplored, particularly in understudied populations such as Latin American adolescents.

METHODS

This cross-sectional study examined brain morphology in 58 Chilean adolescents using structural T1-weighted magnetic resonance imaging. Brain volumes, including total gray matter, cortical, subcortical, hippocampal, and amygdala regions, were analyzed. Adherence to moderate-to-vigorous physical activity (MVPA) and sleep guidelines was assessed via accelerometry, while screen time was self-reported. Linear regression models were used to explore associations between guideline adherence and brain volumes, with p-values corrected using the FDR method.

RESULTS

Independently, most adolescents met only the screen time guideline (55 %), while fewer met sleep duration (12 %) or MVPA based on the sample-specific cutoff (27 %), with none meeting the international MVPA criterion. In combination, only 9 % adhered to both sleep and screen time recommendations, and no participants met all three guidelines. Notably, only adherence to screen time recommendations showed a trend-level association with lower total gray matter, cortical, subcortical, hippocampal, and amygdala volumes (FDR p-value < 0.100).

CONCLUSION

This study suggests that adolescents' daily habits-screen time, physical activity, and sleep-have complex relationships with brain development, which may sometimes diverge from expected patterns, as seen in the case of meeting screen time guidelines. As the first study conducted in Latin American adolescents, these suggests proposes that the relationship between these behaviors and brain development may differ from what has been reported in high-income countries, highlighting the need for further research in diverse socioeconomic and cultural contexts.

Relationships of Physical Activity and Type 2 Diabetes With Cognition in Mexican Americans and Non-Hispanic Whites

Problem, Research Strategy, and Findings: Low physical activity (PA) and Type 2 diabetes are associated with cognitive aging and Alzheimer's disease, but the evidence is inconsistent and particularly limited by ethnicity. The purpose of this study was to examine the relationships of PA and Type 2 diabetes with cognition in Mexican Americans and non-Hispanic Whites. The study was a cross-sectional analysis of the Health and Aging Brain Study-Health Disparities (n = 1,982-2,000 after removing outliers). Predictors included Rapid Assessment of Physical Activity and hemoglobin A1c (HbA1c). Episodic memory was assessed by Weschler Memory Scale-Third Edition Logical Memory and Spanish-English Verbal Learning Test, executive function by Weschler Memory Scale-Third Edition Digit Span and Digit Symbol Substitution Test, verbal fluency by FAS and animal naming, and global cognition by the Mini-Mental State Examination. Results show that aerobic PA and HbA1c were not associated with domain-specific, or global cognition, but strength/flexibility PA was associated with FAS (b = 0.404, 95% CI [0.023, 0.761]). Higher aerobic PA was associated with greater verbal fluency for Mexican Americans (b = 0.294, 95% CI [0.96, 0.497]) only. HbA1c was negatively associated with Mini-Mental State Examination (b = 0.838, 95% CI [0.008, 1.656]). For low HbA1c, the association between aerobic PA and Digit Symbol Substitution Test was significant for non-Hispanic Whites (b = 0.838, 95% CI [0.008, 1.656]) in comparison to Mexican Americans. Takeaway for Practice: The relationships between PA, Type 2 diabetes, and cognition vary by cognitive domains and ethnicity. Increasing aerobic activities may be particularly important for Mexican Americans who have elevated HbA1c to potentially improve fluency or executive function.

Accelerometer-derived "weekend warrior" physical activity, sedentary behavior, and risk of dementia

BACKGROUND

Research has shown that sedentary behavior (SB) may increase dementia risk, but it remains unclear whether concentrated moderate to vigorous physical activity (MVPA) can compensate such negative effects. This study aimed to explore the association between different MVPA patterns combined with SB time and the risk of dementia.

METHODS

This prospective study used data from the UK Biobank cohort, which provided accelerometer-based physical activity data for a full week from February 2013 to December 2015. Participants were categorized into "weekend warriors (WW)" group, engaged in more than 50% MVPA (≥ 150 min/week) on 1 to 2 days; inactive group (total MVPA < 150 min/week); and regular group, who met the recommended MVPA (≥ 150 min/week) but not WW. The participants were further divided into six groups based on SB duration (≥ 8.52 h/day or < 8.52 h/day). A multivariable Cox model was used to assess the relationship between these patterns and the risk of dementia, adjusted by age, gender, ethnicity, Townsend deprivation index, education level, employment status, alcohol consumption, smoking, BMI, and baseline comorbidities (including cardiovascular disease, hypertension, and diabetes).

RESULTS

We included 91,948 participants without dementia at baseline. During a median follow-up of 7.93 years, 736 participants developed all-cause dementia. When the MVPA threshold was set at 150 min per week, 16,149 participants (17.5%) were classified as WW with long SB, 19,055 (20.7%) as regular with long SB, and 21,909 (23.8%) as inactive with long SB. Compared to inactive and long SB time, the WW group showed a reduction in dementia risk (WW with long SB time: HR = 0.69, 95% CI: 0.54-0.87, P = 0.002; WW with short SB time: HR = 0.74, 95% CI: 0.56-0.97, P = 0.029). And regular group with shorter SB time was associated with a lower dementia risk (HR = 0.75, 95% CI: 0.59-0.96, P = 0.021), but not in the group with longer SB time.

CONCLUSIONS

The WW pattern may help mitigate the dementia risk associated with prolonged SB, suggesting that the quality and intensity of physical activity are also important factors.

Circuit training intervention for cognitive function, gut microbiota, and aging control: study protocol for a longitudinal, open-label randomized controlled trial

BACKGROUND

Long-term exercise is increasingly considered an effective strategy to counteract cognitive decline associated with aging. Previous studies have indicated that circuit training exercises integrating aerobic and resistance modalities positively affect cognitive function. Furthermore, a growing body of evidence suggests that long-term exercise alters the gut microbiota, leading to an optimal environment for cognitive enhancement. Recent empirical evidence suggests that exercise plays a significant role in modulating aging-control factors at the protein level. Although the interaction between exercise and cognitive function is multifaceted, most studies have only examined a direct pathway from exercise to cognitive function. Therefore, this study aims to elucidate the effects of long-term circuit training on cognitive function through a comprehensive analysis of factors such as gut microbiota and proteins related to aging control.

METHODS

A total of fifty-one participants will be randomly assigned to either the circuit training or waitlist control group. The intervention group will participate in a circuit training program developed by Curves Japan Co., Ltd. two to three times weekly for 16 weeks. The control group will continue their usual daily routines without participating in any new active lifestyle program. The participants will undergo cognitive assessments at baseline and after the intervention. Fecal and blood samples for protein analysis will be collected before and after the intervention. The effect of exercise on cognition will be analyzed by comparing the measured outcomes before and after the intervention. The associations among these outcomes will be assessed using a linear mixed model and structural equation modeling approaches.

DISCUSSION

This study aims to provide the first insights into the comprehensive effects of exercise on cognitive function from the perspectives of gut microbiota and aging control. The findings are expected to contribute to improving brain health and combating age-related cognitive decline. Furthermore, the findings may help establish new guidelines for future studies on the relationship between exercise and cognitive function.

Meta-analysis of high-intensity interval training effects on cognitive function in older adults and cognitively impaired patients

Background

Cognitive enhancement treatments are limited, and while High-Intensity Interval Training (HIIT) has been suggested to improve cognitive function, high-quality evidence remains scarce. This meta-analysis evaluates the effects of HIIT on cognitive performance compared to moderate-intensity continuous training (MICT) and control groups in older adults and cognitively Impaired Patients.

Methods

A systematic search of PubMed, Embase, and Cochrane Library databases was conducted for articles published until 10 October 2024. Eighteen studies were included, comparing cognitive outcomes across HIIT, MICT, and control groups. Cognitive tests evaluated included the Stroop test, Digit Span Test (DST), Trail Making Test (TMT), and the MOST test.

