Aging Brain

Brain network changes linked to thinking gains in older adults

In a six-month randomized exercise trial of 107 adults aged 55–80, links between brain network changes and thinking gains varied with age.

Paper by Myungjin Jung, Marco Pipoly, Bryan Madero, 5 more authorsMichelle W. Voss · University of North Texas
Randomized trial in 98 relatively inactive older adults without dementia, 6-monthInterventions

107 participants, non-randomized trial

Limit: Education, medication use, and socioeconomic status were omitted from models despite influencing thinking skills

Edited by Boris Djordjevic · AgingResearch.News

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A randomized trial analyzed thinking tests from 107 relatively inactive adults aged 55 to 80 without dementia. Participants attended supervised exercise three times weekly for 24 weeks. The higher-intensity group did walking or cycling, gradually building toward 40 minutes of moderate-to-vigorous activity. The comparison group did light exercise, flexibility and mobility work. Brain scans in 98 participants measured connectivity—how closely activity in regions within a brain network fluctuated together.

In the moderate-to-vigorous group, increased connectivity in three networks was associated with gains on tests of thinking skills and processing speed, most clearly from the mid-60s to mid-70s. Higher-intensity exercise also improved one processing-speed test compared with light exercise at ages 58 to 65. Changes on the other two thinking tests did not differ between groups.

Why it matters

The authors suggested that programs supporting brain and cognitive health in older adulthood should target moderate-to-vigorous exercise intensity, particularly for people in their mid-60s to mid-70s.

Caveats

The age-specific analyses were exploratory and included only participants with before-and-after assessments; the brain–cognition associations do not establish causation. Participants were relatively inactive adults without dementia or neurological disease, and the supplied text does not report adverse events.

From the paper

Participants

Overall, 107 participants completed the main cognitive assessments, specifically EF and PS tasks, during both the pre- and post-exercise intervention phases.

Methods, Participants

Who took part

The present study utilized a randomized controlled trial (RCT) to administer exercise intensity doses to non-demented, relatively inactive older adults.

Methods, Study design and procedure

Ages

We recruited non-demented older adults, aged 55 to 80 years, at the time of enrollment.

Methods, Participants

Duration

Participants then completed cognitive assessments and MRI scans both before and after 6-month aerobic exercise training.

Methods, Study design and procedure

Result

The largest difference occurred at age 61, where older adults in the ModVig group had a mean delta score of 0.58 (95% CI = 0.02, 1.14), compared to a mean delta score of −1.35 (95% CI = −1.93, −0.77) in the Light group.

Results, Cognition by age and aerobic exercise training

Limitation

This study used a novel TVEM approach to compare the effects of light- versus moderate-to-vigorous intensity aerobic exercise on age-specific changes in brain network FC and cognition.

Limitations and future directions

Executive function

This association was observed only in the ModVig group among individuals aged 58 to 64 based on CIs that did not include zero ( b and Supplemental Table 4.1.a), with the strongest magnitude observed at age 62 (β = 0.09; 95% CI = 0.01, 0.18).

Results, Associations between functional connectivity and cognition by age and aerobic exercise training

Quoted word for word from the full text on PubMed Central.