Evidence map›Paper›PMID 41408202›Full record

ArticleBMC geriatrics2025

Synergistic effects of multicomponent exercise and rTMS on sarcopenia and mild cognitive impairment in older people: a protocol for a randomized controlled trial.

Yanqing Ren, Xiangfeng He, Zhen Zhang, Min Zhuang, Gonghua Yin, Lingyan Huang, Nan Chen

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Yanqing Ren *Department of Rehabilitation, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China.
Xiangfeng He *Department of Rehabilitation, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China.
Zhen Zhang *Department of Rehabilitation, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China.
Min ZhuangThe Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fujian, China.
Gonghua YinSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Lingyan HuangSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China. alice37yn@163.com.
Nan ChenDepartment of Rehabilitation, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China. chennanreh2020@126.com.

Funding

the Center for Whole Population Whole Lifecycle Cohort Clinical Research No. 22MC2022001the project"Research on Early Screening and Intervention Strategies for Cognitive Impairment in the Community-dwelling Older People with Sarcopenia No. 20254Z0006
6 · The paper itself

Abstract

backgroundSarcopenia and cognitive impairment (CI) are major contributors to disability in older people, significantly reducing quality of life and imposing a substantial burden on healthcare systems. Sarcopenia accelerates cognitive decline through mechanisms such as chronic inflammation, mitochondrial dysfunction, and disruption of the muscle-brain axis. Conversely, CI impairs motor planning and daily functioning, further exacerbating muscle loss and physical deterioration. Previous studies have shown that physical exercise optimizes peripheral physiological conditions, promoting neuroplasticity in the central nervous system. Similarly, repetitive transcranial magnetic stimulation (rTMS) enhances brain plasticity, improving both cognitive and physical functions. This study aims to evaluate the combined effects of multicomponent exercise and rTMS on sarcopenia and CI in older people.

methodsThis is a 16-week, randomized, single-blind, controlled trial. A total of 51 older people with sarcopenia and mild cognitive impairment (MCI) will be randomly assigned to one of three groups: (1) exercise combined with rTMS, (2) exercise combined with sham rTMS, and (3) a control group. The exercise intervention will integrate Baduanjin and resistance training, while rTMS will target the dorsolateral prefrontal cortex (DLPFC). Participants will be assessed for muscle fitness, cognitive function, and psychological well-being at baseline, week 8, and week 16. DISCUSSION: This trial aims to provide empirical evidence on the synergistic effects of exercise and rTMS in managing sarcopenia and MCI in older people. Additionally, it will explore the neural mechanisms underlying improvements in cognitive function. The findings may inform integrated treatment strategies for these interconnected conditions, enhancing quality of life and promoting functional independence in aging populations.

trial registrationInternational Traditional Medicine Clinical Trial Registry, ITMCTR2025000311. Registered 17 February 2025.

Indexed as

Cognitive DysfunctionExerciseExercise TherapySarcopeniaTranscranial Magnetic StimulationAgedAged, 80 and overFemaleHumansMaleQuality of LifeRandomized Controlled Trials as TopicSingle-Blind MethodBaduanjinMild cognitive impairmentResistance exerciseSarcopeniaTranscranial magnetic stimulation

Identifiers

PMID41408202
PMCPMC12822297

What OpenQuestion holds

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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.