Results

HIIT significantly improved performance compared to MICT in the Stroop test (SMD = -0.8, 95% CI: -1.3 to -0.2) and DST (SMD = 0.3, 95% CI: -0.0-0.5). Compared to control groups, HIIT significantly enhanced performance in the TMT (SMD = -0.7, 95% CI: -1.3 to 0.0) and MOST test (SMD = -1.2, 95% CI: -1.8 to -0.7).

Conclusion

This meta-analysis supports the efficacy of HIIT in enhancing cognitive functions, particularly in cognitive flexibility, working memory, task switching, attention control, and inhibitory control. These findings suggest that HIIT can be an effective intervention for improving cognitive behavior in older adults and cognitively Impaired Patients.

Systematic Review Registration

https://www.crd.york.ac.uk/PROSPERO/, Identifier CRD42023413879.

The acute effects of whole-body vibration exercise on cortical activation in young adults: An fNIRS study

BACKGROUND

Whole-body vibration (WBV) training has emerged as an alternative exercise modality for individuals unable to participate in regular physical activity. While previous studies demonstrated positive effects of WBV on physical outcomes, its impact on cognition remains relatively unexplored, despite studies suggesting cognitive benefits. This study aims to investigate the cortical activation patterns in the primary somatosensory cortex (S1) and dorsolateral prefrontal cortex (DLPFC) during WBV and a subsequent cognitive task.

METHODS

Oxygenated hemoglobin (HbO2) levels in the brain were measured using functional near-infrared spectroscopy (fNIRS). Cognitive functioning was assessed using the Stroop Color-Word Interference (CWIT) and Color-Block test (CBT). Twenty-four participants (21.50 ± 1.59 years, 11 female) were randomly assigned to one of twelve balanced orders, involving different frequencies (24 Hz, 12 Hz, control) and postures (sitting or standing) on a side-alternating vibration plate.

RESULTS

HbO2 levels were lower at 12 and 24 Hz versus control, most prominently in the left DLPFC. During the CWIT, HbO2 levels tended to be higher after WBV versus control. CWIT performance significantly improved after WBV versus control at 12 Hz in sitting posture, and at 12 and 24 Hz in standing posture.

CONCLUSION

Our results point towards decreased cortical activation during WBV, especially in the left DLPFC, but beneficial effects as a consequence of WBV expressed in increased activation during the CWIT and improved cognitive performance, indicating cognitive readiness. These results underscore the potential efficacy of WBV as a cognitive-enhancing therapy. Replicating these findings in older adults would enhance the study's generalizability and practical implications.

Fitness and Exercise Effects on Brain Age: A Randomized Clinical Trial

Objectives

Examine the effect of aerobic exercise on structural brain age and explore potential mediators.

Methods

In a single-blind, 12-month randomized clinical trial, 130 healthy participants aged 26-58 years were randomized into a moderator-to-vigorous intensity aerobic exercise group or a usual-care control group. The exercise group attended 2 supervised 60-minute sessions per week in a laboratory setting plus home-based exercise to achieve 150 minutes of exercise per week. Brain-predicted age difference (brain-PAD) and cardiorespiratory fitness (CRF) were assessed at baseline and 12 months. Intention-to-treat (ITT) and completers analyses were performed.

Results

The 130 participants (67.7% female) had a mean (SD) age of 41.28 (9.93) years. At baseline, higher CRF (VO2peak) was associated with smaller brain-PAD (β=-0.309, p=0.012). After the intervention, the exercise group showed a decrease in brain-PAD (estimated mean difference (EMD) =-0.60; 95% CI: -1.15 to -0.04; p=0.034) compared to the control group (EMD=0.35; 95% CI: -0.21 to 0.92; p=0.22); time×group interaction (between-group difference (BGD)= -0.95; 95% CI: -1.72 to -0.17; p=0.019). VO2peak improved in the exercise group (EMD=1.60; 95% CI: 0.29 to 2.90; p=0.017) compared to the control group (EMD=-0.78; 95% CI: -2.17 to 0.60; p=0.26); time×group interaction (BGD=2.38; 95% CI: 0.52 to 4.25; p=0.015). Body composition, blood pressure, and brain-derived neurotrophic factor levels were unaffected. None of the proposed pathways statistically mediated the effect of exercise on brain-PAD. The results from completers were similar.

Conclusion

Engaging in 12 months of moderate-to-vigorous exercise reduced brain-PAD in early-to-midlife adults. The pathways by which these effects occur remain unknown.

A systematic review of structural neuroimaging markers of psychotherapeutic and pharmacological treatment for obsessive-compulsive disorder

Identifying individual difference factors associated with treatment response and putative mechanisms of therapeutic change may improve treatment for Obsessive Compulsive Disorder (OCD). Our systematic review of structural neuroimaging markers (i.e., morphometry, structural connectivity) of psychotherapy and medication treatment response for OCD identified 26 eligible publications from 20 studies (average study total n=54 ± 41.6 [range: 11-175]; OCD group n=29 ± 19) in child, adolescent, and adult samples evaluating baseline brain structure correlates of treatment response as well as treatment-related changes in brain structure. Findings were inconsistent across studies; significant associations within the anterior cingulate cortex (3/5 regional, 2/8 whole brain studies) and orbitofrontal cortex (5/10 regional, 2/7 whole brain studies) were most common, but laterality and directionality were not always consistent. Structural neuroimaging markers of treatment response do not currently hold clinical utility. Given increasing evidence that associations between complex behavior and brain structure are characterized by small, but potentially meaningful, effects, much larger samples are likely needed. Multivariate approaches (e.g., machine learning) may also improve the clinical predictive utility of neuroimaging data.

Cardiorespiratory fitness is associated with cognitive function in late adulthood: baseline findings from the IGNITE study

OBJECTIVES

To evaluate the association between cardiorespiratory fitness (CRF) and cognition in a large sample of older adults, and to examine clinical and demographic factors that might moderate these associations.

METHODS

CRF was measured with a graded exercise test performed on a motorised treadmill. A confirmatory factor analysis was conducted using data from a comprehensive neuropsychological battery to obtain latent factors reflecting core cognitive domains. Linear regression models evaluated the association between CRF and each of the cognitive composites, and potential moderators including demographic factors (age, sex, education), apolipoprotein E ε4 (APOE4) carriage, beta-blocker use and components of maximal effort criteria during CRF testing.

RESULTS

The sample consisted of 648 adults (mean (SD) age 69.88 (3.75)), including 461 women (71.1%). The highest oxygen consumption obtained during testing (VO2max) was mean (SD) = 21.68 (5.06) mL/kg/min. We derived a five-factor model composed of episodic memory, processing speed, working memory, executive function/attentional control and visuospatial function. Higher CRF was associated with better performance across all five cognitive domains after controlling for covariates. Age and APOE4 carriage did not moderate observed associations. The relationship between CRF and cognitive performance was greater in women, those with fewer years of education and those taking beta-blockers in the domains of processing speed (sex: β=-0.447; p=0.015; education: β=-0.863; p=0.018) and executive function/attentional control (sex: β=-0.417; p=0.022; education β=-0.759; p=0.034; beta-blocker use: β=0.305; p=0.047).

CONCLUSION

Higher CRF in older adulthood is associated with better cognitive performance across multiple domains susceptible to age-related cognitive decline. Sex, education and use of beta-blockers moderated observed associations within select cognitive domains.

