Evidence map›Paper›PMID 37597507›Full record

Trial reportSchizophrenia bulletin2024

Effects of Exercise on Structural and Functional Brain Patterns in Schizophrenia-Data From a Multicenter Randomized-Controlled Study.

Lukas Roell, Daniel Keeser, Boris Papazov, Moritz Lembeck, Irina Papazova, David Greska, Susanne Muenz, Thomas Schneider-Axmann, Eliska B Sykorova, Christina E Thieme and 18 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03466112 (Aerobic Exercise for the Improvement of Cognition and Enhancement of Recovery in Post-acute Schizophrenia), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03466112 nacompletednot on this map

Aerobic Exercise for the Improvement of Cognition and Enhancement of Recovery in Post-acute Schizophrenia

TypeinterventionalSponsorLudwig-Maximilians - University of MunichRan2016 to 2021Enrolled180ConditionsSchizophreniaArmsendurance training, balance and tone program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Physical exercise therapy in schizophrenia spectrum disorders: current evidence and treatment recommendations.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 9 institutions in 3 countries.

Lukas RoellDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-0284-2290
Daniel KeeserDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-0244-1024
Boris PapazovDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Moritz LembeckDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Irina PapazovaDepartment of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany.
David GreskaDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Susanne MuenzDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Thomas Schneider-AxmannDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Eliska B SykorovaCentral Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany.
Christina E ThiemeCentral Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany.
Bob O VogelDepartment of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany.ORCID 0000-0002-8097-1493
Sebastian MohnkeDepartment of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany.
Charlotte HuppertzDepartment of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany.
Astrid RoehDepartment of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany.
Katriona Keller-VaradyHannover Medical School, Department of Rehabilitation and Sports Medicine, Hannover, Germany.
Berend MalchowDepartment of Psychiatry and Psychotherapy, University Hospital Göttingen, Göttingen, Germany.
Sophia StoeckleinDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Birgit Ertl-WagnerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-7896-7049
Karsten HenkelDepartment of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany.
Bernd WolfarthDepartment of Sports Medicine, University Hospital Charité Berlin, Berlin, Germany.
Wladimir TantchikDepartment of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany.
Henrik WalterDepartment of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany.
Dusan HirjakCentral Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany.ORCID 0000-0003-1226-9800
Andrea SchmittDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-5426-4023
Alkomiet HasanDepartment of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany.
Andreas Meyer-LindenbergCentral Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Isabel MaurusDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-6208-5180
LMU Klinikum · DECharité - Universitätsmedizin Berlin · DEHeidelberg University · DEUniversity of Augsburg · DERWTH Aachen University · DEMedizinische Hochschule Hannover · DEUniversidade de São Paulo · BRUniversitätsmedizin Göttingen · DEUniversity of Toronto · CA

Funding

German Federal Ministry of Education and Research 01EE1407EGerman Federal Ministry of Education and Research (BMBF) 01EE1407E
6 · The paper itself

Abstract

background and hypothesisAerobic exercise interventions in people with schizophrenia have been demonstrated to improve clinical outcomes, but findings regarding the underlying neural mechanisms are limited and mainly focus on the hippocampal formation. Therefore, we conducted a global exploratory analysis of structural and functional neural adaptations after exercise and explored their clinical implications. STUDY

designIn this randomized controlled trial, structural and functional MRI data were available for 91 patients with schizophrenia who performed either aerobic exercise on a bicycle ergometer or underwent a flexibility, strengthening, and balance training as control group. We analyzed clinical and neuroimaging data before and after 6 months of regular exercise. Bayesian linear mixed models and Bayesian logistic regressions were calculated to evaluate effects of exercise on multiple neural outcomes and their potential clinical relevance. STUDY

resultsOur results indicated that aerobic exercise in people with schizophrenia led to structural and functional adaptations mainly within the default-mode network, the cortico-striato-pallido-thalamo-cortical loop, and the cerebello-thalamo-cortical pathway. We further observed that volume increases in the right posterior cingulate gyrus as a central node of the default-mode network were linked to improvements in disorder severity.

conclusionsThese exploratory findings suggest a positive impact of aerobic exercise on 3 cerebral networks that are involved in the pathophysiology of schizophrenia. CLINICAL TRIALS REGISTRATION: The underlying study of this manuscript was registered in the International Clinical Trials Database, ClinicalTrials.gov (NCT number: NCT03466112, https://clinicaltrials.gov/ct2/show/NCT03466112?term=NCT03466112&draw=2&rank=1) and in the German Clinical Trials Register (DRKS-ID: DRKS00009804).

Indexed as

SchizophreniaBayes TheoremBrainExerciseExercise TherapyHumansbrain structureexercisefunctional connectivityrandomized-controlled trialschizophrenia

Identifiers

PMID37597507
PMCPMC10754172
OpenAlexW4385997830

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.