Evidence map›Paper›PMID 42295033›Full record

ReviewCNS neuroscience & therapeutics2026

Exercise Intervention for REM Sleep Behavior Disorder in Parkinson's Disease: Mechanisms and Implications for Neurorehabilitation.

Xinhui Qiu, Zihui Wang, Ruixue Xu, Yiying Hu, Weidong Le

Abstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

5 authors.

Xinhui QiuKey Laboratory of Liaoning Province for Research on the Pathogenic Mechanisms of Neurological Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Zihui WangDepartment of Neurology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Ruixue XuDepartment of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yiying HuDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, Georgia, USA.
Weidong LeKey Laboratory of Liaoning Province for Research on the Pathogenic Mechanisms of Neurological Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China.ORCID 0000-0001-7459-2705

Funding

National Key Science and Technology Project-Changping National Laboratory Research Project 2025B-07-10National Natural Science Foundation of China 32220103006National Natural Science Foundation of China 82501716
6 · The paper itself

Abstract

backgroundsREM sleep behavior disorder (RBD) is a prodromal non-motor symptom of Parkinson's disease (PD) and other α-synucleinopathies, affecting approximately 30%-60% of PD patients. It is closely associated with α-synuclein (α-syn) aggregation, with its primary pathophysiology involving the impairment of brainstem circuits, resulting in movement disorders and circadian rhythm dysfunction. Although exercise is recognized for improving motor symptoms and delaying neurodegenerative disease progression, a comprehensive framework of its underlying mechanisms for RBD symptoms has not yet been thoroughly analyzed.

methodsThis review examines current literature and evidence regarding the various mechanisms and neuroprotective effects of exercise interventions specifically targeting RBD and its associated symptoms.

resultsExercise exerts neuroprotective effects for RBD through multiple underlying mechanisms. The analysis highlights key pathways, including the enhancement of α-syn clearance, the regulation of neurocircuits and circadian rhythms, the modulation of oxidative stress and mitochondrial function, and the reduction of neuroinflammation.

conclusionExercise demonstrates significant potential as a multi-targeted intervention. By addressing these underlying pathophysiological mechanisms, exercise provides supportive benefits that may positively influence the disease trajectory for patients with RBD and PD.

Indexed as

Exercise TherapyNeurological RehabilitationParkinson DiseaseREM Sleep Behavior Disorderalpha-SynucleinAnimalsHumansalpha-Synucleinexercise therapyParkinson's diseaseREM sleep behavior disorderα‐synuclein

Identifiers

PMID42295033
PMCPMC13267431

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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.