Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies

Physical activity (PA) in the form of aerobic exercise (AE) preserves and improves neurocognitive function across the lifespan. However, a mechanistic understanding of the pathways by which aerobic exercise impacts brain health is still lacking, particularly with respect to stress-related pathways....

Full description

Bibliographic Details
Main Authors: Cristina Molina-Hidalgo, Chelsea M. Stillman, Audrey M. Collins, Daniel Velazquez-Diaz, Hayley S. Ripperger, Jermon A. Drake, Peter J. Gianaros, Anna L. Marsland, Kirk I. Erickson
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1273981/full
_version_ 1827795774798299136
author Cristina Molina-Hidalgo
Chelsea M. Stillman
Audrey M. Collins
Daniel Velazquez-Diaz
Daniel Velazquez-Diaz
Hayley S. Ripperger
Jermon A. Drake
Peter J. Gianaros
Anna L. Marsland
Kirk I. Erickson
Kirk I. Erickson
author_facet Cristina Molina-Hidalgo
Chelsea M. Stillman
Audrey M. Collins
Daniel Velazquez-Diaz
Daniel Velazquez-Diaz
Hayley S. Ripperger
Jermon A. Drake
Peter J. Gianaros
Anna L. Marsland
Kirk I. Erickson
Kirk I. Erickson
author_sort Cristina Molina-Hidalgo
collection DOAJ
description Physical activity (PA) in the form of aerobic exercise (AE) preserves and improves neurocognitive function across the lifespan. However, a mechanistic understanding of the pathways by which aerobic exercise impacts brain health is still lacking, particularly with respect to stress-related pathways. One mechanistic hypothesis is that AE improves neurocognitive health in part by modifying circulating levels of stress-related hormones and signaling factors associated with the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS), as commonly measured by the biomarkers cortisol (CORT) and salivary α-amylase (sAA). Thus, this hypothesis predicts that changes in stress biomarkers, such as CORT and sAA, are possible explanatory pathways mediating the positive effects of AE on neurocognitive health. In the present review article, we provide a summary of available studies examining the possibility that exercise-induced changes to stress biomarkers could partly account for exercise-related improvements in neurocognitive health. Our review indicates that despite the intuitive appeal of this hypothesis, there is insufficient evidence available to conclude that chronic and habitual AE affects neurocognitive health by altering stress biomarker pathways. The cross-sectional nature of the majority of reviewed studies highlights the need for well-controlled studies to adequately test this hypothesis.
first_indexed 2024-03-11T18:55:14Z
format Article
id doaj.art-1739e2dc96dd4086a127c7538ee88ae6
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-03-11T18:55:14Z
publishDate 2023-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-1739e2dc96dd4086a127c7538ee88ae62023-10-11T05:00:57ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-10-011410.3389/fphys.2023.12739811273981Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studiesCristina Molina-Hidalgo0Chelsea M. Stillman1Audrey M. Collins2Daniel Velazquez-Diaz3Daniel Velazquez-Diaz4Hayley S. Ripperger5Jermon A. Drake6Peter J. Gianaros7Anna L. Marsland8Kirk I. Erickson9Kirk I. Erickson10AdventHealth Research Institute, Neuroscience Institute, Orlando, FL, United StatesDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesAdventHealth Research Institute, Neuroscience Institute, Orlando, FL, United StatesAdventHealth Research Institute, Neuroscience Institute, Orlando, FL, United StatesExPhy Research Group, Department of Physical Education, University of Cadiz, Cadiz, SpainDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesAdventHealth Research Institute, Neuroscience Institute, Orlando, FL, United StatesDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesPhysical activity (PA) in the form of aerobic exercise (AE) preserves and improves neurocognitive function across the lifespan. However, a mechanistic understanding of the pathways by which aerobic exercise impacts brain health is still lacking, particularly with respect to stress-related pathways. One mechanistic hypothesis is that AE improves neurocognitive health in part by modifying circulating levels of stress-related hormones and signaling factors associated with the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS), as commonly measured by the biomarkers cortisol (CORT) and salivary α-amylase (sAA). Thus, this hypothesis predicts that changes in stress biomarkers, such as CORT and sAA, are possible explanatory pathways mediating the positive effects of AE on neurocognitive health. In the present review article, we provide a summary of available studies examining the possibility that exercise-induced changes to stress biomarkers could partly account for exercise-related improvements in neurocognitive health. Our review indicates that despite the intuitive appeal of this hypothesis, there is insufficient evidence available to conclude that chronic and habitual AE affects neurocognitive health by altering stress biomarker pathways. The cross-sectional nature of the majority of reviewed studies highlights the need for well-controlled studies to adequately test this hypothesis.https://www.frontiersin.org/articles/10.3389/fphys.2023.1273981/fullcortisolsalivary alpha-amylasephysical activityHPA axisANS
spellingShingle Cristina Molina-Hidalgo
Chelsea M. Stillman
Audrey M. Collins
Daniel Velazquez-Diaz
Daniel Velazquez-Diaz
Hayley S. Ripperger
Jermon A. Drake
Peter J. Gianaros
Anna L. Marsland
Kirk I. Erickson
Kirk I. Erickson
Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
Frontiers in Physiology
cortisol
salivary alpha-amylase
physical activity
HPA axis
ANS
title Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
title_full Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
title_fullStr Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
title_full_unstemmed Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
title_short Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies
title_sort changes in stress pathways as a possible mechanism of aerobic exercise training on brain health a scoping review of existing studies
topic cortisol
salivary alpha-amylase
physical activity
HPA axis
ANS
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1273981/full
work_keys_str_mv AT cristinamolinahidalgo changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT chelseamstillman changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT audreymcollins changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT danielvelazquezdiaz changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT danielvelazquezdiaz changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT hayleysripperger changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT jermonadrake changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT peterjgianaros changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT annalmarsland changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT kirkierickson changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies
AT kirkierickson changesinstresspathwaysasapossiblemechanismofaerobicexercisetrainingonbrainhealthascopingreviewofexistingstudies