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Acute high-intensity aerobic exercise affects brain-derived neurotrophic factor in mild cognitive impairment: a randomised controlled study [with consumer summary]
Devenney KE, Guinan EM, Kelly AM, Mota BC, Walsh C, Olde Rikkert M, Schneider S, Lawlor B, on behalf of the NeuroExercise Study Group
BMJ Open Sport & Exercise Medicine 2019;5(1):e000499
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate the brain-derived neurotrophic factor (BDNF) and cognitive response to a short bout of high-intensity aerobic exercise in older adults with mild cognitive impairment (MCI). METHODS: Participants were randomised to one of two testing schedules, completing either a standardised exercise test (group A) or a resting control condition (group B). Blood sampling and cognitive measures (visuospatial learning and memory, sustained attention and executive function) were collected at baseline (T1) and postintervention (T2). An additional measurement of study outcomes was collected after exercise (T3) in group B only. RESULTS: 64 participants (female 53.2%, mean age 70.5 +/- 6.3 years) with MCI were recruited. From T1 to T2, serum BDNF (sBDNF) concentration increased in group A (n = 35) (median (Md) 4,564.61 +/- IQR 5,737.23 pg/mL to Md 5,173.27 +/- 5,997.54 pg/mL) and decreased in group B (Md 4,593.74 +/- 9,558.29 pg/mL to Md 3,974.66 +/- 3,668.22 pg/mL) (between-group difference p = 0.024, effect size r = 0.3). The control group made fewer errors on the sustained attention task compared with the exercise group (p = 0.025). Measures of visuospatial learning and memory or executive function did not change significantly between groups. CONCLUSION: This study is the first to show that a short bout of high-intensity aerobic exercise increases peripheral sBDNF in a population with MCI. However, acute exercise did not improve cognitive performance.

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