Evidence map›Paper›PMID 39258961›Full record

Trial reportThe Journal of physiology2026

Acute exercise alters brain glucose metabolism in aging and Alzheimer's disease.

Zachary D Green, Casey S John, Paul J Kueck, Anneka E Blankenship, Riley E Kemna, Chelsea N Johnson, Lauren E Yoksh, Shaun R Best, Joseph S Donald, Jonathan D Mahnken and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04299308 (Acute Exercise Response On Brain Imaging and Cognition), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

NCT04299308 nacompletednot on this map

Acute Exercise Response On Brain Imaging and Cognition

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2020 to 2023Enrolled60ConditionsHealthy Aging, Alzheimer DiseaseArmsAerobic Exercise
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Brain glucodynamic variability is an essential feature of the metabolism-cognition relationship.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Review
  4. Acute effects of lactate infusion on metabolism, AD biomarkers, and cognition: The LEAN study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Observational
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
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

13 authors.

Zachary D GreenUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Casey S JohnUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Paul J KueckUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.ORCID 0000-0002-9102-2058
Anneka E BlankenshipUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Riley E KemnaUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Chelsea N JohnsonUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Lauren E YokshDepartment of Radiology, University of Kansas Medical Center, Kansas City, KS, USA.
Shaun R BestDepartment of Radiology, University of Kansas Medical Center, Kansas City, KS, USA.
Joseph S DonaldDepartment of Radiology, University of Kansas Medical Center, Kansas City, KS, USA.
Jonathan D MahnkenUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Jeffrey M BurnsUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
Eric D VidoniUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.ORCID 0000-0001-5181-7131
Jill K MorrisUniversity of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.ORCID 0000-0001-5911-4190

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BURNS, JEFFREY MURRAY · 2011 to 2020
$16.6M
Differential Effects of Exercise Modality on Cognition and Brain in Older AdultsR01AG070036 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SZABO-REED, AMANDA N., VIDONI, ERIC DENNIS · 2021 to 2025
$6.9M
Acute exercise and the cerebral metabolic response in aging and Alzheimer's DiseaseR01AG062548 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MORRIS, JILL KATHLEEN · 2020 to 2024
$2.4M
Feasibility of Improving Glycemia to Prevent Alzheimer's DiseaseR01AG081304 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Paige C Geiger, Jill Kathleen Morris · 2023 to 2026
$1.9M
Multidisciplinary Research Training Program in Alzheimer's Disease and Related DisordersT32AG078114 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Sandra A Billinger, Eric Dennis Vidoni · 2022 to 2026
$1.2M
Dementia Risk and Dynamic Response to ExerciseR21AG061548 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI VIDONI, ERIC DENNIS · 2019 to 2020
$383k
Effects of metabolic phenotype on functional connectivity in aging and Alzheimer’s DiseaseF30AG076278 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GREEN, ZACHARY DOUGLASS · 2022 to 2025
$180k
NCATS NIH HHS UL1 TR002366NIA NIH HHS F30 AG076278NIA NIH HHS P30 AG035982NIA NIH HHS R01 AG062548NIA NIH HHS R01 AG070036NIA NIH HHS R01 AG081304NIA NIH HHS R21 AG061548NIA NIH HHS T32 AG078114
6 · The paper itself

Abstract

There is evidence that aerobic exercise improves brain health. Benefits may be modulated by acute physiological responses to exercise, but this has not been well characterized in older or cognitively impaired adults. The randomized controlled trial 'AEROBIC' (NCT04299308) enrolled 60 older adults who were cognitively healthy (n = 30) or cognitively impaired (n = 30) to characterize the acute brain responses to moderate [45-55% heart rate reserve (HRR)] and higher (65-75% HRR) intensity acute exercise. Each participant received two fluorodeoxyglucose positron emission tomography (FDG-PET) scans, one at rest and one following acute exercise. Change in cerebral glucose metabolism from rest to exercise was the primary outcome. Blood biomarker responses were also characterized as secondary outcomes. Whole grey matter FDG-PET standardized uptake value ratio (SUVR) differed between exercise (1.045 ± 0.082) and rest (0.985 ± 0.077) across subjects [Diff = -0.060, t(58) = 13.8, P < 0.001] regardless of diagnosis. Exercise increased lactate area under the curve (AUC) [F(1,56) = 161.99, P < 0.001] more in the higher intensity group [mean difference (MD) = 97.0 ± 50.8] than the moderate intensity group (MD = 40.3 ± 27.5; t = -5.252, P < 0.001). Change in lactate AUC and FDG-PET SUVR correlated significantly (R

Indexed as

AgingAlzheimer DiseaseBrainExerciseGlucoseAgedAged, 80 and overFemaleFluorodeoxyglucose F18HumansLactic AcidMaleMiddle AgedPositron-Emission TomographyFluorodeoxyglucose F18GlucoseLactic AcidAlzheimer's diseaseexerciseglucose metabolismlactatemetabolismPET

Identifiers

PMID39258961
PMCPMC12486234

What OpenQuestion holds

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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.