Exercise is neuroprotection-but participation is the imperative

Elizabeth A. Franz

Exploration of Neuroprotective Therapy ›› 2025, Vol. 5 ›› Issue (1) : 1004115

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Exploration of Neuroprotective Therapy ›› 2025, Vol. 5 ›› Issue (1) :1004115 DOI: 10.37349/ent.2025.1004115
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Exercise is neuroprotection-but participation is the imperative
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Abstract

Exercise may be one of the most potent tools for protecting the brain-but only through active participation can its benefits be realized. This perspective provides a brief overview of current research avenues and key insights into the role of physical activity and exercise in preventing and mitigating chronic and neurodegenerative diseases and promoting optimal health across the population. The perspective opens with a summary of key findings on how exercise supports brain health and cognitive well-being. It then draws on rodent model studies which shed light on the molecular mechanisms behind these benefits. The paper addresses challenges in translating this research into effective, real-world exercise programs and introduces a new framework aimed at fostering global, inclusive initiatives. This transformative approach is designed to reach individuals across all ages, backgrounds, and health statuses. A central theme throughout is the critical role of psychological factors in exercise adherence-highlighting the need to tackle these barriers if scientific advances are to translate into meaningful benefits for diverse populations.

Keywords

physical activity / exercise training / brain health / neuroplasticity / adherence / neurodegenerative diseases / dementia / Parkinson’s disease

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Elizabeth A. Franz. Exercise is neuroprotection-but participation is the imperative. Exploration of Neuroprotective Therapy, 2025, 5 (1) : 1004115 DOI:10.37349/ent.2025.1004115

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References

[1]

Verkhratsky A, Butt A, Li B, Illes P, Zorec R, Semyanov A, et al. Astrocytes in human central nervous system diseases: a frontier for new therapies. Signal Transduct Target Ther. 2023; 8: 396.

[2]

Jain KK. The handbook of neuroprotection, Second Edition. Humana New York; 2019.

[3]

Garrett J, Chak C, Bullock T, Giesbrecht B. A systematic review and Bayesian meta-analysis provide evidence for an effect of acute physical activity on cognition in young adults. Commun Psychol. 2024; 2: 82.

[4]

De la Rosa A, Olaso-Gonzalez G, Arc-Chagnaud C, Millan F, Salvador-Pascual A, García-Lucerga C, et al. Physical exercise in the prevention and treatment of Alzheimer’s disease. J Sport Health Sci. 2020; 9: 394-404.

[5]

Marques-Aleixo I, Beleza J, Sampaio A, Stevanović J, Coxito P, Gonçalves I, et al. Preventive and Therapeutic Potential of Physical Exercise in Neurodegenerative Diseases. Antioxid Redox Signal. 2021; 34: 674-93.

[6]

Padilha C, Souza R, Grossl FS, Gauer APM, de Sá CA, Rodrigues-Junior SA. Physical exercise and its effects on people with Parkinson’s disease: Umbrella review. PLoS One. 2023; 18: e0293826.

[7]

Scheffer DDL, Latini A. Exercise-induced immune system response: Anti-inflammatory status on peripheral and central organs. Biochim Biophys Acta Mol Basis Dis. 2020; 1866: 165823.

[8]

da Silveira MP, da Silva Fagundes KK, Bizuti MR, Starck É, Rossi RC, de Resende E Silva DT. Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature. Clin Exp Med. 2021; 21: 15-28.

[9]

Beydoun MA, Beydoun HA, Gamaldo AA, Teel A, Zonderman AB, Wang Y. Epidemiologic studies of modifiable factors associated with cognition and dementia: systematic review and meta-analysis. BMC Public Health. 2014; 14: 643.

[10]

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; 92: 102116.

[11]

Voss MW, Vivar C, Kramer AF, van Praag H. Bridging animal and human models of exercise-induced brain plasticity. Trends Cogn Sci. 2013; 17: 525-44.

[12]

Learmonth YC, Herring MP, Russell DI, Pilutti LA, Day S, Marck CH, et al. Safety of exercise training in multiple sclerosis: An updated systematic review and meta-analysis. Mult Scler. 2023; 29: 1604-31.

