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Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise
Open accessAbstract
The hippocampus has been shown to demonstrate a remarkable degree of plasticity in response to a variety of tasks and experiences. For example, the size of the human hippocampus has been shown to increase in response to aerobic exercise. However, it is currently unknown what underlies these changes. Here we scanned sedentary, young to middle-aged human adults before and after a six-week exercise intervention using nine different neuroimaging measures of brain structure, vasculature, and diffusion. We then tested two different hypotheses regarding the nature of the underlying changes in the tissue. Surprisingly, we found no evidence of a vascular change as has been previously reported. Rather, the pattern of changes is better explained by an increase in myelination. Finally, we show that hippocampal volume increase is temporary, returning to baseline after an additional six weeks without aerobic exercise. This is the first demonstration of a change in hippocampal volume in early to middle adulthood suggesting that hippocampal volume is modulated by aerobic exercise throughout the lifespan rather than only in the presence of age related atrophy. It is also the first demonstration of hippocampal volume change over a period of only six weeks, suggesting that gross morphometric hippocampal plasticity occurs faster than previously thought.
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TL;DR
In sedentary young-to-middle-aged adults, six weeks of supervised aerobic exercise increased anterior hippocampal volume, but this increase returned to baseline after six further weeks without exercise. Multimodal MRI measures did not support a vascular change; the pattern was better explained by increased myelination.
Key findings
- Six weeks of aerobic exercise significantly changed anterior hippocampal volume (LME log likelihood ratio = 6.95, P = 0.0084), with volume increased immediately post-training; at six weeks post-training, volume was not statistically different from baseline (log likelihood ratio = 0.38, P = 0.54).
- Fitness improved with exercise (V̇O2 max model log likelihood ratio = 13.25, P < 0.001), but was not significantly elevated six weeks after training ended (log likelihood ratio = 0.01, P = 0.92).
- The vascular-change hypothesis was not supported by combined multimodal measures (Stouffer’s Z = −1.05, P = 0.78), whereas the myelination-change hypothesis was supported (Z = 2.64, P = 0.01).
- No significant changes were observed in any cognitive task, and thalamus volume showed no significant exercise effect (log likelihood ratio = 0.0007, P = 0.98).
Methods
- 62 sedentary adults (35 women, 27 men; mean age 33.7, SD 11.9) were studied; 54 were pseudo-randomly assigned in a crossover design to “rest first” or “exercise first,” and 8 were baseline-only. Exercise consisted of 30 minutes of supervised stationary cycling, 5 days/week for 6 weeks; average attendance was 29.05 of 30 sessions (SD 1.05).
- MRI at 3T included T1, T2, QSM, SWI, CBV, diffusion measures (MD, FA), and gray/white matter segmentation. FreeSurfer hippocampal subfield segmentation was used to define the anterior-most 25% of the hippocampus in native space.
- Longitudinal linear mixed effects models tested exercise effects over time, and a non-parametric permutation-based Stouffer’s method combined multimodal Z-scores to test vascular versus myelin hypotheses.
Limitations
- Stated: the lack of cognitive changes may reflect the short intervention, choice of cognitive tests, or participant age; T1 measurement may have been noisy or affected by opposing biological changes; other microstructural changes such as neuronal density, dendritic spines, or synaptogenesis were not tested; the intervention may have been too short to elicit vascular effects; and non-exercise features such as social interaction or novel environment could have contributed.
- Stated: hippocampal head segmentation used a quartering strategy because distinguishing head, body, and tail with 3T MRI is difficult.
- Evident: dropout reduced the completers available for longitudinal analysis (25 exercise-first and 15 rest-first completed all three scans), and the baseline-only group received only a single scan.
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This model provided a significantly better fit for the variance in V̇O2 max than the baseline model which included only subject ID and time (log likelihood ratio=13.25, P < 0.001), suggesting that exercise caused significant change in fitness.”
- Also stated in: § 3.2. Exercise training improves fitness but does not not change cognitive scores · plain
“Inspection of the time course of change in V̇O2 max (Figure 2 and Table 1) reveals that fitness is increased immediately post training.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.2. Exercise training improves fitness but does not not change cognitive scores
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Thalamus volume showed no significant effects of exercise (Log Likelihood Ratio=0.0007, P=0.98).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.3. Anterior Hippocampal Volume Increase
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In the paper
“Thus, V̇O2 max is not statistically different from baseline at the twelve-week visit, six weeks after the end of the exercise training program.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.2. Exercise training improves fitness but does not not change cognitive scores
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“while the myelin change hypothesis was significant (Z=2.64, P=0.01).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.4. Exploratory multimodal measurements of change within anterior hippocampus
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No significant correlations were found between cognitive scores and fitness after accounting for age, sex, and total brain volume and correcting for multiple comparisons.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.1. Baseline correlations between fitness, hippocampal volume, and cognitive
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In the paper
“In this study we have provided the first demonstration that volume increase in the anterior hippocampus occurs in early to middle adulthood after just six weeks of aerobic exercise.”
