Effects of exercise on cognitive functions

Zhang M, Jia J, Yang Y, Zhang L, Wang X. Effects of exercise interventions on cognitive functions in healthy populations: A systematic review and meta-analysis. Ageing Res Rev. 2023 Nov 3;92:102116.

American College of Sports Medicine (ACSM) indicate that several exercise variables should be assessed when considering exercise prescriptions to improve the cognitive health of the brain; they proposed the FITT-VP principle as a reference, defined as:

  • exercise frequency (how often)
  • intensity (difficulty)
  • time (duration of each bout of exercise)
  • type (of exercise)
  • volume (total amount of exercise per intervention)
  • progression (change in difficulty in an exercise program over intervention time)
There is dearth of studies that have simultaneously considered:
  • whether chronic exercise interventions may affect various cognitive functions of individuals in the general population from childhood to adulthood and into older age
  • how each of exercise variables further moderating this relationship
  • in healthy populations of children and youths (ages 6–17 years old), adults (ages 18–60 years old), and elderly adults (ages >60 years)
The analysis of exercise type indicated that all exercise types had significant effects on cognition.
  • For exercise duration, moderate and long exercise durations (p < 0.001) both had significant effects on cognition.
  • Low and moderate exercise frequency both had significant effects on cognition.
  • Some of the assessed cognitive domains benefited positively from exercise interventions. Specifically, global cognition (p<0.001), executive function (p = 0.01), and memory (p = 0.01) showed statistically significant differences compared to the control groups, whereas no statistical significance was found for attention (p = 0.14) and information processing.
  • Global cognition needs aerobic exercise, moderate duration,, moderate frequency, moderate intensity.
  • Executive function need resistance exercise, low frequency and moderate length intervention.
  • Memory requires mind-body exercise, moderate duration, moderate frequency, high-intensity exercise and moderate intervention length.
  • Attention and information processing need low-intensity and moderate frequency exercise.
  • Global cognition, executive function, and memory performances were significantly improved in older participants.

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