Associations of cardiorespiratory fitness with cerebral cortical thickness and gray matter volume across the adult lifespan

High cardiorespiratory fitness (CRF) is associated with reduced cortical thinning and gray matter (GM) shrinkage in older adults. We investigated associations of CRF measured with peak oxygen consumption (V̇o2peak) with cortical thickness and GM volume across the adult lifespan. We hypothesized that higher CRF is associated with less cortical thinning and GM shrinkage across the adult lifespan, which is associated with better cognitive performance. This cross-sectional study recruited 172 sedentary yet healthy adults (65% women, 22-81 yr) who underwent treadmill exercise testing to measure V̇o2peak, structural magnetic resonance imaging to assess cortical thickness and GM volume, and a comprehensive cognitive test battery to assess fluid cognitive function. Linear regression models were used to examine the associations of total and regional cortical thickness and GM volume with age, V̇o2peak, and age × V̇o2peak interaction after adjusting for sex, education, and total intracranial volume, and the associations of cortical thickness and GM volume with fluid cognitive performance. Mean and regional cortical thickness and total GM volume were associated negatively with age, whereas no associations were observed with V̇o2peak. However, a significant interaction between age and V̇o2peak on the right superior parietal volume indicated that aging was associated with smaller right superior parietal volume in the lower CRF group, whereas no association was observed in the higher CRF group. Larger right superior parietal volume was associated with better fluid cognitive performance. These findings highlight the importance of maintaining CRF to prevent or slow brain aging from an adult lifespan perspective.NEW & NOTEWORTHY High cardiorespiratory fitness may mitigate regional gray matter shrinkage across the adult lifespan.

Effective engagement in computerized cognitive training for older adults

Computerized cognitive training (CCT) is a frontline therapy to prevent or slow age-related cognitive decline. A prerequisite for CCT research to provide clinically relevant improvements in cognition is to understand effective engagement, i.e., the pattern of energy investment that ensures CCT effectiveness. Even though previous studies have assessed whether particular variables (e.g., gamification) predict engagement and/or CCT effectiveness, the field lacks a systematic approach to understanding effective engagement. Here, by comprehensively reviewing and evaluating engagement and adjacent literature, we propose a standardized measurement and operational framework to promote effective engagement with CCT targeting cognitive decline in older adults. We suggest that promoting effective engagement with CCT has two key steps: 1) comprehensively measuring engagement with CCT and 2) identifying which aspects of engagement are essential to achieve the pre-specified outcome of clinically relevant improvements in cognition. The proposed measurement and operational framework of effective engagement will allow future research to maximize older adults' engagement with CCT to slow/prevent age-related cognitive decline.

Comparison of working memory performance in athletes and non-athletes: a meta-analysis of behavioural studies

The relationship between sports expertise and working memory (WM) has garnered increasing attention in experimental research. However, no meta-analysis has compared WM performance between athletes and non-athletes. This study addresses this gap by comparing WM performance between these groups and investigating potential moderators. A comprehensive literature search identified 21 studies involving 1455 participants from seven databases, including PubMed, Embase, and ProQuest. Athletes primarily engaged in basketball, football, and fencing, while non-athletes included some identified as sedentary. The risk of bias assessment indicated low risk across most domains. Publication bias, assessed through a funnel plot and statistical tests, showed no significant evidence of bias. The forest plot, using a random effects model, revealed moderate heterogeneity. The overall effect size indicated a statistically significant, albeit small, advantage for athletes over non-athletes (Hedges' g = 0.30), persisting across sports types and performance levels. Notably, this advantage was more pronounced when athletes were contrasted with a sedentary population (Hedges' g = 0.63), compared to the analysis where the sedentary population was excluded from the non-athlete reference group (Hedges' g = 0.15). Our findings indicate a consistent link between sports expertise and improved WM performance, while sedentary lifestyles appear to be associated with WM disadvantages.

The neural correlates of physical exercise-induced general cognitive gains: A systematic review and meta-analysis of functional magnetic resonance imaging studies

The general-domain effect of physical exercise-induced cognitive gains in behavioral outcomes is well-documented, but a consensus on the neural correlates remains elusive. This meta-analysis aims to identify the neural correlates of physical exercise-induced general cognitive gains by examining task-related brain activation consistently modulated by physical exercise and its relationship to those gains. Our analysis of 52 studies with 1503 participants shows that physical exercise enhances cognitive task performance (Hedges' g = 0.271) and consistently increases task-related brain activation primarily in the bilateral precuneus. These increases in task-related brain activation correlate positively with cognitive task performance improvements improvements. Notably, physical exercise intensity, adherence, and social environment significantly modulate task-related brain activation changes induced by physical exercise. This meta-analysis offers an unprecedented comprehensive assessment of how physical exercise modulates task-related brain activation changes, providing neural evidence to support the general-domain effects on cognitive function induced by physical exercise.

Light-Sheet Fluorescence Imaging Reveals Three-Dimensional Amyloid Burden Reduction Following Five Weeks of Swimming Exercise in Alzheimer's Mouse

Emerging evidence from observational studies suggests that lifestyle modifications, particularly moderate-intensity exercise, may confer neuroprotective benefits against dementia, potentially by enhancing brain resistance through clearance mechanisms. Using light-sheet fluorescence microscopy (LSFM) with tissue clearing, we investigated the role of voluntary swimming in ameliorating β-amyloid pathology in a transgenic Alzheimer's disease (AD) mouse model. Twenty 52-week-old hAPPsw mice were randomly divided into a 5-week voluntary swimming intervention group and a control group (each n = 10). Each session included a 10-min swim followed by a 10-min rest, escalating from one session per day in the first week to three sessions per day by the fifth week. The excised brains were prepared using tissue-clearing and volume immunostaining with thioflavin-S for β-amyloid. For LSFM imaging, the individual plaque area and volume, total plaque load, and morphological parameters were quantified via an Imaris-based three-dimensional (3D) volumetric surface model. Visual comparison revealed that the intervention group presented significantly lower β-amyloid accumulation. The total surface volume of β-amyloid accumulation in the intervention group was significantly lower than that of the control group (intervention, 122,180,948 μm3 [105,854,660-169,063,081]; control, 167,201,016 μm3 [139,367,765-193,535,450]; p = 0.043). There were no significant differences in the morphological parameters, such as ellipticity and sphericity. Our LSFM study demonstrated notable reductions in β-amyloid, as evidenced by a decrease in total surface volume, in 52-week-old transgenic mice after a 5-week structured swimming program, supporting the notion that even in advanced AD stages, leisure-time voluntary swimming serves as an efficacious intervention for augmenting resistance to pathology.

Improving brain health via the central executive network

Cognitive and physical stress have significant effects on brain health, particularly through their influence on the central executive network (CEN). The CEN, which includes regions such as the dorsolateral prefrontal cortex, anterior cingulate cortex and inferior parietal lobe, is central to managing the demands of cognitively challenging motor tasks. Acute stress can temporarily reduce connectivity within the CEN, leading to impaired cognitive function and emotional states. However a rebound in these states often follows, driven by motivational signals through the mesocortical and mesolimbic pathways, which help sustain inhibitory control and task execution. Chronic exposure to physical and cognitive challenges leads to long-term improvements in CEN functionality. These changes are supported by neurochemical, structural and systemic adaptations, including mechanisms of tissue crosstalk. Myokines, adipokines, anti-inflammatory cytokines and gut-derived metabolites contribute to a biochemical environment that enhances neuroplasticity, reduces neuroinflammation and supports neurotransmitters such as serotonin and dopamine. These processes strengthen CEN connectivity, improve self-regulation and enable individuals to adopt and sustain health-optimizing behaviours. Long-term physical activity not only enhances inhibitory control but also reduces the risk of age-related cognitive decline and neurodegenerative diseases. This review highlights the role of progressive physical stress through exercise as a practical approach to strengthening the CEN and promoting brain health, offering a strategy to improve cognitive resilience and emotional well-being across the lifespan.