- Also stated in: § 4. Discussion · boosted
“This study therefore provides novel evidence that just six weeks of exercise results in increases in hippocampal volume in young to middle aged adults.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“another measure that has been used to measure myelin, the T1/T2 ratio (Glasser and Van Essen, 2011), did show an increase in the anterior hippocampus (Z = 1.54).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“This increase is not permanent, returning to baseline after six further weeks without regular aerobic exercise.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“Testing the vascular change hypothesis failed to reach significance on the Stouffer’s test (Z=−1.05, P=0.78)”
- Also stated in: § Abstract · plain
“we found no evidence of a vascular change as has been previously reported.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.4. Exploratory multimodal measurements of change within anterior hippocampus
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No significant changes with exercise were observed in any of the cognitive tasks.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.2. Exercise training improves fitness but does not not change cognitive scores
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- It may state two separate claims as one. 19
- The quote only partly states this claim. 1
- Probably not a substantial claim. 24
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“A similar pattern was observed for the whole hippocampus however the effect was not significant (Log Likelihood Ratio=1.31, P=0.25).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.3. Anterior Hippocampal Volume Increase
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This variable provided no significant additional power to the model (Log Likelihood Ratio=0.38, P=0.54), suggesting that six weeks after the completion of the exercise training program, anterior hippocampal volume was not statistically different from baseline.”
- Also stated in: § Abstract · plain
“we show hippocampal volume increase is temporary, returning to baseline after an additional six weeks without aerobic exercise.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.3. Anterior Hippocampal Volume Increase
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- Also stated in: § Abstract · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This model provided a significantly better fit for the anterior hippocampal volume as compared to a model containing just subject ID and time (Log Likelihood Ratio=6.95, P=0.0084), demonstrating that the exercise intervention significantly changed anterior hippocampal volume.”
- Also stated in: § 3.3. Anterior Hippocampal Volume Increase · plain
“Inspection of the time course of volume change (Figure 3 and S2) reveals that hippocampal volume is increased immediately post-training.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.3. Anterior Hippocampal Volume Increase
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- Also stated in: § 3.3. Anterior Hippocampal Volume Increase · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is apparent from this graph that WM, T2, and QSM are all showing relatively large shifts consistent with a myelination change, while T1 and CBV show little change at all (Figure 4).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.4. Exploratory multimodal measurements of change within anterior hippocampus
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In the paper
“Out of thirty possible aerobic exercise training sessions, the average attendance was 29.05 sessions (SD 1.05).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.2. Exercise training improves fitness but does not not change cognitive scores
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In the paper
“Habitual aerobic exercise has been widely associated with greater cognitive performance in older adults as well as adolescents (Kramer and Erickson, 2007; Anderson-Hanley et al., 2012; Benedict et al., 2012; Aberg et al., 2009; Young et al., 2015).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 1. Introduction
What the sources say
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In the paper
“A recent longitudinal study has demonstrated that one year of aerobic exercise has a direct causal role in increasing the volume of the hippocampus in sedentary older adults (Erickson et al., 2011).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 1. Introduction
What the sources say
- Not checked yetcites Erickson et al., 2011 source
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In the paper
“Environmental enrichment, a less specific manipulation, has been shown to increase myelination of callosal fibres (Markham et al., 2009; Zhao et al., 2012).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 1. Introduction
What the sources say
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In the paper
“Measures of cardiovascular fitness have been shown to increase after as little as one week of exercise training (Hickson et al., 1981).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 1. Introduction
What the sources say
- Not checked yetcites Hickson et al., 1981 source
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In the paper
“Each volume was visually inspected for segmentation errors. No manual correction was required.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 2. Materials and Methods > 2.3. Imaging methods
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In the paper
“Longitudinal LME modelling has been demonstrated to be a be superior technique to more common alternatives such as repeated measure ANOVA or simple paired T-test in that it provides more statistical power and is robust in the face of missing data (Bernal-Rusiel et al., 2013).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 2. Materials and Methods > 2.4. Statistical analyses
What the sources say
- Not checked yetcites Bernal-Rusiel et al., 2013 source
