Evidence map›Paper›PMID 40304268›Full record

Observational studyAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Physical activity changes during midlife link to brain integrity and amyloid burden.

Muge Akinci, Pablo Aguilar-Domínguez, Eleni Palpatzis, Mahnaz Shekari, Marina García-Prat, Carme Deulofeu, Karine Fauria, Judith García-Aymerich, Juan Domingo Gispert, Marc Suárez-Calvet and 4 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02485730 (Cohort Study for Early Identification of Markers in Cognitively Healthy Family Members of Patients With Alzheimer's Disease), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT02485730 active not recruitingnot on this map

Cohort Study for Early Identification of Markers in Cognitively Healthy Family Members of Patients With Alzheimer's Disease

TypeobservationalSponsorBarcelonabeta Brain Research Center, Pasqual Maragall FoundationRan2016 to 2025Enrolled419ConditionsAlzheimer's Disease
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Prospective study on physical activity and Alzheimer's disease-related biomarkers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Review
  5. Association of type 2 diabetes treatment status with in vivo biomarkers of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Physical activity changes during midlife link to brain integrity and amyloid burden.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Observational
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

14 authors.

Muge AkinciBarcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Pablo Aguilar-DomínguezBarcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Eleni PalpatzisBarcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Mahnaz ShekariBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Marina García-PratBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Carme DeulofeuBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Karine FauriaBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Judith García-AymerichBarcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Juan Domingo GispertBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Marc Suárez-CalvetBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Oriol Grau-RiveraBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Gonzalo Sánchez-BenavidesBarcelonaβeta Brain Research Center - Pasqual Maragall Foundation, Barcelona, Spain.
Eider M Arenaza-UrquijoBarcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
ALFA study

Funding

Alzheimer's Association AARG 2019-AARG-644641Alzheimer's Association AARG 2019-AARG-644641-RAPIDEU Joint Programme-Neurodegenerative Disease Research JPND2022-138European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme No. 948677European Social Fund (ESF)European UnionEuropean Union's Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant agreement 847648Generalitat de Catalunya CERCA ProgramInstituto de Salud Carlos III (ISCIII) PI19/00155International Anonymous Charity'la Caixa' Foundation ID 100010434'la Caixa' Foundation LCF/PR/GN17/50300004MCIN/AEI/10.13039/501100011033 CEX2018000806-SMinistry of Science and Innovation PID2019-111514RA-I00Spanish Ministry of Science and Innovation - State Research Agency RYC2018-026053-Ithe Spanish Ministry of Science and Innovation PRE2020-095827TriBEKa Imaging Platform project TriBEKa-17-519007Universities and Research Secretariat, Ministry of Business and Knowledge of the Catalan Government 2021 SGR 00913
6 · The paper itself

Abstract

introductionEvidence suggests that midlife physical activity may reduce Alzheimer's disease (AD) risk. In at-risk individuals, we investigated midlife physical activity changes in relation to AD-related pathologies.

methodsWe included 337 cognitively unimpaired adults with baseline and follow-up physical activity evaluations within 4.07 ± 0.84 years. We performed multiple regressions considering follow-up amyloid-PET burden and MRI-based medial temporal lobe cortical thickness as outcomes. Independent variables encompassed changes in adherence to World Health Organization (WHO)-recommended physical activity levels, activity amounts, and sedentary behavior (no activity reported).

resultsRemaining sedentary was associated with lower cortical thickness compared to doing limited physical activity, maintaining adherence, or becoming adherent to WHO recommendations. Becoming adherent to recommendations was linked to lower amyloid burden compared to becoming non-adherent. Increased activity amounts showed a dose-dependent association with lower amyloid burden. DISCUSSION: Increasing physical activity and new adherence to WHO recommendations could be key objectives for preventive strategies during midlife. CLINICAL TRIAL REGISTRATION INFORMATION: Registered at Clinicaltrials.gov (identifier: NCT02485730). HIGHLIGHTS: Boosting physical activity in midlife may have beneficial effects in preclinical AD. Physical activity increases relate to lower Aβ burden in a dose-dependent manner. Remaining sedentary links to lower cortical thickness in AD-vulnerable structures. New adherence to WHO-recommended physical activity levels may enhance brain health.

Indexed as

Alzheimer DiseaseBrainExerciseAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographySedentary BehaviorTemporal LobeAlzheimer's diseaseamyloid‐βcortical thicknessmidlife physical activityphysical activity changeprevention

Identifiers

PMID40304268
PMCPMC12042120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.