[13]

Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT; Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012; 380: 219-29.

[14]

Tcheandjieu C, Zhu X, Hilliard AT, Clarke SL, Napolioni V, Ma S, et al.; Regeneron Genetics Center; CARDIoGRAMplusC4D Consortium; Biobank Japan; Million Veteran Program; Kathiresan S, Hauser ER, Miller DR, Lee JS, Saleheen D, Reaven PD, et al. Large-scale genome-wide association study of coronary artery disease in genetically diverse populations. Nat Med. 2022; 28: 1679-92.

[15]

Nystoriak MA, Bhatnagar A. Cardiovascular Effects and Benefits of Exercise. Front Cardiovasc Med. 2018; 5: 135.

[16]

Lucas SJ, Ainslie PN, Murrell CJ, Thomas KN, Franz EA, Cotter JD. Effect of age on exercise-induced alterations in cognitive executive function: relationship to cerebral perfusion. Exp Gerontol. 2012; 47: 541-51.

[17]

Wang Z, Song B, Liu C, Ma H, Bai Z, Carneiro MAS, et al. Effects of boxing exercise in people with Parkinson’s disease: a systematic review. Front Aging Neurosci. 2025; 17: 1505326.

[18]

Ventura MI, Barnes DE, Ross JM, Lanni KE, Sigvardt KA, Disbrow EA. A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson’s disease. Contemp Clin Trials. 2016; 51: 50-5.

[19]

Lee J, West D, Pellegrini C, Wei J, Wilcox S, Neils-Strunjas J, et al. Walking interventions and cognitive health in older adults: a systematic review of randomized controlled trials. Am J Health Promot. 2025; 39: 1051-67.

[20]

Leyland LA, Spencer B, Beale N, Jones T, van Reekum CM. The effect of cycling on cognitive function and well-being in older adults. PLoS One. 2019; 14: e0211779.

[21]

Serra L, Petrosini L, Mandolesi L, Bonarota S, Balsamo F, Bozzali M, et al. Walking, running, swimming: An analysis of the effects of land and water aerobic exercises on cognitive functions and neural substrates. Int J Environ Res Public Health. 2022; 19: 16310.

[22]

Zhu X, Yin S, Lang M, He R, Li J. The more the better? A meta-analysis on effects of combined cognitive and physical intervention on cognition in healthy older adults. Ageing Res Rev. 2016; 31: 67-79.

[23]

Svenningsson AL, Stomrud E, Palmqvist S, Hansson O, Ossenkoppele R. Axonal degeneration and amyloid pathology predict cognitive decline beyond cortical atrophy. Alzheimers Res Ther. 2022; 14: 144.

[24]

Huang X, Zhao X, Li B, Cai Y, Zhang S, Wan Q, et al. Comparative efficacy of various exercise interventions on cognitive function in patients with mild cognitive impairment or dementia: A systematic review and network meta-analysis. J Sport Health Sci. 2022; 11: 212-23.

[25]

WHO guidelines on physical activity and sedentary behaviour: at a glance [Internet]. WHO; c2025 [cited 2025 Jul 7]. Available from: https://www.who.int/publications/i/item/9789240014886

[26]

Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008; 9: 58-65.

[27]

Wang X, Liu T, Jin X, Zhou C. Aerobic exercise promotes emotion regulation: a narrative review. Exp Brain Res. 2024; 242: 783-96.

[28]

Shook SK, Franz EA, Higginson CI, Wheelock VL, Sigvardt KA. Dopamine dependency of cognitive switching and response repetition effects in Parkinson’s patients. Neuropsychologia. 2005; 43: 1990-9.

[29]

Disbrow EA, Sigvardt KA, Franz EA, Turner RS, Russo KA, Hinkley LB, et al. Movement activation and inhibition in Parkinson’s disease: a functional imaging study. J Parkinsons Dis. 2013; 3: 181-92.

[30]

Disbrow EA, Glassy ND, Dressler EM, Russo K, Franz EA, Turner RS, et al. Cortical oscillatory dysfunction in Parkinson disease during movement activation and inhibition. PLoS One. 2022; 17: e0257711.