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In the paper
“QSM has been shown to be dark in myelin-rich regions and bright in blood-rich regions (Deistung et al., 2013; Stuber and Turner, 2010)”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.4. Exploratory multimodal measurements of change within anterior hippocampus
What the sources say
- Not checked yetcites Deistung et al., 2013 source
- Not checked yetcites Stuber and Turner, 2010
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In the paper
“Using a standard crossover design, 54 of the 62 participants were pseudo-randomly assigned to one of two groups: “rest first” or “exercise first” (Figure 1).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 2. Materials and Methods > 2.1. Participants and experimental design
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In the paper
“The permutation method randomly flips the signs of each subject’s data, but does so synchronously over subjects to preserve the dependence.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 2. Materials and Methods > 2.4. Statistical analyses
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is also the first demonstration of hippocampal volume change over a period of only six weeks, suggesting gross morphometric hippocampal plasticity occurs faster than previously thought.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > Abstract
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In the paper
“At baseline, we found no significant differences between the exercise-first and rest-first groups in fitness, anterior hippocampal volume or cognitive scores.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.1. Baseline correlations between fitness, hippocampal volume, and cognitive
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In the paper
“For example, it has been shown that aerobic exercise increases the rate of neurogenesis in the dentate gyrus region of the rodent hippocampus and increases cerebral blood volume (CBV) in the same region in humans (Pereira et al., 2007; van Praag et al., 1999a,b).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 1. Introduction
What the sources say
- Not checked yetcites Pereira et al., 2007 source
- Not checked yetcites van Praag et al., 1999a,b
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This is the first demonstration of a change in hippocampal volume in early to middle adulthood suggesting that hippocampal volume is modulated by aerobic exercise throughout the lifespan rather than only in the presence of age related atrophy.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > Abstract
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In the paper
“The T1 of blood is high whereas that of myelin is low, compared to average T1 in gray matter (Stanisz et al., 2005; Wansapura et al., 1999)”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 3. Results > 3.4. Exploratory multimodal measurements of change within anterior hippocampus
What the sources say
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In the paper
“Note that no correction for intracranial volume was necessary as our analysis only explored differences within subject.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 2. Materials and Methods > 2.3. Imaging methods
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In the paper
“Histological examination of the hippocampus reveals three obvious subdivision along the longitudinal axis: the head, the body, and the tail (Duvernoy, 2005; Strange et al., 2014), with the body being somewhat longer than the other two segments.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Duvernoy, 2005
- Not checked yetcites Strange et al., 2014 source
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In the paper
“In the hippocampus, exercise alone leads to increased production of new neurons while exercise paired with environmental enrichment leads to greater survival of new neurons (van Praag et al., 2000, 2005).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not matchedcites van Praag et al., 2000, 2005
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“These approaches remove the possibility of spurious results due to biased alignments, properly model both between and within subject sources of variance, and control for potential time-related confounds such as scanner drift and practice.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“previously published studies in rodents that have shown a robust vascular change within the hippocampus after a prolonged period of exercise (Pereira et al., 2007; Van der Borght et al., 2009; van Praag et al., 2005).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
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In the paper
“Although a number of studies have reported change in brain volumes with exercise interventions in older adults (Erickson et al., 2011; Anderson-Hanley et al., 2012)”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
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In the paper
“it has been recently demonstrated that an increase in head motion could result in artifactual changes in segmented volumes (Reuter et al., 2014).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Reuter et al., 2014
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In the paper
“Similarly, in cerebellum, exercise alone has been shown to increase capillary density while exercise paired with environmental enrichment leads to an increase in synaptic density (Black et al., 1990).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Black et al., 1990 source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“It is difficult to address this dichotomy in a human study, as the daily lives of humans are constantly enriched compared to that of a rodent housed in a laboratory setting.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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- Rests on an assumption: Human daily lives are constantly enriched compared to laboratory rodents.
