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. 2019 Jun 13;16(3):580–599. doi: 10.1007/s13311-019-00749-w

Table 3.

Summary of articles in brain connectivity in older adults

First author, year Research design n Sex (% female) Age, mean (S.D.) Exercise mode Exercise dose Exercise min/week Control/comparison group Brain connectivity outcomes Main findings
Smith, 2013 Open trial 35 71.4 76 (7.3) Aerobic, walking 12 weeks, 4×/week, 30 min, 50-60% 120 min/week Aerobic active control Whole-brain activation ↑ Efficiency of neural networks
Burdette, 2010 Trial 11 75 77.6 (5.0) Aerobic (walking or other aerobic) 16 weeks, 5×/week, 12-14 RPE 150 min/week Education and light stretching Resting brain (hippocampus) blood flow and connectivity

↑ Hippocampal connectivity

↑ Interconnectivity hippocampi and ACC

Colcombe, 2004 Open trial 29 62 65.6 (5.66) Aerobic, walking 26 weeks, 3×/week, 10-15 to 40-45 min, 40-50 to 60-70% THR 45-135 min/week Stretching and tone Cerebral area activation in a cognitive task); GM density ↑ Attentional circuitry in the MFG, SFG, and SPL and ↓ ACC activation
Voss, 2010 RCT 97 73 65.37 Aerobic, walking 52 weeks, 3×/week, 10-40 min, 50-60 to 60-75% THR 30-120 min/week Stretching and toning group and young control Plasticity of brain networks

↑ Connectivity in areas relevant to age-related cognitive decline

↑ Connectivity between areas within the DMN and within the FE (aerobic at 1 year)

↑ Connectivity between areas within the DMN (6 months) and within the FE (1 year) control group

Voelcker-Rehage, 2011 RCT 44 63.6 69.64 (3.84) G1: aerobic, walking, G2: coordination 52 weeks, 3×/week, 35-50 min, individual HR intensity zone, AerTGE (but below AnTG 105-150 min/week Relaxation and stretching Brain activation patterns

Both aerobic and coordination ↑ neural efficiency in the PFC

Aerobic group:

↓ Activation of lsFG, MFG, bilateral mFG, the left ACC, the left parahippocampal gyrus, rtSTG, and mTP

Coordination group: ↑ activation of iFG, sPC, thalamus, and caudate

n = number of subjects; S.D. = standard deviation; RCT = randomized controlled trials; NR = not reported; NA = not applied; THR = target heart rate; RPE = rate of perceived exertion; 1RM = one-repetition maximum; ACC = anterior cingulate cortex; MFG = middle frontal gyrus; SFG = superior frontal gyrus; SPL = superior parietal lobules; DMN = default mode network; FE = frontal executive network; PFC = prefrontal cortex; lsFG = left superior frontal gyrus; bilateral mFG = bilateral middle frontal gyrus; rtSTG = right superior temporal gyrus; mTG = middle temporal gyrus; iFG = inferior frontal gyrus; sPC = superior parietal cortex; = significant increase; significant decrease

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