[31]

Dockès J, Poldrack RA, Primet R, Gözükan H, Yarkoni T, Suchanek F, et al. NeuroQuery, comprehensive meta-analysis of human brain mapping. Elife. 2020; 9: e53385.

[32]

Lista I, Sorrentino G. Biological mechanisms of physical activity in preventing cognitive decline. Cell Mol Neurobiol. 2010; 30: 493-503.

[33]

Colucci-D’Amato L, Speranza L, Volpicelli F. Neurotrophic factor BDNF, physiological functions and therapeutic potential in depression, neurodegeneration and brain cancer. Int J Mol Sci. 2020; 21: 7777.

[34]

Bylicky MA, Mueller GP, Day RM. Mechanisms of Endogenous Neuroprotective Effects of Astrocytes in Brain Injury. Oxid Med Cell Longev. 2018; 2018: 6501031.

[35]

Cao W, Lin J, Xiang W, Liu J, Wang B, Liao W, et al. Physical exercise-induced astrocytic neuroprotection and cognitive improvement through primary cilia and mitogen-activated protein kinases pathway in rats with chronic cerebral ypoperfusion. Front Aging Neurosci. 2022; 14: 866336.

[36]

Li J, Pan L, Pembroke WG, Rexach JE, Godoy MI, Condro MC, et al. Conservation and divergence of vulnerability and responses to stressors between human and mouse astrocytes. Nat Commun. 2021; 12: 3958.

[37]

Bhattacharya P, Chatterjee S, Roy D. Impact of exercise on brain neurochemicals: a comprehensive review. Sport Sci Health. 2023; 19: 405-52.

[38]

Paolucci EM, Loukov D, Bowdish DME, Heisz JJ. Exercise reduces depression and inflammation but intensity matters. Biol Psychol. 2018; 133: 79-84.

[39]

Zhang Y, Zhu H, Franz E. Physical activity indexed using table tennis skills modulates the neural dynamics of involuntary retrieval of negative memories. Exp Brain Res. 2025; 243: 17.

[40]

Collado-Mateo D, Lavín-Pérez AM, Peñacoba C, Del Coso J, Leyton-Román M, Luque-Casado A, et al. Key factors associated with adherence to physical exercise in patients with chronic diseases and older adults: An umbrella review. Int J Environ Res Public Health. 2021; 18: 2023.

[41]

Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018; 6: e1077-86.

[42]

International Charter of Physical Education, Physical Activity and Sport [Internet]. [cited 2025 Jul 7]. Available from: https://www.unesco.org/en/sport-and-anti-doping/international-charter-sport

[43]

UNESCO. Kazan Action Plan. Sixth International Conference of Ministers and Senior Officials Responsible for Physical Education and Sport (MINEPS VI); 2017 Jul 13-15; Kazan, Russian Federation: United Nations Educational, Scientific and Cultural Organization; 2017.

[44]

Global action plan on physical activity 2018-2030: more active people for a healthier world [Internet]. WHO; c2025 [cited 2025 Jul 7]. Available from: https://www.who.int/publications/i/item/9789241514187

[45]

联合国教科文组织; Loughborough University. The global state of play: report and recommendations on quality physical education. Paris: UNESCO; 2024.

[46]

Howes S, Stephenson A, Grimmett C, Argent R, Clarkson P, Khan A, et al. The effectiveness of digital tools to maintain physical activity among people with a long-term condition(s): A systematic review and meta-analysis. Digit Health. 2024; 10: 20552076241299864.

[47]

Gardner B, Lally P. Habit formation and behavior change. In: Leary MR, Tangney MJ, Stuewig JM, editors. Handbook of self and identity (2nd ed). Guilford Press; 2018. pp. 213-33.

[48]

2024 World Table Tennis for Health Congress unveiled with engaging sessions [Internet]. [cited 2025 Jul 7]. Available from: https://ittffoundation.org/news/details/2024-world-table-tennis-for-health-congress-unveiled-with-engaging-sessions

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