In the paper
“Growth of mossy fibers in the rat hippocampus with physical exercise has been previously reported (Toscano-Silva et al., 2010), however these fibers are not myelinated.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Toscano-Silva et al., 2010 source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“many investigators consider R1 (1/T1) to be the best MR measure of myelin content (Stüber et al., 2014; Lutti et al., 2013).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
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In the paper
“We have also used well established Linear Mixed Effects models for statistical inference.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“Neuronal activity-dependent changes in myelination have been observed in cell culture (Wake et al., 2011; Fields, 2010) as well as in recent in vivo experiments (Gibson et al., 2014).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“Previous studies have shown volume changes in the entire hippocampus which appeared to be driven by the anterior half of the structure (Erickson et al., 2011).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Erickson et al., 2011 source
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The apparent transient nature of the myelin increase also suggests that continuing an active lifestyle may be important for maintaining improvement in brain structure.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We cannot rule out the possibility that these or other micro-structural changes, that we have not tested here, could also contribute.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
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In the paper
“Histology also requires fixation which, depending on the precise procedure used, can cause shrinkage and dehydration, potentially distorting volume measurements (Overgaard and Meden, 2000).”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
What the sources say
- Not checked yetcites Overgaard and Meden, 2000
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“we cannot rule out the possibility that other features of the intervention, such as social interaction and experience of a novel environment, could contribute to the effects we observed.”
§ Multi-modal characterization of rapid anterior hippocampal volume increase associated with aerobic exercise > 4. Discussion
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
The authors state this as an assumption.
For the longitudinal LME models, the baseline expectation was that measures change linearly over time.
“For all of our LME analyses, a linear change with time was used as the null hypothesis.”
The paper relies on this without support.
During the six-week rest phase, rest-first participants kept their usual physical activity levels.
“Participants in the rest first group were then asked to maintain their normal level of physical activity for six weeks, after which they returned for a second cognitive and fitness assessment and MRI scan.”
The paper relies on this without support.
After training, exercise-first participants resumed their usual activity levels.
“At the end of the exercise program they were scanned and assessed again, and allowed to return to their normal level of activity.”
The paper relies on this without support.
The study sample is representative of sedentary young to middle-aged adults for generalizing the effects of aerobic exercise on hippocampal volume.
“We tested a total of 62 sedentary adult subjects (35 women and 27 males, mean age 33.7, S.D. 11.9).”
The paper relies on this without support.
Effects of exercise on brain volumes in young to middle-aged adults have not been well studied.
“effects in young to middle aged adults have not been well studied.”
The paper relies on this without support.
Distinguishing the hippocampal head, body, and tail with 3T MRI is difficult.
“Distinguishing these three segments with 3T MRI images is difficult”
The paper relies on this without support.
Vascular and myelin changes have been shown to occur after exercise or neuronal activity.
“These two types of change were chosen as they have been shown to occur after exercise or neuronal activity”
The paper relies on this without support.
Vascular and myelin changes modulate MR properties in predictable ways.
“and also because they modulate MR properties in predictable ways.”
The paper relies on this without support.
Other micro-structural changes such as neuronal density, dendritic spines, or synaptogenesis are not known to produce predictable changes in MR properties.
“We did not test for other changes such as neuronal density, dendritic spines, or synaptogenesis as these micro-structural changes are not known to produce predictable changes in MR properties.”
The paper relies on this without support.
Histology samples only a small portion of a region, whereas imaging averages signal across the entire region.
“the disadvantage of histology is that only a small portion of a given region is sampled, whereas imaging allows the signal to be averaged across the entire region of issue.”
The paper relies on this without support.
Human daily lives are constantly enriched compared to laboratory rodents.
“the daily lives of humans are constantly enriched compared to that of a rodent housed in a laboratory setting.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“while regular exercise for > 3 months can effectively reshape the central nervous system organization of patients with depression [80].”
From Systematic review and meta-analysis of the effects of exercise on depression in adolescents (2022) · cites this paper as [80]
In the citing paper
“RCTs in healthy samples have demonstrated that AE interventions were associated with increases in hippocampal volume in young and middle aged (Thomas et al., 2016) and older adults (Colcombe et al., 2006; Erickson et al., 2011; Niemann et al., 2014; Kleemeyer et al., 2015; Maass et al., 2015; Sexton et al., 2015a).”
From Aerobic Exercise as a Tool to Improve Hippocampal Plasticity and Function in Humans: Practical Implications for Mental Health Treatment (2016) · cites this paper as Thomas et al., 2016
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentz = -1.05reported p = .78 · recomputed p = .294
“(Z=−1.05, p = .78”
The paper states an exact test
- Consistentz = 2.64reported p = .01 · recomputed p = .008
“(Z=2.64, p = .01”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Reported scan total does not match participant follow-up counts
MinorThe dropout counts imply 62 first scans, 52 second scans (25 + 4 + 15 + 8), and 40 third scans (25 + 15), for 154 scans rather than 151.
