Evidence map›Paper›PMID 41691469›Full record

Trial reportThe journals of gerontology. Series B, Psychological sciences and social sciences2026

Sex as a moderator of the association between cardiorespiratory fitness and depressive symptoms in older adults.

Cristina Molina-Hidalgo, Michelle A Villarroel, Lauren E Oberlin, Rae Harrison, Anna L Marsland, Carla Urdaneta, Haiqing Huang, Shivangi Jain, Lu Wan, Audrey M Collins and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series B, Psychological sciences and social sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02875301 (Investigating Gains in Neurocognition in an Intervention Trial of Exercise), which is not on this 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.

NCT02875301 phase3completednot on this map

Investigating Gains in Neurocognition in an Intervention Trial of Exercise

TypeinterventionalSponsorUniversity of PittsburghRan2017 to 2023Enrolled648ConditionsHealthy, Cognitive Function 1, SocialArms150 Minutes Week, 225 Minutes Week, Stretch and Tone
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

21 authors.

Cristina Molina-HidalgoAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.ORCID 0000-0002-5483-5666
Michelle A VillarroelAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Lauren E OberlinAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Rae HarrisonDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Anna L MarslandDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Carla UrdanetaAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Haiqing HuangAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Shivangi JainAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Lu WanAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.
Audrey M CollinsAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.ORCID 0000-0002-9246-2258
Melanie MackCentre for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-5512-0339
George GroveDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Arthur F KramerBeckman Institute, University of Illinois, Urbana, Illinois, United States.
Charles H HillmanInstitute for Cognitive and Brain Health, Northeastern University, Boston, Massachusetts, United States.
John M JakicicDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, United States.
Eric VidoniAlzheimer's Disease Research Center, University of Kansas Medical Center, Kansas City, Kansas, United States.ORCID 0000-0001-5181-7131
Jeffrey BurnsAlzheimer's Disease Research Center, University of Kansas Medical Center, Kansas City, Kansas, United States.
Edward McAuleyDepartment of Health and Kinesiology, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States.
Chaeryon KangDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Swathi GujralDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Kirk I EricksonAdventHealth Research Institute, Department of Neuroscience, AdventHealth, Orlando, Florida, United States.

Funding

Investigating Gains in Neurocognition in an Intervention Trial of Exercise SupplementR01AG053952 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BURNS, JEFFREY MURRAY, ERICKSON, KIRK I · 2016 to 2020
$27.5M
Physical Activity and Dementia: Mechanisms of ActionR35AG072307 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ERICKSON, KIRK I · 2021 to 2025
$3.6M
NIH HHS R01 AG053952NIH HHS R35 AG072307
6 · The paper itself

Abstract

objectivesThe study investigates sex differences in how cardiorespiratory fitness (CRF) and accelerometry-based physical activity (PA) relate to depressive symptoms in community-dwelling older adults. We hypothesized that the relationship between higher CRF and PA levels with lower depressive symptoms would be more prominent in women relative to men.

methodsParticipants included 648 community-dwelling adults aged 65-80 (71% women [n = 461]; mean age [SD] = 69.88 [3.75]) without evidence of clinical depression (Geriatric Depression Scale score <9). CRF was assessed using a graded exercise test, and PA (light PA, moderate-to-vigorous PA [MVPA]) was assessed using a 7-day actigraphy protocol. Subsyndromal depressive symptoms were evaluated using the Hospital Anxiety and Depression Scale. Multiple linear regression analyses were performed to examine the relationships between CRF, light PA, MVPA, and depressive symptoms, adjusting for age, sex, years of education, body mass index, and anxiety symptoms, and to evaluate the moderating role of sex.

resultsHigher CRF and greater amounts of MVPA and light PA were associated with fewer depressive symptoms (β = -0.12, p = .010; β = -0.09, p = .021; and β = -0.13, p < .001, respectively) within the overall sample. However, moderation analysis by sex revealed that higher CRF was associated with fewer depressive symptoms only among female participants (β = -0.19, p < .001). Sex moderation effects were not observed for light PA or MVPA. DISCUSSION: These findings suggest CRF is a key physiological correlate of subsyndromal depressive symptoms in late life, particularly for women. Understanding sex-specific responses to PA may inform tailored prevention and intervention strategies targeting mood symptoms prior to full clinical expression of depression. CLINICAL TRIAL REGISTRATION NUMBER: NCT02875301.

Indexed as

Cardiorespiratory FitnessDepressionExerciseAccelerometryAgedAged, 80 and overExercise TestFemaleHumansMaleSex FactorsExerciseMental healthMoodPhysical activitySubclinical depression

Identifiers

PMID41691469
PMCPMC13017879

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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.