Evidence map›Paper›PMID 41538307›Full record

Trial reportMedicine and science in sports and exercise2026

Exercise Training Reduces Cerebrovascular Impedance in Patients with Amnestic Mild Cognitive Impairment: A 1-Year Randomized Controlled Trial.

Jun Sugawara, Takashi Tarumi, Tsubasa Tomoto, Evan Pasha, C Munro Cullum, Rong Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine and science in sports and exercise, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

6 authors.

Jun SugawaraHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, JAPAN.
Takashi TarumiHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, JAPAN.
Tsubasa TomotoHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, JAPAN.
Evan PashaHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, JAPAN.
C Munro CullumDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX.
Rong ZhangInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX.

Funding

Mild Cognitive Impairment: Cerebrovascular Dysfunction and Exercise TrainingR01AG033106 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI LU, HANZHANG, ZHANG, RONG · 2009 to 2012
$3.1M
Arterial Aging, Brain Perfusion & Exercise: Impact on Brain Structure & Function.R01HL102457 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI ZHANG, RONG · 2010 to 2013
$2.1M
NIH HHS R01AG033106NIH HHS R01HL102457
6 · The paper itself

Abstract

introductionIn patients with amnestic mild cognitive impairment (aMCI), cerebrovascular impedance modulus ( Z ) was higher than in cognitively normal peers, which is associated with brain hypoperfusion. While 1 yr of moderate-to-vigorous aerobic exercise training (AET) reduced Z in cognitively normal older adults, the effects of AET on aMCI remain unknown.

methodsSeventy patients with aMCI were randomized into 1 yr of AET ( N = 31) or stretching and toning (SAT, N = 39). At baseline, midpoint (6 months), and trial completion (12 months), Z was assessed using transfer function analysis between carotid arterial pressure and cerebral blood flow (CBF) velocity measured simultaneously via applanation tonometry and transcranial Doppler in the middle cerebral artery, respectively. Total CBF was measured as the sum of the bilateral internal carotid and vertebral arterial flow via duplex ultrasonography.

resultsThe AET group exhibited gradual, significant reductions in Z at 6 months ( P = 0.008 vs baseline) and 12 months ( P < 0.001 vs baseline; P < 0.001 vs 6 months). In the SAT group, although Z decreased during the first 6 months ( P < 0.001 vs baseline), it was maintained over the following 6 months. Repeated-measures correlation analyses revealed inverse relationships between Z and total CBF as well as cerebrovascular conductance in the AET group ( rrm = -0.503, P = 0.008; rrm = -0.404, P = 0.037, respectively), but not in the SAT group. In exploratory sex-stratified analyses, women exhibited continued reductions in Z across 12 months regardless of training modality, whereas men demonstrated a plateau after 6 months.

conclusionsThese findings suggest that in patients with aMCI, AET reduces Z , which is associated with higher brain perfusion and cerebrovascular conductance. Sex-stratified analyses further suggested that women may experience greater improvements in Z than men across 1 yr of training.

Indexed as

AmnesiaCerebrovascular CirculationCognitive DysfunctionExerciseExercise TherapyAgedBlood Flow VelocityFemaleHumansMaleUltrasonography, Doppler, TranscranialAMNESTIC MILD COGNITIVE IMPAIRMENTCAROTID ARTERIAL PRESSURECEREBRAL BLOOD FLOWEXERCISE TRAININGFOURIER ANALYSISREPEATED MEASURES CORRELATIONAL ANALYSIS

Identifiers

PMID41538307
PMCPMC13286118

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.