Reported 151 · recomputed 154
“A total of 151 scans were acquired.”
Exercise-completion count conflicts with dropout counts
MinorThe dropout counts indicate that 29 exercise-first participants had a post-training scan (four with two scans and 25 with three), as did 15 rest-first participants. That totals 44 participants completing the intervention, not 41.
“our study had more participants completing the exercise intervention (41 vs. 11)”
“four dropped out after two scans (pre- and post-training), and 25 completed all three scans. Twenty-four participants were assigned to the rest first condition. In this group, one participant dropped out after the fist scan, eight dropped out after two scans, and fifteen completed all three scans.”
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“Rating of Perceived Exertion (RPE) was also monitored (Borg, 1970).”
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“The first is that LME separately and effectively models variance due to within and between subject factors (Fitzmaurice et al., 2011; Verbeke and Molenberghs, 2009).”
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MethodInfluential
Flagged first, then by citations
4 of the 93 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Items 101–157 of 157
Emmenegger, T. M., Dávid, G., Mohammadi, S., Ziegler, G., Callaghan, M. F., Thompson, A. J., Friston, K. J., Weiskopf, N., Killeen, T., & Freund, P. (2024) · Cerebral Cortex · doi:10.1093/cercor/bhae344 · Cited by 6
“Observations of transient increases in vascular volume due to physical exercise (Rhyu et al. 2010) are not consistently supported by human neuroimaging studies analyzing cerebral blood volume (Thomas et al. 2016).”
Aerobic exercise training and obstructive sleep apnea: dose-response meta-analyses
IFTIKHAR, I. H., Reynolds, A., Albisher, E., Youngstedt, S. D., & BaHammam, A. S. (2024) · Sleep And Breathing · doi:10.1007/s11325-024-03158-2 · Cited by 8
“This includes evidence that aerobic exercise training leads to increase in the volume of a number of frontal and temporal gray matter and white matter regions [42, 43] and also evidence indicating increase in the hippocampal volume [44, 45].”
Koschutnig, K., Weber, B., & Fink, A. (2024) · Human Brain Mapping · doi:10.1002/hbm.26791 · Cited by 11
“This study also has some important, broader implications that should be briefly mentioned. et al., 2021; Thomas et al., 2016; Weber et al., 2019).”
Can Neurocognitive Function Predict Lower Extremity Injuries in Male Collegiate Athletes?
Ha, S., Jeong, H. S., Park, S.-K., & Lee, S. Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17239061 · Cited by 6
“Previous studies have reported that cardiopulmonary training [52] and resistance training [53] improve memory and selective concentration, which are sub-domains of neurocognitive ability.”
BackgroundKuhne, L. A., Ksiezarczyk, A.-M., Braumann, K.-M., Reer, R., Jacobs, T., Röder, B., & Hötting, K. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.750401 · Cited by 7
Pajkert, A., Ploner, C. J., Lehmann, T., Witte, A. V., Oltmanns, F., Sommer, W., Holtkamp, M., Heekeren, H. R., & Finke, C. (2020) · European Journal of Neuroscience · doi:10.1111/ejn.14784 · Cited by 6
“Longitudinal analyses moreover revealed that structural hippocampal changes may be both transient (Thomas et al., 2016) and permanent, even after cessation of training (Draganski et al.”
BackgroundInfluentialTilsley, P., Strohmeyer, I. A., Heinrich, I., Rosenthal, F., Patra, S., Schulz, K., Rosenkranz, S. C., Ramien, C., Pöttgen, J., Heesen, C., et al. (2023) · Journal of Neurology · doi:10.1007/s00415-023-11806-y · Cited by 6
“[52] who lay out mechanisms which would support that increased functional connectivity would represent adaptive mechanisms in the context of exercise.”
BackgroundRosario, M. A., Kern, K. L., Mumtaz, S., Storer, T. W., & Schön, K. (2023) · European Journal of Neuroscience · doi:10.1111/ejn.16200 · Cited by 5
“Complementary work by another laboratory showed that increased CRF following a six-week aerobic exercise training programme was associated with increased anterior hippocampal volume in young and middle-aged adults (Thomas et al., 2016).”
BackgroundInfluentialLehmann, N., Villringer, A., & Taubert, M. (2020) · Cerebral Cortex Communications · doi:10.1093/texcom/tgaa075 · Cited by 4
“Some studies report an increase in hippocampal volume (Thomas et al. 2016), whereas others reveal no effects (Woost et al.”
