Physical Exercise as a Strategy for Prevention and Management of Alzheimer’s Disease Progression
DOI:
https://doi.org/10.12775/JEHS.2024.67.55034Keywords
Alzheimer's disease, Alzheimer's disease and physical activity, influence of physical activity on AD, preventionAbstract
Background: Alzheimer's disease (AD, Alzheimer's Disease) is a chronic, progressive neurodegenerative disease that is a major cause of dementia in the elderly. Current drug therapies have limited effectiveness, prompting the search for alternative and complementary treatments. A growing body of scientific evidence suggests that regular physical activity may play a key role in preventing and slowing the progression of AD by affecting brain fitness
Purpose: The purpose of this study is to analyze the available scientific evidence and examine the impact of physical activity on the progression, course and prevention of AD.
We analyze how regular exercise may affect cognitive function, brain structure and neurodegenerative biomarkers associated with AD.
Material and methods: The review was based on the analysis of materials collected in the databases "Pubmed", Google Scholar, ResearchGate, books and other scientific articles. The search was conducted using keywords: “Alzheimer’s Disease”, “physical activity”, “impact
of PA on AD”, “prevention”
Results: A review of the literature has shown that regular physical activity can help improve cognitive function and delay the progression of AD through a variety of biological mechanisms, including increased neurogenesis, improved cerebral blood flow and reduced inflammation.
Conclusions: The results suggest that regular physical activity may play an important role
in the prevention and progression of AD, offering potential cognitive and neuroprotective benefits. These findings the importance of promoting physical activity as a non-pharmacological strategy to counteract AD. Based on these findings, further research should focus on determining the optimal types and intensities of exercise and the mechanisms behind their effects.
References
Baker LD, Frank LL, Foster-Schubert K, Green PS, Wilkinson CW, McTiernan A, Plymate SR, Fishel MA, Watson GS, Cholerton BA, Duncan GE, Mehta PD, Craft S. Effects of aerobic exercise on mild cognitive impairment: a controlled trial. Arch Neurol. 2010 Jan;67(1):71-9. doi: 10.1001/archneurol.2009.307. PMID: 20065132; PMCID: PMC3056436.Nandi A, Counts N, Chen S, Seligman B, Tortorice D, Vigo D, Bloom DE. Global and regional projections of the economic burden of Alzheimer's disease and related dementias from 2019 to 2050: A value of statistical life approach. EClinicalMedicine. 2022 Jul 22;51:101580. doi: 10.1016/j.eclinm.2022.101580. PMID: 35898316; PMCID: PMC9310134.
Bondi MW, Edmonds EC, Salmon DP. Alzheimer's Disease: Past, Present, and Future. J Int Neuropsychol Soc. 2017 Oct;23(9-10):818-831. doi: 10.1017/S135561771700100X. PMID: 29198280; PMCID: PMC5830188.
Brini S, Sohrabi HR, Peiffer JJ, Karrasch M, Hämäläinen H, Martins RN, Fairchild TJ. Physical Activity in Preventing Alzheimer's Disease and Cognitive Decline: A Narrative Review. Sports Med. 2018 Jan;48(1):29-44. doi: 10.1007/s40279-017-0787-y. PMID: 28940148.
Cámara-Calmaestra R, Martínez-Amat A, Aibar-Almazán A, Hita-Contreras F, de Miguel Hernando N, Achalandabaso-Ochoa A. Effectiveness of Physical Exercise on Alzheimer's disease. A Systematic Review. J Prev Alzheimers Dis. 2022;9(4):601-616. doi: 10.14283/jpad.2022.57. PMID: 36281664.
Cass SP. Alzheimer's Disease and Exercise: A Literature Review. Curr Sports Med Rep. 2017 Jan/Feb;16(1):19-22. doi: 10.1249/JSR.0000000000000332. PMID: 28067736. 15
Cotman CW, Berchtold NC, Christie LA. Exercise builds brain health: key roles of growth factor cascades and inflammation. Trends Neurosci. 2007 Sep;30(9):464-72. doi: 10.1016/j.tins.2007.06.011. Epub 2007 Aug 31. Erratum in: Trends Neurosci. 2007 Oct;30(10):489. PMID: 17765329.
De la Rosa A, Olaso-Gonzalez G, Arc-Chagnaud C, Millan F, Salvador-Pascual A, García-Lucerga C, Blasco-Lafarga C, Garcia-Dominguez E, Carretero A, Correas AG, Viña J, Gomez-Cabrera MC. Physical exercise in the prevention and treatment of Alzheimer's disease. J Sport Health Sci. 2020 Sep;9(5):394-404. doi: 10.1016/j.jshs.2020.01.004. Epub 2020 Feb 4. PMID: 32780691; PMCID: PMC7498620.
Du Z, Li Y, Li J, Zhou C, Li F, Yang X. Physical activity can improve cognition in patients with Alzheimer's disease: a systematic review and meta-analysis of randomized controlled trials. Clin Interv Aging. 2018 Sep 4;13:1593-1603. doi: 10.2147/CIA.S169565. PMID: 30233156; PMCID: PMC6130261.
Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, Kim JS, Heo S, Alves H, White SM, Wojcicki TR, Mailey E, Vieira VJ, Martin SA, Pence BD, Woods JA, McAuley E, Kramer AF. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A. 2011 Feb 15;108(7):3017-22. doi: 10.1073/pnas.1015950108. Epub 2011 Jan 31. PMID: 21282661; PMCID: PMC3041121.
Hamer M, Chida Y. Physical activity and risk of neurodegenerative disease: a systematic review of prospective evidence. Psychol Med. 2009 Jan;39(1):3-11. doi: 10.1017/S0033291708003681. Epub 2008 Jun 23. PMID: 18570697.
Hoffmann K, Sobol NA, Frederiksen KS, Beyer N, Vogel A, Vestergaard K, Brændgaard H, Gottrup H, Lolk A, Wermuth L, Jacobsen S, Laugesen LP, Gergelyffy RG, Høgh P, Bjerregaard E, Andersen BB, Siersma V, Johannsen P, Cotman CW, Waldemar G, Hasselbalch SG. Moderate-to-High Intensity Physical Exercise in Patients with Alzheimer's Disease: A Randomized Controlled Trial. J Alzheimers Dis. 2016;50(2):443-53. doi: 10.3233/JAD-150817. PMID: 26682695.
Hoffmann K, Sobol NA, Frederiksen KS, Beyer N, Vogel A, Vestergaard K, Brændgaard H, Gottrup H, Lolk A, Wermuth L, Jacobsen S, Laugesen LP, Gergelyffy RG, Høgh P, Bjerregaard E, Andersen BB, Siersma V, Johannsen P, Cotman CW, Waldemar G, Hasselbalch SG. Moderate-to-High Intensity Physical Exercise in Patients with Alzheimer's Disease: A Randomized Controlled Trial. J Alzheimers Dis. 2016;50(2):443-53. doi: 10.3233/JAD-150817. PMID: 26682695.
Ionescu-Tucker A, Cotman CW. Emerging roles of oxidative stress in brain aging and Alzheimer's disease. Neurobiol Aging. 2021 Nov;107:86-95. doi: 10.1016/j.neurobiolaging.2021.07.014. Epub 2021 Jul 25. PMID: 34416493.
Iso-Markku P, Kujala UM, Knittle K, Polet J, Vuoksimaa E, Waller K. Physical activity as a protective factor for dementia and Alzheimer's disease: systematic review, meta-analysis and quality assessment of cohort and case-control studies. Br J Sports Med. 2022 Jun;56(12):701-709. doi: 10.1136/bjsports-2021-104981. Epub 2022 Mar 17. PMID: 35301183; PMCID: PMC9163715.
Jia RX, Liang JH, Xu Y, Wang YQ. Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis. BMC Geriatr. 2019 Jul 2;19(1):181. doi: 10.1186/s12877-019-1175-2. PMID: 31266451; PMCID:
Johri A. Disentangling Mitochondria in Alzheimer's Disease. Int J Mol Sci. 2021 Oct 26;22(21):11520. doi: 10.3390/ijms222111520. PMID: 34768950; PMCID: PMC8583788.
López-Ortiz S, Lista S, Valenzuela PL, Pinto-Fraga J, Carmona R, Caraci F, Caruso G, Toschi N, Emanuele E, Gabelle A, Nisticò R, Garaci F, Lucia A, Santos-Lozano A. Effects of physical activity and exercise interventions on Alzheimer's disease: an umbrella review of existing meta-analyses. J Neurol. 2023 Feb;270(2):711-725. doi: 10.1007/s00415-022-11454-8 . Epub 2022 Nov 7. PMID: 36342524.
López-Ortiz S, Pinto-Fraga J, Valenzuela PL, Martín-Hernández J, Seisdedos MM, García-López O, Toschi N, Di Giuliano F, Garaci F, Mercuri NB, Nisticò R, Emanuele E, Lista S, Lucia A, Santos-Lozano A. Physical Exercise and Alzheimer's Disease: Effects on Pathophysiological Molecular Pathways of the Disease. Int J Mol Sci. 2021 Mar 12;22(6):2897. doi: 10.3390/ijms22062897. PMID: 33809300; PMCID: PMC7999827.
López-Ortiz S, Valenzuela PL, Seisdedos MM, Morales JS, Vega T, Castillo-García A, Nisticò R, Mercuri NB, Lista S, Lucia A, Santos-Lozano A. Exercise interventions in Alzheimer's disease: A systematic review and meta-analysis of randomized controlled trials. Ageing Res Rev. 2021 Dec;72:101479. doi: 10.1016/j.arr.2021.101479. Epub 2021 Sep 30. PMID: 34601135.