Exploring the relationship between physical activity and Inhibitory Function in College Students with depressive symptoms through EEG

This study aims to examine the relationship between physical activity and inhibitory function in college students with depressive symptoms and to explore the role of resting EEG as a mediator in this relationship. Specifically, it analyzes how physical activity correlates with inhibitory function and identifies potential routes through which physical activity impacts inhibitory function. A cross-sectional study was conducted involving 154 college students with depressive symptoms. Participants completed the Basic Information Questionnaire, the Beck Depression Inventory-II, and the Physical Activity Rating Scale. Five-minute EEG signals were recorded, and participants performed behavioral tasks to assess inhibitory function. Data were analyzed using independent samples t-tests, χ2 tests, Pearson correlation analysis, and structural equation modeling. Significant differences were found between the adequate and inadequate physical activity groups in BDI scores and response inhibition (P < 0.05). There was a significant positive correlation between physical activity and the average accuracy rate on No-go tasks (r = 0.281, P < 0.001) in students with depressive symptoms. Delta and beta1 lateralization in the central, parietal, and temporal regions were significantly positively correlated with both physical activity and response inhibition (r = 0.20, r = 0.38, both P < 0.05). Both direct and mediating effects were significant, with direct effects accounting for 67.80% of the total effect (B = 0.141, 95% CI: 0.013-0.287) and mediating effects accounting for 32.20% of the total effect (B = 0.067, 95% CI: 0.029-0.136). Gender did not significantly moderate the relationship between physical activity and response inhibition (P > 0.05). There is a close relationship between physical activity, specific EEG indicators, and response inhibition. The central, parietal, and temporal regions serve as potential routes linking physical activity and response inhibition. Delta band lateralization (in the central, parietal, and temporal regions) may be the route through which physical activity influences response inhibition.

The effects of regular exercise on cognitive and cardiometabolic health in testicular cancer survivors subjected to platinum-based chemotherapy

BACKGROUND

Platinum-based chemotherapy provides curative treatment to more than 95% of patients with testicular germ cell tumor but it has negative cardiometabolic and neurological effects. Regular exercise can alleviate late chemotherapy-related toxicities. We examined the impact of a 6-month supervised aerobic-strength training on cognitive and cardiometabolic health and residual level of platinum in cancer survivors.

METHODS

Twenty-eight middle-aged (42.1 ± 7.6 years) testicular germ cell tumor survivors subjected to platinum-based chemotherapy (1-8 cycles, 0-24 years ago) were recruited into exercise (n = 20) and control (n = 8) groups. Effects of 6-month exercise training on the whole-body and muscle metabolism, cognitive functions, cardiopulmonary fitness, residual plasma platinum, and plasma adiponectin were examined.

RESULTS

Exercise intervention improved cardiopulmonary fitness and cognitive functions, reduced residual plasma platinum, visceral adiposity and muscle lipids, improved glucose (glycosylated hemoglobin) and lipid (high-density lipoprotein cholesterol) metabolism, and enhanced dynamics of muscle post-exercise phosphocreatine recovery. Exercise-related decline in plasma platinum was paralleled by decline of muscle glycerophosphocholines and by the enhanced metabolic flexibility during low-intensity exercise, and predicted training-induced increase in cognitive functions.

CONCLUSIONS

The 6-month exercise intervention resulted in improved cognitive and cardiometabolic health in testicular germ cell tumor survivors, which was paralleled by reduced plasma platinum, providing evidence that structured supervised exercise brings multiple health benefits to testicular germ cell tumor survivors.

Multi-domain intervention program on cognitive function in community-dwelling older adults: Pilot study

Background

Recent interventions to prevent cognitive impairment include aerobic-cognitive training and educational programs on cognitive function.

Objective

To compare the effectiveness of a multidomain intervention and a sports program (control) on objective cognitive function (OCF), subjective memory function (SMC), frontal assessment battery, cognitive reserve, depression, anxiety, and stress in older adults through a non-randomized study.

Material and methods

The intervention consisted of aerobics and cognitive exercises (exercise on a checkered mat) and educational motivational support. The intervention group received 60 minutes of training 3 days a week for 24 weeks, and the control group 60 minutes of physical training 2 days a week for 24 weeks. Independent older adults were included. The baseline and final values of the outcome variables were obtained. The relative risk for SMC, as well as the median differences, the effect estimate, and ANCOVA for continuous variables were obtained.

Results

The characteristics of the intervention group (n = 11) and control group (n = 10) were similar at baseline, except for age. OCF, SMC, and neuropsychological symptoms showed a positive trend in the intervention group, whereas in the control group did not. The intervention was significant in SMC (RR: 0.5; 95%CI 0.4-0.8), and the control showed a substantial decrease in OCF compared with the intervention group [F(1) = 8.4; p = 0.009; դp = 0.30].

Conclusions

The results suggest that the 3-component program may be more effective than the control program in improving SMC and OCF.

Aerobic Exercise Training for the Aging Brain: Effective Dosing and Vascular Mechanism

This article presents evidence supporting the hypothesis that starting aerobic exercise in early adulthood and continuing it throughout life leads to significant neurocognitive benefits compared with starting exercise later in life. Regular aerobic exercise at moderate-to-vigorous intensity during midlife is associated with significant improvement in cardiorespiratory fitness, which may create a favorable brain microenvironment promoting neuroplasticity through enhanced vascular function.

Effects of high-intensity interval training and moderate-intensity continuous training on neural dynamics and firing in the CA1-MEC region of mice

The aim of this study is to investigate the differential impacts of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on neural circuit dynamics and neuronal firing in the hippocampal CA1 subregion (CA1) region and medial entorhinal cortex (MEC) of mice. Forty-two male ICR mice were randomized into control, HIIT, and MICT groups. Electrophysiological recordings were performed pre- and postintervention to assess neural circuit dynamics and neuronal firing patterns in the CA1-MEC pathway. Both exercise protocols increased local field potential (LFP) coherence, with MICT showing a more pronounced effect on δ and γ coherences (P < 0.05). Both modalities reduced δ power spectral density (PSD) (HIIT, P < 0.05; MICT, P < 0.01) and elevated θ, β, and γ PSDs. Neuronal firing frequency improved in both CA1 and MEC following HIIT and MICT (P < 0.05). HIIT enhanced firing regularity in CA1 (P < 0.05), whereas MICT improved regularity in both regions (P < 0.05). Both protocols reduced firing latency (HIIT, P < 0.05; MICT, P < 0.01) and enhanced burst firing ratio, interburst interval (IBI), burst duration (BD), and LFP phase locking (P < 0.05 or P < 0.01). Notably, MICT significantly improved spatial working memory and novel recognition abilities, as evidenced by increased novel arm time, entries, and preference index (P < 0.01). This study reveals that both HIIT and MICT positively impact neural processing and information integration in the CA1-MEC network of mice. Notably, MICT exhibits a more pronounced impact on neural functional connectivity and cognitive function compared with HIIT. These findings, coupled with the similarities in hippocampal electrophysiological characteristics between rodents and humans, suggest potential exercise-mediated neural plasticity and cognitive benefits in humans.NEW & NOTEWORTHY This study is the first to investigate HIIT and MICT's effects on neural activity in the mouse CA1-MEC circuit, demonstrating that exercise modulates processing, enhances integration, and boosts cognitive performance. Due to similar hippocampal electrophysiology in rodents and humans during movement and navigation, our findings suggest implications for human brain neural changes, advancing the understanding of neurophysiological mechanisms underlying exercise-cognition interactions and informing exercise recommendations for cognitive health.

Effects of human concurrent aerobic and resistance training on cognitive health: A systematic review with meta-analysis

Background

The rising prevalence of cognitive decline and neurodegenerative diseases, projected to affect 150 million individuals by 2050, highlights the urgent need to enhance neurocognitive health. While both aerobic and resistance training are recognized as effective strategies, their combined effects on cognition remain underexplored.

