Evidence map›Paper›PMID 21878600›Full record

ReviewMayo Clinic proceedings2011

Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging.

J Eric Ahlskog, Yonas E Geda, Neill R Graff-Radford, Ronald C Petersen

4 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Mayo Clinic proceedings, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 358 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
358citing papers in PubMed, 13 pooled it
26.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01939769 phase1terminatednot on this mapstarted 2013, after this paper: background citation

Acute Effects of Exercise on Memory in Healthy and Brain-Injured Individuals

TypeinterventionalSponsorNational Institute of Neurological Disorders and Stroke (NINDS)Ran2013 to 2017Enrolled42ConditionsTraumatic Brain InjuryArmsExercise - Low-intensity exercise, Exercise - High-intensity exercise
NCT04440969 nacompletednot on this mapstarted 2018, after this paper: background citation

Dementia - Early Detection and Intervention

TypeinterventionalSponsorGeriatric Education and Research InstituteRan2018 to 2020Enrolled199ConditionsCognitive Decline, Cognitive Impairment, MildArmsMulti-domain intervention
NCT06631742 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of an Exergaming Intervention on Physical Activity and Sleep in People With Major Neurocognitive Disorders Living in Long-term Care Facilities: a Pilot Randomized Controlled Trial.

TypeinterventionalSponsorEastern Switzerland University of Applied SciencesRan2024 to 2027Enrolled48ConditionsMajor Neurocognitive Disorder, Alzheimer Disease, Parkinson Disease, Lewy Body DementiaArmsExergaming on Dividat Senso, Usual Care
NCT07180147 active not recruitingnot on this mapstarted 2025, after this paper: background citation

Arlington Longitudinal Optimal Healthy Aging Study (ALOHA)

TypeobservationalSponsorMarymount UniversityRan2025 to 2031Enrolled500ConditionsAlzheimer Disease (AD), Cardio Vascular Disease, Mild Cognitive Impairment (MCI), Frailty Syndrome
3 · Its place in the literature

Who cites it

358 citing papers in PubMed, 13 syntheses or guidelines pooled it, 857 citations in OpenAlex.

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  14. Trial
  15. The Impact of Pandemic-Related Restrictions on Dementia Risk Factors in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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  20. Effects of Two Physical Training Programs on the Cognitive Status of a Group of Older Adults in Chile.International journal of environmental research and public health · 2021
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298 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

J Eric AhlskogDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA. eahlskog@mayo.edu
Yonas E Geda
Neill R Graff-Radford
Ronald C Petersen
Mayo Clinic in Arizona · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A rapidly growing literature strongly suggests that exercise, specifically aerobic exercise, may attenuate cognitive impairment and reduce dementia risk. We used PubMed (keywords exercise and cognition) and manuscript bibliographies to examine the published evidence of a cognitive neuroprotective effect of exercise. Meta-analyses of prospective studies documented a significantly reduced risk of dementia associated with midlife exercise; similarly, midlife exercise significantly reduced later risks of mild cognitive impairment in several studies. Among patients with dementia or mild cognitive impairment, randomized controlled trials (RCTs) documented better cognitive scores after 6 to 12 months of exercise compared with sedentary controls. Meta-analyses of RCTs of aerobic exercise in healthy adults were also associated with significantly improved cognitive scores. One year of aerobic exercise in a large RCT of seniors was associated with significantly larger hippocampal volumes and better spatial memory; other RCTs in seniors documented attenuation of age-related gray matter volume loss with aerobic exercise. Cross-sectional studies similarly reported significantly larger hippocampal or gray matter volumes among physically fit seniors compared with unfit seniors. Brain cognitive networks studied with functional magnetic resonance imaging display improved connectivity after 6 to 12 months of exercise. Animal studies indicate that exercise facilitates neuroplasticity via a variety of biomechanisms, with improved learning outcomes. Induction of brain neurotrophic factors by exercise has been confirmed in multiple animal studies, with indirect evidence for this process in humans. Besides a brain neuroprotective effect, physical exercise may also attenuate cognitive decline via mitigation of cerebrovascular risk, including the contribution of small vessel disease to dementia. Exercise should not be overlooked as an important therapeutic strategy.

Indexed as

AdultAgedAnimalsCognitionCognition DisordersDementiaExerciseHealth StatusHumansMemoryMiddle AgedNeuropsychological TestsPhysical FitnessRandomized Controlled Trials as Topic

Identifiers

PMID21878600
PMCPMC3258000
OpenAlexW2139751847

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.