The effect of aerobic exercise on cortical architecture in patients with chronic schizophrenia: a randomized controlled MRI study
Abstract
Via influencing brain plasticity, aerobic exercise could contribute to the treatment of schizophrenia patients. As previously shown, physical exercise increases hippocampus volume and improves short-term memory. We now investigated gray matter density and brain surface expansion in this sample using MRI-based cortical pattern matching methods. Comparing schizophrenia patients to healthy controls before and after 3 months of aerobic exercise training (cycling) plus patients playing table football yielded gray matter density increases in the right frontal and occipital cortex merely in healthy controls. However, respective exercise effects might be attenuated in chronic schizophrenia, which should be verified in a larger sample.
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Physical exercise affects gray matter structure.
“Physical exercise has been reported to affect gray matter structure. 14-19”
From Physical exercise keeps the brain connected: biking increases white matter integrity in patients with schizophrenia and healthy controls. (2015) · cites this paper as [18]
Increases in cortical and hippocampal volume were found after periods of exercise in healthy individuals.
“Increases in the volume of the cortex 14-16,18 and hippocampus 17,19 were found after periods of exercise in healthy individuals.”
From Physical exercise keeps the brain connected: biking increases white matter integrity in patients with schizophrenia and healthy controls. (2015) · cites this paper as [18]
In patients with schizophrenia, one study found hippocampal volume increase after exercise training, but other studies did not find increases in hippocampal volume or cortical density.
“In patients with schizophrenia, a period of exercise training resulted in hippocampal volume increase in one study 19 but other studies did not reveal increases in hippocampal volume 20 or cortical density. 18”
From Physical exercise keeps the brain connected: biking increases white matter integrity in patients with schizophrenia and healthy controls. (2015) · cites this paper as [18]
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Venet-Kelma, L., Romain, A. J., Sosner, P., & Kern, L. (2025) · Encyclopédie médico-chirurgicale. Psychiatrie · doi:10.1016/s0246-1072(25)48451-x
- Authors
- Falkai, P., Malchow, B., Wobrock, T., Gruber, O., Schmitt, A., Honer, W. G., Pajonk, F.-G., Sun, F., & Cannon, T. D.
- Affiliations
- Ludwig-Maximilians-Universität München (DE)
- University of Göttingen (DE)
- Klinikum Darmstadt (DE)
- University of British Columbia (CA)
- University of California, Los Angeles (US)
- Corresponding author
- Schmitt, Andrea
- ORCID
- Venue
- European Archives of Psychiatry and Clinical Neuroscience
- Published
- 2012-11-17
- Volume
- 263
- Issue
- 6
- Pages
- 469-473
- ISSN
- 0003-9373 (ISSN-L)
- 0940-1334
- 1433-8491
- OpenAlex
- W1965597062
- Cited by
- 68
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 10 · 2016: 8 · 2015: 16 · 2014: 4 · 2013: 5
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Archives of Psychiatry and Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- aerobic exercise, chronic schizophrenia, cortical architecture, gray matter density, neuroplasticity, exercise training, cycling, frontal cortex, occipital cortex
- MeSH terms
- Adult, Brain Mapping, Cerebral Cortex, Humans, Magnetic Resonance Imaging, Male, Schizophrenia, Exercise, Imaging, Three-Dimensional, Young Adult
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