BackgroundExercise-driven modulation of glutamatergic signaling: mechanisms and clinical implications
Yu, C., Tyler, J. R., Elman, I., Blum, K., Lewandrowski, K., Sharafshah, A., Gold, M. S., Pinhasov, A., & Thanos, P. K. (2025) · Neuroscience · doi:10.1016/j.neuroscience.2025.10.029 · Cited by 7
Klepits, P., Koschutnig, K., Zussner, T., & Fink, A. (2024) · Brain Structure and Function · doi:10.1007/s00429-024-02885-2 · Cited by 6
Zhang, K., Zhao, T., Ding, Y., Cheng, J., & Cao, C. (2025) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2025.1530642 · Cited by 5
Multimodal imaging brain markers in early adolescence are linked with a physically active lifestyle
(2020) · doi:10.1101/2020.09.03.269571 · Cited by 4
Self-citationReassessing associations between white matter and behaviour with multimodal microstructural imagingPreprint
Lazari, A., Salvan, P., Cottaar, M., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.12.15.422826 · Cited by 4
“In the visual domain, topographic organisation and visuospatial capacity have both been shown to relate to callosal microstructure (Saenz and Fine, 2010; Todorow et al., 2014).”
BackgroundSelf-citationValkenborghs, S. R., Hillman, C. H., Smith, J. J., Leahy, A. A., Steedman, S., Ramadan, S. A., & Lubans, D. R. (2026) · Psychophysiology · doi:10.1111/psyp.70215 · Cited by 3
Effects of a brief HIIT intervention on cognitive performance in older women
Norling, A. M., Gerstenecker, A. T., Bolding, M., Hoef, L. V., Buford, T. W., Walden, R., An, H., Ying, C., Myers, T., Jones, B. S., et al. (2023) · GeroScience · doi:10.1007/s11357-023-00893-4 · Cited by 3
“By contrast, other studies reported an increase in hippocampal volumes following exercise [14, 26].”
Micronutrients and the evolution of the human brain
Biesalski, H. K. (2023) · NFS Journal · doi:10.1016/j.nfs.2023.100150 · Cited by 3
Is There a Dose-Response Relationship Between Exercise and Cognitive Function in Older Adults?
Gujral, S., & Oberlin, L. E. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.07.016 · Cited by 3
Coherent waves of myelin plasticity during motor-skill learningPreprint
Azzarito, M., Ziegler, G., Huber, E., Grabher, P., Callaghan, M. F., Thompson, A. J., Friston, K. J., Weiskopf, N., Killeen, T., & Freund, P. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.04.13.439402 · Cited by 3
“…changes have been demonstrated in vivo where physical exercise induced a temporary, histologically-confirmed increase in vascular volume in the adult simian M1 (Rhyu et al., 2010), although human neuroimaging studies analysing cerebral blood volume did not corroborate this (Thomas et al., 2016).”
BackgroundRapid volumetric brain changes after acute psychosocial stressPreprint
Uhlig, M., Reinelt, J. D., Lauckner, M. E., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.12.01.470604 · Cited by 3
Other Approaches: From Neurofeedback to Cognitive-Enhancing Drugs
Jaušovec, N., & Pahor, A. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809407-5.00005-1 · Cited by 2
Szulc, K. U., Yeung, J., de Guzman, A. E., Egan, S., Yee, Y., Fernandes, D., Lerch, J. P., Mabbott, D., & Nieman, B. J. (2023) · NMR in Biomedicine · doi:10.1002/nbm.5015 · Cited by 2
“78 On the other hand, enhanced neuroplasticity in children compared with adults may mean that similar benefits may be more persistent if exercise is completed during neurodevelopment.”
BackgroundMOTIVATION AND PHYSICAL ACTIVITY TYPES: COMPARATIVE ANALYSIS
Piščalkienė, V., Gintilienė, M., Misiūnas, D., Kool, H., Siik, J., Muraus, P., Juhna, M., Miķele, I., & Kristensen, R. (2019) · Sveikatos mokslai · doi:10.5200/sm-hs.2018.065 · Cited by 2
“Well-controlled studies in children [3], adults [16] and the elderly [5] show that this brain structure is growing for people with higher levels of fitness.”