Objective

This study aimed to determine if concurrent aerobic and resistance training (CT) is effective in enhancing cognitive function.

Methods

Seven English and three Chinese databases were searched from inception to August 2024. Randomised controlled trials (RCTs) examining the effects of CT on global cognition across diverse populations were included. A meta-analysis was performed using a random-effects model in R and Stata, supplemented by subgroup and meta-regression analyses to explore variability.

Results

The meta-analysis included 35 RCTs with 5,734 participants, revealing a positive effect of CT on global cognition (g = 0.32, 95% CI: 0.17-0.46, p < 0.001). Notably, older adults (≥65 years) exhibited greater cognitive benefits (g = 0.33; 95% CI: 0.14-0.51, p < 0.05) compared to younger populations. Significant effects were also observed in clinical populations (g = 0.28; 95% CI: 0.11-0.46, p < 0.001). Exercise frequency and duration positively influenced outcomes, with medium-length interventions (13-26 weeks) demonstrating significant effects (g = 0.21; 95% CI: 0.05-0.37, p = 0.011).

Conclusion

The findings indicate that CT significantly enhances cognitive health, particularly in older adults and clinical populations. Prioritizing strength training, implementing short- to medium-term interventions (4-26 weeks), and maintaining session durations of 30-60 minutes are crucial for optimizing cognitive benefits.

The mechanisms, hallmarks, and therapies for brain aging and age-related dementia

Age-related cognitive decline and dementia are significant manifestations of brain aging. As the elderly population grows rapidly, the health and socio-economic impacts of cognitive dysfunction have become increasingly significant. Although clinical treatment of dementia has faced considerable challenges over the past few decades, with limited breakthroughs in slowing its progression, there has been substantial progress in understanding the molecular mechanisms and hallmarks of age-related dementia (ARD). This progress brings new hope for the intervention and treatment of this disease. In this review, we categorize the latest findings in ARD biomarkers into four stages based on disease progression: Healthy brain, pre-clinical, mild cognitive impairment, and dementia. We then systematically summarize the most promising therapeutic approaches to prevent or slow ARD at four levels: Genome and epigenome, organelle, cell, and organ and organism. We emphasize the importance of early prevention and detection, along with the implementation of combined treatments as multimodal intervention strategies, to address brain aging and ARD in the future.

Acute Effects of Cadence-Controlled Walking on Cognition and Vascular Function in Physically Inactive Older Adults: A Randomized Crossover Study

BACKGROUND

Cadence-controlled walking may be a desirable approach for older adults to self-monitor exercise intensity and achieve physical activity guidelines. We examined the acute effects of cadence-controlled walking on cognition and vascular function in physically inactive older adults.

METHODS

In a randomized crossover design, 26 participants (65% females, 67.8 ± 11.3 years) underwent 30-min acute exercise (walking at 100 steps/min) and control (sitting) conditions. We measured cognition, central blood pressure (BP), and arterial stiffness before, and immediately, after each condition.

RESULTS

We observed significant Time × Condition interactions in the Flanker Inhibitory Control and Attention (Flanker) test and Dimensional Change Card Sort (DCCS) test scores, and in central systolic BP, central pulse pressure, and carotid to femoral pulse wave velocity (p < .05). The Flanker and DCCS scores significantly increased after walking (d = 0.4 and 0.5, respectively), but not after sitting. Central systolic BP, central pulse pressure, and carotid to femoral pulse wave velocity significantly increased after sitting but remained unchanged after acute walking (d = 0.4-0.2), with p-values < .05. After walking, significant correlations were observed between DCCS and diastolic BP and central pulse pressure change scores and change scores in central pulse wave velocity, Flanker, and DCCS (rs = -0.45 to -0.52).

CONCLUSION

These findings suggest that a single bout of cadence-controlled walking elicited an immediate improvement in cognition and might have mitigated increases in arterial stiffness and central BP observed in the seated control condition. Further research is needed to examine the association between cognition and vascular function following acute exercise compared to control conditions.

SIGNIFICANCE

Our findings may have practical implications for developing daily physical activity recommendations for improving the cognitive health for successful aging.

Effects of aerobic exercise on executive function of healthy middle-aged and older adults: A systematic review and meta-analysis

BACKGROUND

The deterioration of executive function is a hallmark of cognitive aging. Reports indicate that signs of decline in executive function begin to emerge as early as middle age. Aerobic exercise improves executive function in healthy middle-aged and older adults, but the optimal exercise prescription variables are still unclear.

OBJECTIVE

To investigate the effects of aerobic exercise on executive function of healthy middle-aged and older adults and explore the dose-response relationship and moderators.

METHODS

We conducted comprehensive searches of PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, PsycINFO, and SPORTDiscus for English literature, and CNKI, WanFang, and VIP for Chinese literature, covering the period from inception until April 25, 2024. Randomized controlled trials examining the effect of aerobic exercise on executive function in healthy middle-aged and older adults aged 45 or older were included. The Cochrane Collaboration's RoB2 tool was used to assess the methodological quality of the included studies. And subgroup analyses and meta-regressions were conducted to elucidate the impact of aerobic exercise on executive function.

RESULTS

Forty-two eligible randomized controlled trials, involving a total of 2881 participants, met the inclusion criteria for the systematic review and meta-analysis. The pooled results showed that aerobic exercise had positive effects on improving cognitive flexibility (Hedge's g = 0.343, p < 0.001), working memory (Hedge's g = 0.392, p < 0.001), and inhibitory control (Hedge's g = 0.229, p < 0.001) in healthy middle-aged and older adults. However, it did not demonstrate an improvement in planning (Hedge's g = 0.094, p = 0.440). The dose-response relationships between different exercise parameters and subdomains of executive functions revealed that the largest effects on cognitive flexibility were observed after 13-24 weeks of progression-intensity mind-body exercise, 46-60 min per session, and 5-7 days per week. Regarding working memory, the largest effects were observed after 13-24 weeks of progression-intensity general aerobic exercise, 20-45 min per session, and 5-7 days per week. For inhibitory control, the greatest effects were noted after 13-24 weeks of low-intensity general aerobic exercise, 20-45 min per session, and 3-4 days per week.

CONCLUSION

Aerobic exercise can significantly improve cognitive flexibility, working memory, and inhibitory control in healthy middle-aged and older adults. The effect of aerobic exercise on different aspects of executive function is influenced by specific exercise parameters, suggesting that personalized aerobic exercise programs may be more effective for enhancing executive function of healthy middle-aged and older adults.

The Effects of Post-Warm-Up Active and Passive Rest Periods on a Vigilance Task in Karate Athletes

This study aimed to analyze how active versus passive rest periods after a warm-up influence performance in psychomotor vigilance tasks (PVT). Twenty amateur karate athletes participated in a randomized cross-over study consisting of two sessions with either a 20 min active rest involving kata techniques or passive rest. PVT was administered before and after these conditions to assess the changes in reaction time. The results revealed that the active rest condition significantly improved reaction times compared to both the passive rest condition (F(1,31) = 5.34, p = 0.03, η2 partial = 0.14) and control condition (F(1,31) = 5.49, p = 0.02, η2 partial = 0.15). No significant time-on-task effects were observed, F(4,120) = 2.31, p = 0.06, and there were no significant interactions between effort condition and time-on-task, F(4,120) = 1.89, p = 0.11). Participating in an active rest period post-warm-up improves cognitive performance in karate athletes, as evidenced by quicker reaction times in the PVT. This finding supports the use of active rest strategies (involving kata techniques) to maintain and improve cognitive readiness in young karate athletes.

