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Effectiveness of exercise for improving cognition, memory and executive function: a systematic umbrella review and meta-meta-analysis

Title: Effectiveness of exercise for improving cognition, memory and executive function: a systematic umbrella review and meta-meta-analysis
Authors: Singh, Ben; Bennett, Hunter; Miatke, Aaron; Dumuid, Dorothea; Curtis, Rachel; Ferguson, Ty; Brinsley, Jacinta; Szeto, Kimberley; Petersen, Jasmine M; Gough, Claire; Eglitis, Emily; Simpson, Catherine EM; Ekegren, Christina L; Smith, Ashleigh E; Erickson, Kirk I; Maher, Carol
Contributors: Henry Brodaty Dementia Australia Research Foundation mid-career fellowship; Centre of Research Excellence in Driving Global Investment in Adolescent Health; Medical Research Future Fund Emerging Leader Grant; Australian Research Council Discovery Early Career Award
Source: British Journal of Sports Medicine ; volume 59, issue 12, page 866-876 ; ISSN 0306-3674 1473-0480
Publisher Information: BMJ
Publication Year: 2025
Description: Objective To evaluate systematic reviews of randomised controlled trials (RCTs) on the effects of exercise on general cognition, memory and executive function across all populations and ages. Methods Systematic reviews and meta-analyses of RCTs evaluating the effects of exercise on general cognition, memory and executive function were eligible. Data extraction and risk of bias scoring were conducted in duplicate. The A MeaSurement Tool to Assess systematic Reviews (AMSTAR-2) was used to assess the risk of bias. Effect sizes were pooled using random effects models and reported as standardised mean differences (SMD). Subgroup analyses were conducted for participant and intervention characteristics. General cognition, memory and executive function. Data sources CINAHL, The Cochrane Library, Embase, MEDLINE via OVID, Emcare, ProQuest Central, ProQuest Nursing and Allied Health Source, PsycINFO, Scopus, Sport Discus and Web of Science. Results 133 systematic reviews (2,724 RCTs and 258 279 participants) were included. Exercise significantly improved general cognition (SMD=0.42), memory (SMD=0.26) and executive function (SMD=0.24). Memory and executive function improvements from exercise were greater for children and adolescents than for adults and older adults. Those with attention-deficit/hyperactivity disorder exhibited greater improvement in executive function than other populations. Effects were generally larger for low- and moderate-intensity interventions. Shorter interventions (1–3 months) and exergames (video games that require physical movement) had the largest effects on general cognition and memory. Findings remained statistically significant after excluding reviews rated as low and critically low quality. Conclusions These findings provide strong evidence that exercise, even light intensity, benefits general cognition, memory and executive function across all populations, reinforcing exercise as an essential, inclusive recommendation for optimising cognitive health. Trial registration number PROSPERO ID: ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1136/bjsports-2024-108589
Availability: https://doi.org/10.1136/bjsports-2024-108589; https://syndication.highwire.org/content/doi/10.1136/bjsports-2024-108589
Rights: http://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.E5D81499
Database: BASE