Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease

Abstract Introduction Animal models of Alzheimer's disease show that exercise may modify β‐amyloid (Aβ) deposition. We examined the effect of a 16‐week exercise intervention on cortical Aβ in patients with mild‐to‐moderate Alzheimer's disease. Methods Thirty‐six patients with Alzheimer...

Full description

Saved in:
Bibliographic Details
Main Authors: Kristian S. Frederiksen, Karine Madsen, Birgitte B. Andersen, Nina Beyer, Ellen Garde, Peter Høgh, Gunhild Waldemar, Steen G. Hasselbalch, Ian Law
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1016/j.trci.2019.04.006
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850209835550769152
author Kristian S. Frederiksen
Karine Madsen
Birgitte B. Andersen
Nina Beyer
Ellen Garde
Peter Høgh
Gunhild Waldemar
Steen G. Hasselbalch
Ian Law
author_facet Kristian S. Frederiksen
Karine Madsen
Birgitte B. Andersen
Nina Beyer
Ellen Garde
Peter Høgh
Gunhild Waldemar
Steen G. Hasselbalch
Ian Law
author_sort Kristian S. Frederiksen
collection DOAJ
description Abstract Introduction Animal models of Alzheimer's disease show that exercise may modify β‐amyloid (Aβ) deposition. We examined the effect of a 16‐week exercise intervention on cortical Aβ in patients with mild‐to‐moderate Alzheimer's disease. Methods Thirty‐six patients with Alzheimer's disease were randomized to either one hour of aerobic exercise three times weekly for 16 weeks or usual care. Pre and post intervention, 11Carbon‐Pittsburgh compound B positron emission tomography was carried out to assess cortical Aβ, and quantified using standardized uptake value rations (SUVRs). Results The intervention showed no effect on follow‐up SUVRs in a covariance analysis with group allocation, baseline intervention SUVR, age, sex, and baseline Mini–Mental State Examination as predictors. Change in SUVRs did not correlate with changes in measures of physical or aerobic fitness. Discussion The present findings do not support an effect of exercise on Aβ. However, the relatively short intervention period may account for a lack of efficacy. Further studies should test earlier and longer interventions.
format Article
id doaj-art-b951305d0b1f447dafdf94400d3bb6e1
institution OA Journals
issn 2352-8737
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Alzheimer’s & Dementia: Translational Research & Clinical Interventions
spelling doaj-art-b951305d0b1f447dafdf94400d3bb6e12025-08-20T02:09:55ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372019-01-015120821510.1016/j.trci.2019.04.006Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's diseaseKristian S. Frederiksen0Karine Madsen1Birgitte B. Andersen2Nina Beyer3Ellen Garde4Peter Høgh5Gunhild Waldemar6Steen G. Hasselbalch7Ian Law8Danish Dementia Research Centre, Department of Neurology, RigshospitaletUniversity of CopenhagenCopenhagenDenmarkNeurobiology Research UnitCopenhagenDenmarkDanish Dementia Research Centre, Department of Neurology, RigshospitaletUniversity of CopenhagenCopenhagenDenmarkMusculoskeletal Rehabilitation Research Unit and Institute of Sports Medicine, Bispebjerg Hospital, University of CopenhagenCopenhagenDenmarkDanish Research Centre for Magnetic ResonanceCopenhagen University Hospital HvidovreHvidovreDenmarkZealand University HospitalDepartment of NeurologyRoskildeDenmarkDanish Dementia Research Centre, Department of Neurology, RigshospitaletUniversity of CopenhagenCopenhagenDenmarkDanish Dementia Research Centre, Department of Neurology, RigshospitaletUniversity of CopenhagenCopenhagenDenmarkDepartment of Clinical Physiology, Nuclear Medicine & PET, RigshospitaletUniversity of CopenhagenCopenhagenDenmarkAbstract Introduction Animal models of Alzheimer's disease show that exercise may modify β‐amyloid (Aβ) deposition. We examined the effect of a 16‐week exercise intervention on cortical Aβ in patients with mild‐to‐moderate Alzheimer's disease. Methods Thirty‐six patients with Alzheimer's disease were randomized to either one hour of aerobic exercise three times weekly for 16 weeks or usual care. Pre and post intervention, 11Carbon‐Pittsburgh compound B positron emission tomography was carried out to assess cortical Aβ, and quantified using standardized uptake value rations (SUVRs). Results The intervention showed no effect on follow‐up SUVRs in a covariance analysis with group allocation, baseline intervention SUVR, age, sex, and baseline Mini–Mental State Examination as predictors. Change in SUVRs did not correlate with changes in measures of physical or aerobic fitness. Discussion The present findings do not support an effect of exercise on Aβ. However, the relatively short intervention period may account for a lack of efficacy. Further studies should test earlier and longer interventions.https://doi.org/10.1016/j.trci.2019.04.00611C‐PiB‐PETAerobic exerciseAlzheimer's diseaseβ‐amyloidExerciseDementia
spellingShingle Kristian S. Frederiksen
Karine Madsen
Birgitte B. Andersen
Nina Beyer
Ellen Garde
Peter Høgh
Gunhild Waldemar
Steen G. Hasselbalch
Ian Law
Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
11C‐PiB‐PET
Aerobic exercise
Alzheimer's disease
β‐amyloid
Exercise
Dementia
title Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
title_full Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
title_fullStr Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
title_full_unstemmed Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
title_short Moderate‐ to high‐intensity exercise does not modify cortical β‐amyloid in Alzheimer's disease
title_sort moderate to high intensity exercise does not modify cortical β amyloid in alzheimer s disease
topic 11C‐PiB‐PET
Aerobic exercise
Alzheimer's disease
β‐amyloid
Exercise
Dementia
url https://doi.org/10.1016/j.trci.2019.04.006
work_keys_str_mv AT kristiansfrederiksen moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT karinemadsen moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT birgittebandersen moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT ninabeyer moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT ellengarde moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT peterhøgh moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT gunhildwaldemar moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT steenghasselbalch moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease
AT ianlaw moderatetohighintensityexercisedoesnotmodifycorticalbamyloidinalzheimersdisease