BackgroundA precision-mapping approach to physical exercise interventions targeting cognitive function
Moreau, D., & Wiebels, K. (2024) · Progress in brain research · doi:10.1016/bs.pbr.2023.12.001 · Cited by 3
Hendrikse, J. J., CHYE, Y. Y., Thompson, S. C. H., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.08.14.250688 · Cited by 2
“…on the hippocampus of young to middle-aged adult samples (e.g. Déry et al., 2013; Killgore et al., 2013; Pajonk, Wobrock, Gruber, & et al., 2010; Thomas et al., 2016b; Wagner et al., 2015), the majority of studies have been conducted on older adults, i.e. > 65 years of age (Prakash, Voss,…”
BackgroundTherapeutic Effect of Exercise on Mental Health
Parlakyıldız, S. (2024) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1458867 · Cited by 2
Suwabe, K., Yassa, M. A., Suzuki, K., Sankai, Y., & Soya, H. (2025) · Advances in neurobiology · doi:10.1007/978-981-95-0066-6_5 · Cited by 3
Physical activity and the aging brain: A narrative review
Klil‐Drori, S., Juneau, M., & Serlin, Y. (2026) · Journal of Health Psychology · doi:10.1177/13591053251408208 · Cited by 2
“The enlarged anterior hippocampal volume has been attributed to improved myelination, possibly mediated by neurotrophic factors, such as BDNF and IGF-1 (Dishman et al., 2006; Erickson et al., 2011; Thomas et al., 2016).”
Jennen, L., Mazereel, V., Qiao, Z., Vansteelandt, K., van Winkel, R., & Vancampfort, D. (2026) · NeuroImage · doi:10.1016/j.neuroimage.2026.121823 · Cited by 1
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Cole, R. C., Hazeltine, E., Weng, T. B., et al. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/578237 · Cited by 1
“Both Maass et al. (2014) and Thomas et al. (2016) found a specific relation between increase in CRF and increase in anterior hippocampal volume, suggesting greater sensitivity to CRF in the anterior hippocampus.”
BackgroundRosario, M. A., Kern, K. L., Mumtaz, S., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.04.11.439355 · Cited by 1
“More recent work using diffusion tensor imaging has shown an exercise-induced change in hippocampal myelination in both humans and rodents (Islam et al., 2020; Thomas et al., 2016).”
BackgroundInfluentialFitness and Exercise Effects on Brain Age: A Randomized Clinical TrialPreprint
Wan, L., Molina‐Hidalgo, C., Crisafio, M. E., et al. (2025) · medRxiv · doi:10.1101/2025.02.25.25322645 · Cited by 1
“Other studies have focused on the effect of aerobic exercise on regional brain volumes or thickness (e.g., hippocampal volume 41 , frontal gray matter volume and cortical thickness 42,43 ), but few have examined a brain age variable that compares the volumetric information to that of a normative…”
Rea, I. M., & Mills, K. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-811060-7.00006-1
Exercise is positively associated with cognitive Function:The role of exercise modalities
Wang, C., Chu, C.-H., Wu, C.-H., Cho, Y.-M., & Chang, Y.-K. (2017) · IJASS(International Journal of Applied Sports Sciences) · doi:10.24985/ijass.2017.29.2.105
Promoters of cerebral small vessel integrity for cognitive disorder prevention
Shaaban, C. E. (2018) · D-Scholarship@Pitt (University of Pittsburgh)
The Relationship between Physical Fitness Factors and Academic Skills among Officer Aircrew
López, M. (2019) · Digital Commons (Liberty University)
Higher physical fitness levels are associated with less language decline in healthy ageingPreprint
Segaert, K., Lucas, S. J. E., Burley, C. V., Segaert, P., Milner, A. E., Ryan, M., & Wheeldon, L. R. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/197095
Higher physical fitness levels are associated with less language decline in healthy ageingPreprint
Segaert, K., Lucas, S. J. E., Burley, C. V., Segaert, P., Milner, A. E., Ryan, M., & Wheeldon, L. R. (2018) · arXiv (Cornell University) · doi:10.48550/arxiv.1801.01441
Sex-dependent effects of chronic exercise on cognitive flexibility in aging micePreprint
Short, A. K., Bui, M. V., Zbukvic, I., Hannan, A. J., Pang, T. Y., & Kim, J. H. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.06.10.145136
“In humans, the correlation between aerobic exercise and improved cognition is strong and exercise appears to be effective across the lifespan (Chaddock et al., 2010; Erickson et al., 2011; Herting & Nagel, 2012; Kleemeyer et al., 2016; Rosano et al., 2017; Stillman et al., 2018; Thomas et al., 2016).”
