Evidence map›Paper›PMID 40965137›Full record

Trial reportAIDS (London, England)2026

A randomized controlled trial to unveil the influence of an exercise intervention on brain integrity and gut microbiome structure in individuals with HIV.

Sarah A Cooley, Aura Ferreiro, Brittany Nelson, Kimberley Sukhum, Elizabeth Westerhaus, Kalen Petersen, June Roman Fox, Alex Rosenow, Christopher Sorensen, Florin Vaida and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02663934 (Exercise Training to Improve Brain Health in Older HIV+ Individuals), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02663934 naterminatednot on this map

Exercise Training to Improve Brain Health in Older HIV+ Individuals

TypeinterventionalSponsorWashington University School of MedicineRan2016 to 2020Enrolled75ConditionsHIVArmsExercise, Stretching and Social Interaction
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

14 authors.

Sarah A CooleyDepartment of Neurology.
Aura FerreiroThe Edison Family Center for Genome Sciences and Systems Biology.
Brittany NelsonDepartment of Neurology.
Kimberley SukhumThe Edison Family Center for Genome Sciences and Systems Biology.
Elizabeth WesterhausDepartment of Neurology.
Kalen PetersenDepartment of Neurology.
June Roman FoxDepartment of Neurology.
Alex RosenowDepartment of Pediatrics.
Christopher SorensenInstitute for Informatics, Biostatistics, & Data Science, Washington University School of Medicine, St. Louis, MO.
Florin VaidaDepartment of Family Medicine and Public Health, Division of Biostatistics & Bioinformatics, University of California San Diego, La Jolla, CA.
Dominic N ReedsCenter for Human Nutrition, Washington University School of Medicine.
Phillip I TarrDepartment of Pediatrics.
Gautam DantasThe Edison Family Center for Genome Sciences and Systems Biology.
Beau M AncesDepartment of Neurology.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Exercise Training to Improve Brain Health in Older HIV+ IndividualsR01NR015738 · NINR · WASHINGTON UNIVERSITY · PI ANCES, BEAU M · 2015 to 2019
$3.0M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NIDDK NIH HHS P30 DK092950NINR NIH HHS R01 NR015738
6 · The paper itself

Abstract

objectiveExercise intervention programs enhance physical fitness, cognition, neuroimaging measures, and alter the structure of the gut microbiome in individuals without HIV. However, interventional studies exploring the effects of exercise in persons with HIV (PWH) have not included neuroimaging or gut microbiome analyses.

designA randomized controlled trial conducted at Washington University in St. Louis, MO, USA.

methods65 PWH (aged ≥40 years, self-reported sedentary lifestyle) were randomly assigned to a 6-month cardiorespiratory and resistance training (EXS) or stretching control (SIS) intervention in a 2 : 1 ratio. Longitudinal change in cognition, cerebral blood flow (CBF), physical and cardiorespiratory fitness, and gut microbiome diversity and composition were examined among participants ( n  = 62) who completed any portion of the intervention (ClinicalTrials.gov: NCT02663934).

resultsBetter fitness and better cognitive performance were associated with greater phylogenetic diversity in gut microbiome composition at baseline. Longitudinal findings indicated slight but significant improvements in psychomotor speed and executive function, reductions in body mass index, improvements in physical fitness, and increased gut microbiome diversity. These changes were observed regardless of assigned intervention group. There were no observed changes in CBF for either group.

conclusionsThese findings highlight physical fitness as a modifiable factor in PWH that may improve cognitive performance and change gut microbiome composition. Both interventions were beneficial, suggesting light stretching exercise or study participation alone could have been sufficient to introduce positive cognitive shifts in previously sedentary PWH. Longer interventions with more participants are needed to identify changes in neuroimaging metrics related to brain integrity.

Indexed as

BrainExerciseExercise TherapyGastrointestinal MicrobiomeHIV InfectionsAdultCerebrovascular CirculationCognitionFemaleHumansMaleMiddle AgedMissouricerebral blood flowcognitionexercisegut microbiomeHIVstretching

Identifiers

PMID40965137
PMCPMC12573301

What Socratic holds

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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.