Norton S, Matthews FE, Barnes DE, Yaffe K, Brayne C. Potential for primary prevention of Alzheimer's disease: an analysis of population-based data. Lancet Neurol. 2014 Aug;13(8):788-94. doi: 10.1016/S1474-4422(14)70136-X. Erratum in: Lancet Neurol. 2014 Nov;13(11):1070. PMID: 25030513.https://pubmed-1ncbi-1nlm-1nih-1gov-100001adi0bf3.han3.wum.edu.pl/30233156/
Qiu C, Kivipelto M, von Strauss E. Epidemiology of Alzheimer's disease: occurrence, determinants, and strategies toward intervention. Dialogues Clin Neurosci. 2009;11(2):111-28. doi: 10.31887/DCNS.2009.11.2/cqiu. PMID: 19585947; PMCID: PMC3181909.
Rolland Y, Pillard F, Klapouszczak A, Reynish E, Thomas D, Andrieu S, Rivière D, Vellas B. Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. J Am Geriatr Soc. 2007 Feb;55(2):158-65. doi: 10.1111/j.1532-5415.2007.01035.x . PMID: 17302650.
Rovio S, Kåreholt I, Helkala EL, Viitanen M, Winblad B, Tuomilehto J, Soininen H, Nissinen A, Kivipelto M. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer's disease. Lancet Neurol. 2005 Nov;4(11):705-11. doi: 10.1016/S1474-4422(05)70198-8 . PMID: 16239176.
Sobol NA, Dall CH, Høgh P, Hoffmann K, Frederiksen KS, Vogel A, Siersma V, Waldemar G, Hasselbalch SG, Beyer N. Change in Fitness and the Relation to Change in Cognition and Neuropsychiatric Symptoms After Aerobic Exercise in Patients with Mild Alzheimer's Disease. J Alzheimers Dis. 2018;65(1):137-145. doi: 10.3233/JAD-180253. PMID: 30040719; PMCID: PMC6087450.
Sofi F, Valecchi D, Bacci D, Abbate R, Gensini GF, Casini A, Macchi C. Physical activity and risk of cognitive decline: a meta-analysis of prospective studies. J Intern Med. 2011 Jan;269(1):107-17. doi: 10.1111/j.1365-2796.2010.02281.x. Epub 2010 Sep 10. PMID: 20831630.
Valenzuela PL, Castillo-García A, Morales JS, de la Villa P, Hampel H, Emanuele E, Lista S, Lucia A. Exercise benefits on Alzheimer's disease: State-of-the-science. Ageing Res Rev. 2020 Sep;62:101108. doi: 10.1016/j.arr.2020.101108. Epub 2020 Jun 17. PMID: 32561386.
van der Kleij LA, Petersen ET, Siebner HR, Hendrikse J, Frederiksen KS, Sobol NA, Hasselbalch SG, Garde E. The effect of physical exercise on cerebral blood flow in Alzheimer's disease. Neuroimage Clin. 2018 Sep 4;20:650-654. doi: 10.1016/j.nicl.2018.09.003. PMID: 30211001; PMCID: PMC6129739.
Voss MW, Nagamatsu LS, Liu-Ambrose T, Kramer AF. Exercise, brain, and cognition across the life span. J Appl Physiol (1985). 2011 Nov;111(5):1505-13. doi: 10.1152/japplphysiol.00210.2011. Epub 2011 Apr 28. PMID: 21527670; PMCID: PMC3220305.
Yu F, Vock DM, Zhang L, Salisbury D, Nelson NW, Chow LS, Smith G, Barclay TR, Dysken M, Wyman JF. Cognitive Effects of Aerobic Exercise in Alzheimer's Disease: A Pilot Randomized Controlled Trial. J Alzheimers Dis. 2021;80(1):233-244. doi: 10.3233/JAD-201100. PMID: 33523004; PMCID: PMC8075384.
Zhang S, Zhen K, Su Q, Chen Y, Lv Y, Yu L. The Effect of Aerobic Exercise on Cognitive Function in People with Alzheimer's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 2022 Nov 25;19(23):15700. doi: 10.3390/ijerph192315700. PMID: 36497772; PMCID: PMC9736612.
López-Ortiz, S., Lista, S., Valenzuela, P.L. et al. Effects of physical activity and exercise interventions on Alzheimer’s disease: an umbrella review of existing meta-analyses. J Neurol 270, 711–725 (2023). https://doi.org/10.1007/s00415-022-11454-8
Adlard PA, Perreau VM, Pop V, Cotman CW. Voluntary exercise decreases amyloid load in a transgenic model of Alzheimer's disease. J Neurosci. 2005 Apr 27;25(17):4217-21. doi: 10.1523/JNEUROSCI.0496-05.2005. PMID: 15858047; PMCID: PMC6725122.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mateusz Haber, Paula Kula, Adam Juśkiewicz, Olga Grelewicz, Natalia Kucy, Elwira Servaas, Adrianna Czachor, Alicja Kotula, Robert Siemiątkowski
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 95
Number of citations: 0