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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: Med Sci Sports Exerc. 2019 Jun;51(6):1242–1251. doi: 10.1249/MSS.0000000000001936

Table 1.

Committee-assigned grades for the effects of physical activity on various ages and clinical outcomes.

Population or Measure Outcome Grade
Children <6 yrs Insufficient evidence to determine the effects of moderate-to-vigorous PA on cognition Not Assignable
Children 6-13 yrs Both acute and chronic moderate-to-vigorous PA interventions improve brain structure and function, as well as cognition, and academic outcomes Moderate
Children 14-18 yrs Limited evidence to determine the effects of moderate-to-vigorous PA on cognition Limited
Young and middle Aged Adults 18-50 yrs Insufficient evidence to determine the effects of moderate-to-vigorous PA on cognition Not Assignable
Older Adults >50 yrs Both acute and long-term moderate-to-vigorous PA interventions improve brain structure and function, as well as cognition Moderate
Adults with Dementia Evidence suggests that PA may improve cognitive function Moderate
Risk of Dementia and Cognitive Impairment Greater amounts of PA reduce the risk for cognitive impairment Strong
Other Clinical Disorders (i.e., ADHD, schizophrenia, MS, Parkinson’s, stroke) Evidence that moderate-to-vigorous PA has beneficial effects on cognition in individuals with diseases or disorders that impair cognition Moderate
Biomarkers of Brain Health Moderate-to-vigorous PA positively influences biomarkers including MRI-based measures of function, brain volume, and white matter Moderate
Acute Bouts Short, acute bouts of moderate-to-vigorous PA transiently improves cognition during the post-recovery period Strong
OVERALL There is a consistent association between chronic MVPA and improved cognition including performance on academic achievement tests, neuropsychological tests, risk of dementia. Effects are demonstrated across a gradient of normal to impaired cognitive health status Moderate