BackgroundEisenstein, T., Giladi, N., Havakuk, O., & Lerner, Y. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.12.20.423704
Seoane, S., Ezama, L., & Janssen, N. (2021) · Research Square · doi:10.21203/rs.3.rs-558921/v1
Rocca, M. A. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.738417893.793577470
Zou, L.-W., Wu, X.-Y., Tao, S.-M., Yang, Y.-J., Zhang, Q., Hong, X., Xu, H., Xie, Y., Li, T.-T., Zheng, S.-S., et al. (2020) · doi:10.21203/rs.3.rs-30314/v1
“Several recent studies have found relationship between PA and brain morphology (18, 19).”
BackgroundIshihara, T., & Kyan, A. (2022) · The Journal of Physical Fitness and Sports Medicine · doi:10.7600/jpfsm.11.137
Sport und gesunder Lebensstil im Kindes- und Jugendalter
Kothgassner, O. D., & Plener, P. L. (2022) · Springer Reference Medizin · doi:10.1007/978-3-662-49289-5_77-1
A Precision-Mapping Approach to Physical Exercise Interventions Targeting Cognitive FunctionPreprint
Moreau, D., & Wiebels, K. (2023) · doi:10.31234/osf.io/dyjxh
Sport und gesunder Lebensstil im Kindes- und Jugendalter
Kothgassner, O. D., & Plener, P. L. (2024) · Springer Reference Medizin · doi:10.1007/978-3-662-66744-6_77
Impact of Exercise on Hippocampal Structure and Function
Pündük, Z. (2025) · Springer eBooks · doi:10.1007/978-3-031-88907-3_18
Hyodo, K., & Soya, H. (2025) · Advances in neurobiology · doi:10.1007/978-981-95-0066-6_21
The Growth of the Brain in a Changing Environment
Biesalski, H. K. (2025) · Springer eBooks · doi:10.1007/978-3-031-99121-9_10
Physical Inactivity as a Risk Factor for Neurodegeneration and Sports Medicine-based Recommendations
Schaeffer, E., & Weisser, B. (2026) · Klinische Monatsblätter für Augenheilkunde · doi:10.1055/a-2815-0976
“However, strength training, like endurance training, is also able to stimulate neuroprotective”
Ji, Z., Wang, L., Lü, L., et al. (2026) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2026.1757488
“It creates a more relaxed and favourable physiological environment, enhancing the brain’s plasticity ability, thereby improving the effectiveness of intervention (Thomas et al., 2016).”
Voluntary Exercise and Hippocampal Memory Enhancement: Decoding the Molecular Blueprint
Razazpour, F., Golkar, A., Heidari, M., Seyedi, F., Hedayati‐Moghadam, M., & Baghcheghi, Y. (2026) · Journal of Molecular Neuroscience · doi:10.1007/s12031-026-02577-y
Metadata
- Authors
- Thomas, A. G., Dennis, A., Rawlings, N. B., Stagg, C. J., Matthews, L., Morris, M., Kolind, S. H., Foxley, S., Jenkinson, M., Nichols, T. E., Dawes, H., Bandettini, P. A., & Johansen-Berg, H.
- Affiliations
- National Institutes of Health (US)
- University of Oxford (GB)
- Oxford Brookes University (GB)
- King's College London (GB)
- University of Warwick (GB)
- Corresponding author
- Thomas, Adam G.
- ORCID
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 131
- Pages
- 162-170
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC4848119
- OpenAlex
- W2184267685
- Cited by
- 152
- References
- 93
- Citations by year
- 2026: 10 · 2025: 13 · 2024: 11 · 2023: 10 · 2022: 13 · 2021: 20 · 2020: 23 · 2019: 16 · 2018: 13 · 2017: 14 · 2016: 9
- FWCI
- 4.87
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Pure (Coventry University) (submittedVersion, cc-by-nc-nd)
- Funders
- NIMH
- UK National Institutes of Health Research (NIHR) Oxford Biomedical Research Centre
- Topics
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Keywords
- hippocampal volume, aerobic exercise, hippocampal plasticity, myelination, neurovascular changes, diffusion MRI, brain structure, exercise intervention, midlife, hippocampal atrophy, neuroimaging
- MeSH terms
- Adult, Aging, Blood Flow Velocity, Cerebrovascular Circulation, Female, Hippocampus, Humans, Male, Neuronal Plasticity, Organ Size, Exercise, Neuroimaging, Physical Conditioning, Human, Multimodal Imaging
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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A second model labelled each claim on 2026-10-08 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
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