Evidence map›Paper›PMID 42027916›Full record

SynthesisFrontiers in public health2026

Effects of exercise on cognitive function in older patients with Alzheimer's disease: a meta-regression and meta-analysis.

Feng Xu, Yiwan Zhang, Danqing Tan, Yiming He, Qinfei Fei, Kai Xu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Feng Xu *Department of Physical Education, Shanghai Maritime University, Shanghai, China.
Yiwan Zhang *School of Sports Science, South China Normal University, Guangzhou, Guangdong, China.
Danqing TanSchool of Economics and Management, Shanghai Maritime University, Shanghai, China.
Yiming HeCollege of Ocean Science and Engineering, Shanghai Maritime University, Shanghai, China.
Qinfei FeiMerchant Marine College, Shanghai Maritime University, Shanghai, China.
Kai XuSchool of Athletic Performance, Shanghai University of Sports, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to systematically evaluate the effects of exercise intervention on cognitive function in AD patients through meta-analysis, specifically investigating the dose-response relationships and moderating effects of various exercise prescription parameters including frequency, single-session duration, weekly total duration, total intervention duration, type, and intensity-on the magnitude of cognitive improvement. The findings are expected to provide scientific and actionable empirical evidence for designing precise and individualized exercise programs. Methods: Relevant literatures were systematically retrieved from eight databases up to August 2025, including PubMed, Web of Science, Embase, Emcare, Scopus, Cochrane Library, Ebsco, and SPORTDiscus. All included trials were randomized controlled trials (RCTs) involving adults aged 60 years and above. These studies examined the effects of exercise intervention on cognitive function in AD patients, compared with passive control groups without exercise. A multilevel meta-analysis was used to assess the impact of exercise on cognitive function outcomes in AD patients. Additionally, multivariate meta-regression analysis was employed to identify the exercise frequency (sessions per week) that maximizes cognitive improvement, as well as key moderating factors. Results: Data from 23 studies, involving 1,868 adults, were included. Exercise intervention significantly improved global cognitive function in AD patients ( Conclusion: Exercise intervention can effectively improve cognitive function in AD patients. "To optimize intervention outcomes, exercise prescription should consider higher frequency (e.g., more than five sessions per week may be associated with greater cognitive benefits) and the cumulative effect during the initial intervention phase (e.g., sustained beyond 12 weeks may represent a critical window for short-term improvement). In addition, a potential plateau in long-term benefits suggests the need for periodic program adjustments and multimodal exercise strategies. These findings should be interpreted as exploratory dose-response associations rather than definitive clinical prescriptions. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=1012816, identifier CRD420251012816.

Indexed as

Alzheimer DiseaseCognitionExerciseExercise TherapyAgedHumansMiddle AgedRandomized Controlled Trials as TopicAlzheimer’s diseasecognitive functiondose-responseexercisemeta-analysismeta-regressionolder adultsphysical activity

Identifiers

PMID42027916
PMCPMC13099286

What OpenQuestion holds

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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.