Effects of a motor and cognitive training program on executive function and different biomarkers related to muscle-brain crosstalk in breast cancer survivors: 3-arm randomised controlled BRAINonFIT study protocol

INTRODUCTION

Cancer-related cognitive impairment (CRCI) is a significant but often neglected issue for breast cancer survivors that reduces their quality of life. Physical exercise and cognitive training have emerged as promising strategies for CRCI; however, evidence regarding its effectiveness is still unknown. A recently developed motor-cognitive training (dual-tasks) is proposed to examine its efficacy on executive function, physical fitness, emotional symptomatology, and important muscle-brain crosstalk biomarkers.

METHODS

The BRAINonFIT study is a randomised, controlled, longitudinal (20 weeks), three-arm, parallel study with a follow-up phase (12 weeks). Breast cancer survivors (stage I-IIIA) with completed chemotherapy are recruited from QuirónSalud Hospital in Seville. Principal outcomes are executive functions, measured by the Trail Making Test, Stroop and Digit Span Backwards; physical fitness, assessed by muscle strength, cardiorespiratory fitness, and body composition; and several muscle-brain biomarkers analysed by immunoenzymatic assay (ELISA). Secondary endpoints are memory function, intelligence, learning ability, self-reported cognitive function, and emotional symptomatology. Assessments take place after the enrolment (baseline; T1), after completing the interventions (5 months after baseline; T2), and after completing the follow-up period (8 months after baseline; T3).

DISCUSSION

Given the importance of improving care for breast cancer survivors, this study will provide preliminary evidence for the effectiveness of cognitive-motor training (dual task) as a therapeutic strategy to improve CRCI. Moreover, addressing muscle-brain crosstalk by representative biomarkers will help to elucidate the underlying mechanisms by which this intervention may beneficially impact CRCI.

CLINICALTRIALS

gov: NCT06073717.

Self-reported physical activity and sleep quality is associated with working memory function in middle-aged and older adults during the COVID-19 pandemic

While previous work has shown a positive relationship between cognitive performance and lifestyle factors in younger adults, evidence for this relationship among middle-aged and older adults has been mixed. The current study aimed to further test the relationship among physical activity, sleep quality, and memory performance in middle-aged and older adults, and to test whether this relationship holds up during the COVID-19 pandemic. Our results showed that physical activity was associated with better sleep quality and better working memory performance, and better sleep quality was associated with better working memory and self-perceptions of everyday memory abilities. Additionally, we found that the effects of physical activity on working memory were partially mediated by sleep quality. While these effects were small and only correlational in nature, they lend further support to the notion that sleep quality and physical activity are beneficial to memory later in life, even during a global pandemic.

The multiple mediation impact of adolescents' physical fitness and cognitive perceptions on their objective measures - The Cogni-Action Project

OBJECTIVE

To establish whether physical fitness and cognitive self-perceptions act as mediators in the link between global fitness and cognitive performance measured objectively in adolescents. We also compared differences across sex.

METHODS

A total of 1296 adolescents (50 % girls) from grades 5 to 8 (ages 10-14) participated in this cross-sectional study. The ALPHA-fitness test battery assessed physical fitness, comprising cardiorespiratory, speed-agility, and muscular fitness components. We used the 1-5-point International Fitness Scale for physical fitness self-perception, and the 1-10 scale for cognitive performance self-perception. Objective cognitive performance was assessed using a neurocognitive battery consisting of eight tasks. Using principal component analysis, these tasks were grouped into three domains: attention, working memory, and problem solving. We examined three serial mediation models adjusted for sex, standardized body mass index, maturation, and school vulnerability index.

RESULTS

Physical fitness and cognitive self-perceptions mediated the effects on attention (B = .0027, CI = .0011 to .0047), memory (B = .0025; CI = .0003 to .0055 and B = .0035; CI = .0009 to .0063), and problem-solving (B = -.0137; CI = -.0231 to -.0052 and B = .0072; CI = .0043 to .0106). By sex, boys showed mediation in all domains, while girls only showed mediation in problem-solving.

CONCLUSIONS

Adolescents' perceptions play a crucial and positive mediating role in linking objective measures of physical fitness to cognitive performance outcomes, particularly when self-perceptions of physical fitness and cognition are considered together. Therefore, educating families and school/health environments about the importance of adolescent perceptions, while fostering self-awareness and reinforcing their capabilities, is essential.

Nature and success: Outdoor play is linked to school readiness

BACKGROUND

and Purpose: Outdoor play is widely acknowledged for its benefits to physical health and psychological well-being, yet its relationship with school readiness remains understudied in preschoolers. To address this gap in the literature, this study investigated how outdoor play relates to cognitive and psychosocial development among a nationally representative sample of preschoolers.

MATERIALS AND METHOD

Data on the duration of outdoor play (on weekdays and weekends) and specific cognitive and psychosocial outcome variables (i.e., early learning skills, self-regulation, social-emotional development, and flourishing) were collected via questionnaires provided to the caregivers of preschoolers. Logistic regressions were performed to examine the associations between outdoor play with cognitive and psychosocial outcomes while adjusting for covariates and calculate the odds ratio with 95 % confidence intervals (CI).

RESULTS

Among the 10,682 preschoolers (i.e., 3-5y) included in this study (i.e., 5558 boys, Mage = 3.98 ± 0.99 years), there was a lower percentage of preschoolers engaged in outdoor play for over 3 h per day on weekdays (33.39 %) compared to weekends (56.85 %). Outdoor play in preschoolers is positively associated with various domains of school readiness, and engaging in outdoor play for more than 3 h per day is associated with more beneficial outcomes.

CONCLUSION

The findings of this cross-sectional study suggest that promoting outdoor play among preschoolers can be an effective strategy for enhancing cognitive, social, and emotional development in this age group although further intervention studies are required to buttress this assumption empirically.

Effects of a 6-month aerobic exercise intervention on brain morphology in women with breast cancer receiving aromatase inhibitor therapy: a sub-study of the EPICC trial

Objective

Physical exercise may increase brain volume and cortical thickness in late adulthood. However, few studies have examined the possibility for exercise to influence brain morphology in women treated for breast cancer. We conducted a nested sub-study within a randomized clinical trial to examine whether 6 months of moderate-intensity aerobic exercise in postmenopausal women with early-stage breast cancer influences brain morphology.

Methods

We included twenty-eight postmenopausal women newly diagnosed with Stage 0-IIIa breast cancer (M age = 62.96 ± 5.40) who were randomized to either 45-60 min of supervised aerobic exercise 3 days/week (n = 16) or usual care (n = 12). Before beginning aromatase inhibitor aromatase inhibitor therapy, and the exercise intervention, and again at 6-month follow-up, volumetric and cortical thickness measures were derived from magnetic resonance imaging scans.

Results

There were no significant intervention effects on brain volume and cortical thickness. However, greater average exercise intensity (%) during the intervention was associated with greater post-intervention cortical volume, mean cortical thickness, precentral gyrus thickness, and superior parietal thickness (all p < 0.05). Finally, total supervised exercise time was associated with higher precentral gyrus thickness after the intervention (p = 0.042, R 2 = 0.263).

Conclusion

The exercise intervention did not significantly affect brain volumes and cortical thickness compared to the control group. However, positive associations were found between exercise intensity and brain morphology changes after the 6-month intervention, indicating that exercise may reduce the vulnerability of the brain to the deleterious effects of breast cancer and its treatment.

