Effects of physical activity on healthy brain aging. Systematic review

Authors

DOI:

https://doi.org/10.56294/saludcyt2023415

Keywords:

Physical Activity, Older Person, Healthy Aging, Brain, Cognition

Abstract

Introduction: although there is consensus that physical activity plays a fundamental role in successful aging, it is necessary to investigate the real impact it has on the brain.

Aim: the aim of this study is to identify the effects of physical activity on healthy brain aging by analyzing the structural and/or functional changes it may generate in the brain. In addition, we aim to determine whether regular participation in physical activity throughout life is a predictor of healthy brain aging.

Methods: a systematic review was conducted in three databases: Web of Science, Scopus and PubMed, following PRISMA-P guidelines. Articles published between 2010 and 2023 were included. Experimental, quasi-experimental, clinical trials and cohort studies were considered.

Results: a total of 63 articles were identified, of which 17 were included in the analysis. Of these, 14 reported significant effects of physical activity on healthy brain aging, of which 11 evidenced structural, 2 functional, and 1 mixed benefits. In addition, 13 articles demonstrated that participating in physical activity across the lifespan supports cognitive aging.

Conclusions: engaging in physical activity throughout life leads to structural and/or functional benefits in the brain during old age, which are related to better cognitive performance. Furthermore, it is suggested that regular participation in physical activity may be a predictor of healthy brain aging. However, controversy persists as to the type, duration and intensity of physical activity that meets the conditions necessary to promote optimal cognitive aging and that can be used as a standard measure for the promotion of healthy brain aging

References

1. Miko HC, Zillmann N, Ring-Dimitriou S, Dorner TE, Titze S, Bauer R. Effects of Physical Activity on Health. Gesundheitswesen. 2020;82(3):184-195. https://doi.org/10.1055/a-1217-0549

2. Domingos C, Pego JM, Santos NC. Effects of physical activity on brain function and structure in older adults: A systematic review. Behav Brain Res. 2021;402:113061. https://doi.org/10.1016/j.bbr.2020.113061

3. Bauman A, Merom D, Bull FC, Buchner DM, Singh MAF. Updating the Evidence for Physical Activity: Summative Reviews of the Epidemiological Evidence, Prevalence, and Interventions to Promote "Active Aging". Gerontologist. 2016;56:268-80. https://doi.org/10.1093/geront/gnw031

4. Angulo J, El Assar M, Álvarez-Bustos A, Rodríguez-Mañas L. Physical activity and exercise: Strategies to manage frailty. Redox Biology. 2020;35:101513. https://doi.org/10.1016/j.redox.2020.101513

5. Elezi B., Abazaj E., Kasa M.,Topi, S. Prevention of Frailty in the Elderly through Physical Activity and Nutrition. J Geriatr Med Gerontol. 2020;6(1). https://doi.org/10.23937/2469-5858/1510084

6. Haeger A, Costa AS, Schulz JB, Reetz K. Cerebral changes improved by physical activity during cognitive decline: A systematic review on MRI studies. NeuroImage Clin. 2019;23:101933, https://doi.org/10.1016/j.nicl.2019.101933

7. Márquez DX, Aguinaga S, Vásquez PM, Conroy DE, Erickson KI, Hillman C, et al. A systematic review of physical activity and quality of life and well-being. Transl Behav Med. 2020;10(5):1098-1109. https://doi.org/10.1093/tbm/ibz198

8. Islam MR, Valaris S, Young MF, Haley EB, Luo R, Bond SF, et al. Exercise hormone irisin is a critical regulator of cognitive function. Nat Metab. 2021;3(8):1058-70. https://doi.org/10.1038/s42255-021-00438-z

9. Wahl D, Cavalier AN, LaRocca TJ. Novel Strategies for Healthy Brain Aging. Exerc Sport Sci Rev. 2021;49(2):115-25. https://doi.org/10.1249/JES.0000000000000242

10. Rolland Y, van Kan GA, Vellas B. Healthy Brain Aging: Role of Exercise and Physical Activity. Clin Geriatr Med. 2010;26(1):75-87. https://doi.org/10.1016/j.cger.2009.11.002

