Evidence map›Paper›PMID 40163440›Full record

ArticlePloS one2025

Aerobic exercise and brain structure among military service members and Veterans with varying histories of mild traumatic brain injury: A LIMBIC-CENC exploratory investigation.

Samuel R Walton, John J Fraser, Jessie R Oldham, Mark L Ettenhofer, Patrick Armistead-Jehle, Hannah M Lindsey, Naomi J Goodrich-Hunsaker, Emily L Dennis, Elisabeth A Wilde, Sarah M Jurick and 6 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Samuel R WaltonDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond,Virginia, United States of America.ORCID 0000-0003-2647-5701
John J FraserDepartment of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences School of Medicine, Bethesda, Maryland, United States of America.ORCID 0000-0001-9697-3795
Jessie R OldhamDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond,Virginia, United States of America.
Mark L EttenhoferTraumatic Brain Injury Center of Excellence, Naval Medical Center San Diego, San Diego, California, United States of America.
Patrick Armistead-JehleMunson Army Health Center, Fort Leavenworth, Kansas, United States of America.
Hannah M LindseyDepartment of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Naomi J Goodrich-HunsakerDepartment of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Emily L DennisDepartment of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Elisabeth A WildeDepartment of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Sarah M JurickNaval Health Research Center, San Diego, California, United States of America.
Michael J HallDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond,Virginia, United States of America.
Randel L SwansonDepartment of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-2707-2333
Andrew J MacGregorNaval Health Research Center, San Diego, California, United States of America.
David F TateDepartment of Neurology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
David X CifuDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond,Virginia, United States of America.
William C WalkerDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond,Virginia, United States of America.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
CSRD VA I01 CX001135CSRD VA I01 CX001246CSRD VA I01 CX002096CSRD VA I01 CX002097HSRD VA I01 HX003155NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764RRD VA I01 RX001135RRD VA I01 RX001774RRD VA I01 RX001880RRD VA I01 RX002076RRD VA I01 RX002170RRD VA I01 RX002171RRD VA I01 RX002172RRD VA I01 RX002173RRD VA I01 RX002174RRD VA I01 RX003442RRD VA I01 RX003443RRD VA I01 RX003444RRD VA IK2 RX003651
6 · The paper itself

Abstract

objectivesTo explore associations of recent moderate-to-vigorous aerobic exercise (MVAE) participation and lifetime mild traumatic brain injury (mTBI) history with measures of brain gray matter volumes among military service members and Veterans (SMVs).

methodsParticipants (n = 1,340; aged 41.3 ± 10.3 years; 13% female) were SMV's who participated in the Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium Prospective Longitudinal Study (LIMBIC-CENC PLS). MVAE participation was self-reported via the Behavioral Risk Factor Surveillance System and categorized according to current MVAE recommendations (Inactive, Insufficiently Active, Active, and Highly Active). Lifetime mTBI history was queried via validated structured interview and categorized as 0 mTBI, 1-2 mTBIs, 3 + mTBIs. Structural MRI (T1- and T2-weighted images) were used to measure gray matter volumetrics: ventricle-to-brain ratio (VBR); bilateral volumes of the frontal, parietal, temporal, occipital, cingulate, hippocampus, amygdala, and thalamus regions. Multivariable linear regression models were fit to test associations of MVAE participation, mTBI history, and their interaction on each of the volumetric outcomes while controlling for age, sex, education attainment, and PTSD symptoms. Effects were considered statistically significant if the corresponding unstandardized beta (B) and 95% CI did not include 0.

resultsRegarding main effects, participants in the Inactive MVAE group had significantly larger VBR values (worse outcome) than those in the Insufficiently Active group (B[95%CI] = -0.137[-0.260, -0.014]). Interaction effects showed participants with no lifetime mTBIs in the Highly Active group had larger VBR values (worse outcome) when compared to those in the Inactive and Insufficiently Active groups. SMVs with 3 + lifetime mTBIs who were Highly Active also had smaller VBR values (better outcome) when compared to Highly Active SMVs with fewer lifetime mTBIs. There were no other statistically significant differences for MVAE participation, mTBI history, or their interactions.

conclusionsHistory of one or more lifetime mTBIs was not associated with measures of brain gray matter volumes, suggesting that declines in structural brain health are not expected for the most SMVs with mTBI(s). Although MVAE may benefit brain health, a positive association between self-reported MVAE participation and gray matter volumes was not observed.

Indexed as

BrainBrain ConcussionExerciseMilitary PersonnelVeteransAdultFemaleGray MatterHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedProspective Studies

Identifiers

PMID40163440
PMCPMC11957293

What OpenQuestion holds

Textmetadata
LicenceCC0
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.