The Effect of 6 weeks Physical Activity on Cognitive Control and Trait Impulsivity in Multi-problem Young Adults: First Findings of an RCT-study

This study aimed to report the effect of a 6-week light-active versus moderate-active physical activity intervention embedded in a multimodal day treatment program on selected measures of cognitive control (i.e., response inhibition, error processing, and cognitive interference) and trait impulsivity. A randomized controlled design was implemented, including male multi-problem young adults (aged 18-27) assigned to either light-active (N = 12) or moderate-active physical activity lessons (N = 11). A repeated measures design was used to examine treatment effects between the two groups over time on response inhibition, error processing, and cognitive interference (measured respectively with a Go/NoGo task, a Flanker task, and the Stroop) and trait impulsivity (measured with the Dutch Baratt Impulsiveness Scale). Cognitive control, but not trait impulsivity, improved over time. Specifically, enhancements in inhibition and reduced cognitive interference were observed after 6 weeks. Error processing did not improve, but we did observe improved performance on an error-processing task. No interaction with physical activity intensity was found, suggesting similar treatment effects regardless of intensity. Results should be interpreted with caution due to several limitations, including the small sample size. Overall, due to current limitations (i.e., physical activity embedded in a larger treatment program, small sample size at follow-up, and low intervention adherence), it is not possible to draw any definite conclusions. However, the current findings contribute to a growing body of evidence suggesting potential benefits of physical activity (embedded in a multi-modal day treatment program) in the enhancement of cognitive control deficits in at-risk populations, independent of exercise intensity.

Association of Resilience-Related Life Experiences on Variability on Age of Onset in Dominantly Inherited Alzheimer Disease

BACKGROUND AND OBJECTIVES

It remains unknown whether the associations between protective lifestyles and sporadic dementia risk reported in observational studies also affect age at symptom onset (AAO) in autosomal dominant Alzheimer disease (ADAD) with predominant genetic influences. We investigated the associations between resilience-related life experiences and interindividual AAO variability in ADAD.

METHODS

We performed a longitudinal and confirmatory analysis of the Dominantly Inherited Alzheimer Network prospective observational cohort (January 2009-June 2018, follow-up duration 2.13 ± 2.22 years), involving clinical, CSF, and lifestyle/behavioral assessments. We performed a 2-pronged comprehensive resilience assessment in each cohort. Cohort 1, incorporating the general resilience definition (cognitive maintenance [Clinical Dementia Rating = 0] despite high pathology), included carriers during the periods of significant CSFp-tau181 variability and grouped into resilience/resistance outcome bins according to the dichotomous pathologic and cognitive statuses, subcategorized by the estimated years from expected symptom onset (EYO). Cohort 2, focused on ADAD-specific genetically determined time frame characterizing the onset predictability, included asymptomatic participants with available preclinical lifestyle data and AAO outcomes and grouped into delayed or earlier AAO relative to the parental AAO. Associations of cognitive, CSFp-tau181, and lifestyle/behavioral predictors with binary outcomes were investigated using logistic regression.

RESULTS

Of 320 carriers (age 38.19 ± 10.94 years, female 56.25%), cohort 1 included 218 participants (39.00 ± 9.37 years, 57.34%) and cohort 2 included 28 participants (43.34 ± 7.40 years, 71.43%). In cohort 1, 218 carriers after -20 EYO, when the interindividual variability (SD) of CSFp-tau181 first became more than twice greater in carriers than in noncarriers, were grouped into low-risk control (asymptomatic, low pathology, n = 103), high-resilience (asymptomatic despite high pathology, n = 60), low-resilience (symptomatic despite low pathology, n = 15), and susceptible control (symptomatic, high pathology, n = 40) groups. Multivariable predictors of high resilience, controlling for age and depression, included higher conscientiousness (odds ratio 1.051 [95% CI 1.016-1.086], p = 0.004), openness to experience (1.068 [1.005-1.135], p = 0.03) (vs. susceptible controls), and agreeableness (1.082 [1.015-1.153], p = 0.02) (vs. low resilience). From 1 to 3 years before parental AAO (cohort 2), the multivariable predictor of delayed AAO, controlling for CSFp-tau181, was higher conscientiousness (0.916 [0.845-0.994], p = 0.036).

DISCUSSION

Among the cognitively and socially integrated life experiences associated with resilience, measures of conscientiousness were useful indicators for evaluating resilience and predicting future dementia onset in late preclinical ADAD.

The Hidden Dangers of Sedentary Living: Insights into Molecular, Cellular, and Systemic Mechanisms

With the aging of the global population, neurodegenerative diseases are emerging as a major public health issue. The adoption of a less sedentary lifestyle has been shown to have a beneficial effect on cognitive decline, but the molecular mechanisms responsible are less clear. Here we provide a detailed analysis of the complex molecular, cellular, and systemic mechanisms underlying age-related cognitive decline and how lifestyle choices influence these processes. A review of the evidence from animal models, human studies, and postmortem analyses emphasizes the importance of integrating physical exercise with cognitive, multisensory, and motor stimulation as part of a multifaceted approach to mitigating cognitive decline. We highlight the potential of these non-pharmacological interventions to address key aging hallmarks, such as genomic instability, telomere attrition, and neuroinflammation, and underscore the need for comprehensive and personalized strategies to promote cognitive resilience and healthy aging.

Mechanisms Linking Physical Activity With Mental Health in Children and Adolescents With Neurodevelopmental Disorders: A Systematic Review

INTRODUCTION

Physical activity (PA) is a promising way to improve mental health in children and adolescents with neurodevelopmental disorders (NDDs). However, the underlying mechanisms remain unclear. The current review aimed to explore the potential neurobiological, psychosocial, and behavioral mechanisms between PA interventions and mental health in children and adolescents with NDDs.

METHODS

Web of Science, PsycINFO, SPORTDiscus, MEDLINE, CINAHL, and ERIC were searched from inception to June 2023. Randomized controlled trials/quasi-experimental designs applying PA interventions and reporting at least one mental health outcome and at least one potential mechanism in children and adolescents with NDDs were included. The best evidence synthesis rating system was adopted to determine the strength and consistency of potential mechanisms and was performed in 2024.

RESULTS

In total, 45 studies were included, 29 of which were randomized controlled trials and 16 were quasi-experimental, with a total of 1,751 participants. According to the best evidence synthesis rating system, neurobiological (theta activity and P3 amplitude), psychosocial (social skills and social participation), and behavioral (motor skills and sleep) mechanisms were the frequently examined and consistent mechanisms through which PA affected mental health in children and adolescents with NDDs. However, evidence regarding P3 latency, beta activity, and physical self-concept was insufficient.

DISCUSSION

Future PA interventions could consider neurobiological (theta activity and P3 amplitude), psychosocial (social skills and social participation), and behavioral (motor skills and sleep) mechanisms. Alternatively, PA can be developed as an adjunctive approach with interventions that specifically focus on these mechanisms to enhance mental health in children and adolescents with NDDs.

Tai Chi-Induced Exosomal LRP1 is Associated With Memory Function and Hippocampus Plasticity in aMCI Patients

OBJECTIVES

The study was designed to identify the potential peripheral processes of circulating exosome in response to Tai Chi (TC) exercise and the possibility of its loaded cargos in mediating the effects of TC training on cognitive function among older adults with amnestic mild cognitive impairment (aMCI).

DESIGN, SETTING, AND PARTICIPANTS

This was a multicenter randomized controlled trial. One hundred community-dwelling old adults with aMCI were randomly assigned (1:1) to experimental (n = 50) and control groups (n = 50).

INTERVENTION

The experimental group participated in TC exercise 5 times/week, with each session lasting 60 minutes for 12 weeks. Both experimental and control groups received health education every 4 weeks.

MEASUREMENTS

The primary outcome was global cognitive function. Neurocognitive assessments, MRI examination, and large-scale proteomics analysis of peripheric exosome were conducted at baseline and after 12-week training. Outcome assessors and statisticians were blinded to group allocation.