11. Fernández F, Nazar G, Alcover CM. Active aging model: causes, indicators and predictors in chilean elderly people. Acción Psicológica. 2018;15(2):109-28. https://doi.org/10.5944/ap.15.2.22903

12. Miranda M, Morici JF, Zanoni MB, Bekinschtein P. Brain-Derived Neurotrophic Factor: A Key Molecule for Memory in the Healthy and the Pathological Brain. Front Cell Neurosci. 2019;13:363. https://doi.org/10.3389/fncel.2019.00363

13. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906. https://doi.org/10.1016/j.jclinepi.2021.02.003

14. Ma L., Wang Y, Yang Z, Huang D, Weng H, Zeng X. Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: what are they and which is better? Mil Med Res. 2020;7:(1). https://doi.org/10.1186/s40779-020-00238-8

15. Guiney H, Lucas SJ, Cotter JD, Machado L. Investigating links between habitual physical activity, cerebrovascular function, and cognitive control in healthy older adults. Neuropsychologia. 2019;125:2-9. https://doi.org/10.1016/j.neuropsychologia.2019.01.011

16. Engeroff T, Fuzeki E, Vogt L, Fleckenstein J, Schwarz S, Matura S, et al. Is Objectively Assessed Sedentary Behavior, Physical Activity and Cardiorespiratory Fitness Linked to Brain Plasticity Outcomes in Old Age? Neuroscience. 2018; 388:384-92. https://doi.org/10.1016/j.neuroscience.2018.07.050

17. Oberlin LE, Verstynen TD, Burzynska AZ, Voss MW, Prakash RS, Chaddock-Heyman L, et al. White matter microstructure mediates the relationship between cardiorespiratory fitness and spatial working memory in older adults. Neuroimage. 2016; 131:91-101. https://doi.org/10.1016/j.neuroimage.2015.09.053

18. Sexton CE, Betts JF, Dennis A, Doherty A, Leeson P, Holloway C, et al. The effects of an aerobic training intervention on cognition, grey matter volumes and white matter microstructure. Physiol Behav. 2020; 223:112923. https://doi.org/10.1016/j.physbeh.2020.112923

19. Chang YK, Huang CJ, Chen KF, Hung TM. Physical activity and working memory in healthy older adults: an ERP study. Psychophysiology. 2013;50(11):1174-82. https://doi.org/10.1111/psyp.12089

20. Clark CM, Guadagni V, Mazerolle EL, Hill M, Hogan DB, Pike GB, et al. Effect of aerobic exercise on white matter microstructure in the aging brain. Behav Brain Res. 2019;373:112042. https://doi.org/10.1016/j.bbr.2019.112042

21. Eyme KM, Domin M, Gerlach FH, Hosten N, Schmidt CO, Gaser C, et al. Physically active life style is associated with increased grey matter brain volume in a medial parieto-frontal network. Behav Brain Res. 2019;359:215-22. https://doi.org/10.1016/j.bbr.2018.10.042

22. Chen FT, Erickson KI, Huang H, Chang YK. The association between physical fitness parameters and white matter microstructure in older adults: A diffusion tensor imaging study. Psychophysiology. 2020;57(5):1-11. https://doi.org/10.1111/psyp.13539

23. Gajewski PD, Falkenstein M. Lifelong physical activity and executive functions in older age assessed by memory based task switching. Neuropsychologia. 2015;73:195-207. https://doi.org/10.1016/j.neuropsychologia.2015.04.031

24. Erickson KI, Raji CA, Lopez OL, Becker JT, Rosano C, Newman AB, Gach HM, Thompson PM, Ho AJ, Kuller LH. Physical activity predicts gray matter volume in late adulthood: the Cardiovascular Health Study. Neurology. 2010; 19;75(16):1415-1422. https://doi.org/10.1212/WNL.0b013e3181f88359

25. Kim BR, Kwon H, Chun MY, Park KD, Lim SM, Jeong JH, et al. White Matter Integrity Is Associated With the Amount of Physical Activity in Older Adults With Super-aging. Front Aging Neurosci. 2020;12:549983. https://doi.org/10.3389/fnagi.2020.549983

