Evidence map›Paper›PMID 42605248›Full record

ReviewCNS neuroscience & therapeutics2026

Exercise and Circadian Rhythm Regulation: Mechanisms, Resilience, and Therapeutic Potential for Neurological Diseases.

Munehiro Demura, Penelope Gregory, Norito Fukuda, Eng H Lo, Ken Arai

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.

Munehiro DemuraNeuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.ORCID https://orcid.org/0000-0002-0870-602X
Penelope GregoryNeuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Norito FukudaNeuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1548-0516
Eng H LoNeuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Ken AraiNeuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.ORCID https://orcid.org/0000-0003-1615-3258

Funding

Oligodendrocyte Precursor Cells Regulate White Matter Remodeling in Vascular Cognitive Impairment and DementiaR01NS113556 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ARAI, KEN · 2019 to 2023
$2.4M
NIH HHS R01NS113556NINDS NIH HHS R01 NS113556Takeda Science Foundation
6 · The paper itself

Abstract

backgroundCircadian rhythms regulate sleep-wake cycles, hormonal secretion, metabolism, and immune responses. Disruption of these rhythms is linked to the onset and progression of various neurological diseases. Emerging evidence suggests that exercise, a non-photic zeitgeber, can modulate circadian function at both central and peripheral levels by regulating core clock gene expression, synchronizing hormonal and metabolic rhythms, and reducing neuroinflammation. Through these mechanisms, exercise enhances the amplitude, stability, and phase alignment of circadian rhythms and may promote physiological resilience. REVIEW: This review summarizes the molecular and systemic mechanisms through which exercise supports circadian homeostasis and discusses their relevance to stroke and Alzheimer's disease. In both conditions, circadian misalignment contributes to pathological processes including oxidative stress, neuroinflammation, and impaired neurovascular repair. By restoring circadian alignment, appropriately timed exercise may improve neurological outcomes through effects on neuroplasticity, immune regulation, and metabolic synchronization. SUMMARY: Taken together, current evidence may suggest that exercise can be a promising non-pharmacological strategy to enhance circadian resilience, reduce disease vulnerability, and support neurological recovery.

Indexed as

Circadian RhythmExerciseNervous System DiseasesAlzheimer DiseaseAnimalsHumansAlzheimer's diseasecircadian rhythmsexerciseneurological diseasesnon‐photic zeitgeberstroke

Identifiers

PMID42605248
PMCPMC13478852

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.