RESULTS

A total of 96 participants (96%) completed all outcome measurements. TC training improved global cognitive function (adjusted mean difference [MD] = 1.9, 95%CI 0.93-2.87, p <0.001) and memory (adjusted MD = 6.42, 95%CI 2.09-10.74, p = 0.004), increased right hippocampus volume (adjusted MD = 88.52, 95%CI 13.63-163.4, p = 0.021), and enhanced rest state functional connectivity (rsFC) between hippocampus and cuneus, which mediated the group effect on global cognitive function (bootstrapping CIs: [0.0208, 1.2826], [0.0689, 1.2211]) and verbal delay recall (bootstrapping CI: [0.0002, 0.6277]). Simultaneously, 24 differentially expressed exosomal proteins were detected in tandem mass tag-labelling proteomic analysis. Of which, the candidate protein low-density lipoprotein receptor-related protein 1 (LRP1) was further confirmed by parallel reaction monitoring and ELISA. Moreover, the up-regulated LRP1 was both positively associated with verbal delay recall and rsFC (left hippocampus-right cuneus).

CONCLUSION

TC promotes LRP1 release via exosome, which was associated with enhanced memory function and hippocampus plasticity in aMCI patients. Our findings provided an insight into potential therapeutic neurobiological targets focusing on peripheric exosome in respond to TC exercise.

Acute Vigorous Exercise Decreases Subsequent Nonexercise Physical Activity and Body Temperature Linked to Weight Gain

PURPOSE

Exercise benefits the body and mind, but its weight loss effect is less than generally expected. Although this phenomenon is likely due to an exercise intensity-dependent decrease in non-exercise physical activity (NEPA), resulting in a decrease in non-exercise activity thermogenesis, the underlying mechanisms and effects of exercise intensity remain unknown. Here we show that acute vigorous exercise decreases subsequent NEPA and body temperature (BT) in association with body weight gain.

METHODS

Adult male C57BL/6J mice were categorized into three groups: sedentary, moderate exercise, and vigorous exercise, with exercise groups undergoing a 30-min treadmill session. Using an intraperitoneally implanted activity monitor, NEPA and BT were monitored for 2 d before and 3 d after exercise. The daily synchrony between NEPA and BT was evaluated using a cross-correlation function. Plasma corticosterone was also detected 6 and 24 h after exercise.

RESULTS

Notably, only the vigorous exercise group exhibited a decline in both NEPA and BT, resulting in body weight gain the following day, despite no observed changes in food intake. Furthermore, vigorous exercise induces a distinct delay in the daily dynamics of NEPA compared with BT. A positive correlation was observed between plasma corticosterone levels and changes in NEPA levels before and after exercise across all exercise groups.

CONCLUSIONS

Our findings provide evidence for vigorous exercise-specific reduction in subsequent NEPA, BT, and their synchrony linked to weight gain, likely due to the disturbed circadian rhythm of corticosterone. This is an initial investigation redefining the significance of exercise intensity in beneficial effects beyond the energy expenditure of the exercise itself.

Unveiling the neural mechanisms of acute aerobic exercise on inhibitory control among young adults with obesity: Insights from an ERP study

Obesity has become a prominent public health concern worldwide and is associated with adverse cognitive function. Exercise, particularly aerobic exercise, is known to benefit for weight loss and cognitive function. However, whether acute aerobic exercise could yield benefits to obese individuals and the precise brain mechanisms of action remain poorly understood. The study aimed to investigate whether acute aerobic exercise could improve inhibitory control among obese individuals and what neuroelectric mechanisms are implicated. A 3 (session: control, low-intensity exercise, moderate-intensity exercise) × 2 (congruency: congruent, incongruent) within-subject design was conducted. 18 obese young male adults underwent three sessions of 30-min interventions in a counterbalanced order seperated by five days: moderate-intensity aerobic exercise (MIE), low-intensity aerobic exercise (LIE) and a control session (a sedentary period of seated rest). The Flanker task and EEG recordings (N2 and P3 amplitude) were investigated following exercise and the control treatment. Results showed that the N2 amplitude following MIE was larger than the control session, whereas a larger N2 and reduced congruent P3 amplitude was observed following MIE than LIE. However, no main effect of the session was found for reaction time and accuracy, but a significant main effect of congruency was observed. These findings suggest acute moderate-intensity aerobic exercise may modulate brain activity through enhanced recruitment of attentional resources for cognitive control and conflict monitoring in adults with obesity.

GABA, Aging and Exercise: Functional and Intervention Considerations

The global growth of an aging population is expected to coincide with an increase in aging-related pathologies, including those related to brain health. Thus, the potential for accelerated cognitive health declines due to adverse aging is expected to have profound social and economic implications. However, the progression to pathological conditions is not an inevitable part of aging. In fact, engaging in activities that improve cardiovascular fitness appears to be a means that offers the benefits of maintaining and/or improving cognitive health in older age. However, to date, the underlying mechanisms responsible for improved central nervous system health and function with exercise are not yet fully elucidated. Consequently, there is considerable interest in studies aimed at understanding the neurophysiological benefits of exercise on aging. One such area of study suggests that the improvements in brain health via exercise are, in part, driven by the recovery of inhibitory processes related to the neurotransmitter gamma-aminobutyric acid (GABA). In the present review, we highlight the opposing effects of aging and exercise on cortical inhibition and the GABAergic system's functional integrity. We highlight these changes in GABA function by reviewing work with in vivo measurements: transcranial magnetic stimulation (TMS) and magnetic resonance spectroscopy (MRS). We also highlight recent and significant technological and methodological advances in assessing the GABAergic system's integrity with TMS and MRS. We then discuss potential future research directions to inform mechanistic GABA study targeted to improve health and function in aging. We conclude by highlighting the significance of understanding the effects of exercise and aging, its influence on GABA levels, and why a better understanding is crucial to allow for more targeted and effective interventions aimed to ultimately improve age-related decline in aging.

Differences in brain connectivity between older adults practicing Tai Chi and Water Aerobics: a case-control study

Background

This study aimed to investigate the neural mechanisms that differentiate mind-body practices from aerobic physical activities and elucidate their effects on cognition and healthy aging. We examined functional brain connectivity in older adults (age > 60) without pre-existing uncontrolled chronic diseases, comparing Tai Chi with Water Aerobics practitioners.

Methods

We conducted a cross-sectional, case-control fMRI study involving two strictly matched groups (n = 32) based on gender, age, education, and years of practice. Seed-to-voxel analysis was performed using the Salience, and Frontoparietal Networks as seed regions in Stroop Word-Color and N-Back tasks and Resting State.

Results

During Resting State condition and using Salience network as a seed, Tai Chi group exhibited a stronger correlation between Anterior Cingulate Cortex and Insular Cortex areas (regions related to interoceptive awareness, cognitive control and motor organization of subjective aspects of experience). In N-Back task and using Salience network as seed, Tai Chi group showed increased correlation between Left Supramarginal Gyrus and various cerebellar regions (related to memory, attention, cognitive processing, sensorimotor control and cognitive flexibility). In Stroop task, using Salience network as seed, Tai Chi group showed enhanced correlation between Left Rostral Prefrontal Cortex and Right Occipital Pole, and Right Lateral Occipital Cortex (areas associated with sustained attention, prospective memory, mediate attention between external stimuli and internal intention). Additionally, in Stroop task, using Frontoparietal network as seed, Water Aerobics group exhibited a stronger correlation between Left Posterior Parietal Lobe (specialized in word meaning, representing motor actions, motor planning directed to objects, and general perception) and different cerebellar regions (linked to object mirroring).

Conclusion

Our study provides evidence of differences in functional connectivity between older adults who have received training in a mind-body practice (Tai Chi) or in an aerobic physical activity (Water Aerobics) when performing attentional and working memory tasks, as well as during resting state.