26. Lamont AJ, Mortby ME, Anstey KJ, Sachdev PS, Cherbuin N. Using sulcal and gyral measures of brain structure to investigate benefits of an active lifestyle. NeuroImage. 2014;91:353-9. https://doi.org/10.1016/j.neuroimage.2014.01.008

27. Northey JM, Rattray B, Pumpa KL, Pryor DJ, Fraser MA, Shaw ME, et al. Objectively measured physical activity is associated with dorsolateral prefrontal cortex volume in older adults. NeuroImage. 2020;221:117150. https://doi.org/10.1016/j.neuroimage.2020.117150

28. Rowley CD, Bock NA, Deichmann R, Engeroff T, Hattingen E, Hellweg R, et al. Exercise and microstructural changes in the motor cortex of older adults. Euro J Neuroscience. 2020;51(7):1711-22. https://doi.org/10.1111/ejn.14585

29. Smith JC, Lancaster MA, Nielson KA, Woodard JL, Seidenberg M, Durgerian S, et al. Interactive effects of physical activity and APOE-epsilon4 on white matter tract diffusivity in healthy elders. NeuroImage. 2016;131:102-12. https://doi.org/10.1016/j.neuroimage.2015.08.007

30.Voss MW, Weng TB, Burzynska AZ, Wong CN, Cooke GE, Clark R, et al. Fitness, but not physical activity, is related to functional integrity of brain networks associated with aging. NeuroImage. 2016;131:113-25. https://doi.org/10.1016/j.neuroimage.2015.10.044

31. Williams VJ, Hayes JP, Forman DE, Salat DH, Sperling RA, Verfaellie M, et al. Cardiorespiratory fitness is differentially associated with cortical thickness in young and older adults. NeuroImage. 2017;146:1084-92. https://doi.org/10.1016/j.neuroimage.2016.10.033

32. Özsungur F. Gerontechnological factors affecting successful aging of elderly. Aging Male. 2020;23(5):520-532. https://doi.org/10.1080/13685538.2018.1539963

33. De Godoy L, Alves C, Saavedra, J, Studart-Neto A, Nitrini R, da Costa C, Bisdas S. Understanding brain resilience in superagers: a systematic review. Neuroradiology. 2021: 63:663-683. https://doi.org/10.1007/s00234-020-02562-1

34. Cook A, Sridhar J, Ohm D, Rademaker A, Mesulam m, Weintraub S, Rogalski E. Rates of cortical atrophy in adults 80 years and older with superior vs average episodic memory. Jama. 2017:317(13):1373-1375. https://doi.org/10.1001/jama.2017.0627

35. Coelho F, Gobbi S, Andreatto C, Corazza D, Pedroso R, Santos-Galduroz R. Physical exercise modulates peripheral levels of brain-derived neurotrophic factor (BDNF): A systematic review of experimental studies in the elderly. Arch. Gerontol. Geriatr. 2013; 56(1):10-5. https://doi.org/10.1016/j.archger.2012.06.003

36. Araque-Martínez M, Artés-Rodríguez E, Ruiz-Montero PJ, Casimiro-Andújar AJ. Physical, cognitive and emotional outcomes in older adults exercisers: A systematic review. J. Hum. Sport Exerc. 2021;16(1075-1093). https://doi.org/10.14198/jhse.2021.16.Proc3.25

37. Stillman CM, Erickson KI. Physical activity as a model for health neuroscience. Ann N Y Acad Sci. 2018;1428(1):103-11. https://doi.org/10.1111/nyas.13669

38. Dal Lago JE, Iglesias S, García Osso L, Levy E. Treatment of Pediatric Flexible Flatfoot with Subtalar Arthroereisis: Functional and Radiographic Results. Interamerican Journal of Health Sciences. 2021;(1). https://doi.org/10.59471/ijhsc202112

Downloads

Published

2023-06-07

Issue

Section

Systematic reviews or meta-analyses

How to Cite

1.
San Martín-Barra C, Rojas-Zepeda C, Sáez-Delgado F. Effects of physical activity on healthy brain aging. Systematic review. Salud, Ciencia y Tecnología [Internet]. 2023 Jun. 7 [cited 2025 Mar. 10];3:415. Available from: https://sct.ageditor.ar/index.php/sct/article/view/492