Evidence map›Paper›PMID 26477656›Full record

SynthesisNeuroImage2016

A systematic review of MRI studies examining the relationship between physical fitness and activity and the white matter of the ageing brain.

Claire E Sexton, Jill F Betts, Naiara Demnitz, Helen Dawes, Klaus P Ebmeier, Heidi Johansen-Berg

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in NeuroImage, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Selected social and lifestyle correlates of brain health markers: the Cross-Cohort Collaboration Consortium.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  11. Physical Activity and Cerebral Small Vein Integrity in Older Adults.Medicine and science in sports and exercise · 2019
    Trial
  12. Nutritional supplementation boosts aerobic exercise effects on functional brain systems.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Trial
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85 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

6 authors.

Claire E SextonFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK. Electronic address: claire.sexton@ndcn.ox.ac.uk.
Jill F BettsFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK.
Naiara DemnitzFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK.
Helen DawesFaculty of Health and Life Sciences, Oxford Brookes University, Oxford OX3 0BP, UK.
Klaus P EbmeierDepartment of Psychiatry, Warneford Hospital, University of Oxford, OX3 7JX, UK.
Heidi Johansen-BergFMRIB Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, OX3 9DU, UK.

Funding

Department of Health PB-PG-0110-20250Medical Research Council G1001354Medical Research Council MR/K013351/1Wellcome Trust 090955
6 · The paper itself

Abstract

Higher levels of physical fitness or activity (PFA) have been shown to have beneficial effects on cognitive function and grey matter volumes in older adults. However, the relationship between PFA and the brain's white matter (WM) is not yet well established. Here, we aim to provide a comprehensive and systematic review of magnetic resonance imaging studies examining the effects of PFA on the WM of the ageing brain. Twenty-nine studies were included in the review: eleven examined WM volume, fourteen WM lesions, and nine WM microstructure. While many studies found that higher levels of PFA were associated with greater WM volumes, reduced volume or severity of WM lesions, or improved measures of WM microstructure, a number of negative findings have also been published. Meta-analyses of global measures of WM volume and WM lesion volume yielded significant, but small, effect sizes. Overall, we found evidence for cautious support of links between PFA and WM structure, and highlighted key areas for future research including the extent to which the relationship between PFA and WM structure is anatomically specific, the influence of possible confounding factors, and the relationship between PFA, WM and cognition.

Indexed as

AgedAged, 80 and overAgingBrainBrain MappingCognitionDiffusion Tensor ImagingEvidence-Based MedicineExerciseHumansMiddle AgedNeuronal PlasticityPhysical FitnessReproducibility of ResultsSensitivity and SpecificityWhite MatterAgeingFitnessMagnetic resonance imagingPhysical activityReviewWhite matter

Identifiers

PMID26477656
PMCPMC4851455

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.