Evidence map›Paper›PMID 41259648›Full record

ReviewExperimental physiology2025

Acute exercise-induced improvements in cognition: Role of cerebral blood flow and metabolism.

Takeshi Hashimoto, Shigehiko Ogoh

Abstract readReview
In one paragraph

Review in Experimental physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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

2 authors.

Takeshi HashimotoFaculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Japan.ORCID https://orcid.org/0000-0003-3951-5290
Shigehiko OgohDepartment of Biomedical Engineering, Toyo University, Asaka, Japan.ORCID https://orcid.org/0000-0001-5297-6468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physical activity is widely recognized for its ability to promote brain health, with acute exercise transiently enhancing cognition and long-term training attenuating cognitive decline. However, the mechanisms underlying these benefits remain incompletely understood. Cerebral blood flow (CBF) has traditionally been considered central to exercise-induced cognitive improvements, given the brain's dependence on a continuous supply of oxygen and glucose. Yet, accumulating evidence indicates that changes in global CBF alone cannot fully explain enhanced cognitive performance. Instead, regional CBF responses through neurovascular coupling, as well as cerebral metabolism - including oxygen extraction, glucose utilization and lactate uptake - are likely more critical determinants of brain function in response to exercise. Importantly, substantial individual differences exist in these responses. While some individuals experience robust cognitive gains from identical exercise regimens, others show little or no benefit. Emerging evidence suggests that variability in glucose tolerance, lactate dynamics and exercise capacity may underlie this heterogeneity, reflecting differences in metabolic responses and cerebrovascular regulation. For example, impaired glucose utilization might be linked to diminished exercise-induced cognitive improvement, whereas lactate uptake appears to support high-intensity exercise-related gains. These findings highlight that the cognitive effects of exercise are not uniform, but rather influenced by individual physiological characteristics. This review therefore emphasizes the integrative regulation of CBF and metabolism as key factors mediating exercise-induced cognitive improvements, while emphasizing the importance of inter-individual variability. Understanding why some individuals benefit more than others is essential for adapting exercise prescriptions to maximize brain health across diverse populations.

Indexed as

glucoseindividual differenceslactateoxygenregional cerebral blood flow

Identifiers

PMID41259648
PMCPMC13394329

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.