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Review
. 2022 Apr;12(4):e2544.
doi: 10.1002/brb3.2544. Epub 2022 Mar 11.

The effect of physical exercise on circulating brain-derived neurotrophic factor in healthy subjects: A meta-analysis of randomized controlled trials

Affiliations
Review

The effect of physical exercise on circulating brain-derived neurotrophic factor in healthy subjects: A meta-analysis of randomized controlled trials

Ya-Hai Wang et al. Brain Behav. 2022 Apr.

Abstract

Objective: To investigate how physical exercise (PE) would affect brain-derived neurotrophic factor (BDNF) in randomized controlled trials (RCTs) of healthy subjects.

Methods: Seven databases (PubMed, Web of Science, Cochrane, Embase, PsycINFO, CINAHL, SPORTDiscus) were searched for RCTs assessing the effects of PE on serum and/or plasma BDNF until December 18, 2021. Meta-analysis was performed by random-effects method with standardized mean difference (SMD) and 95% confidence intervals (CIs). Subgroup analysis and meta-regression analysis were conducted to investigate the potential source of heterogeneity. Trim and fill method, and leave-one-out cross-validation were conducted.

Results: Eventually, 21 articles, involving 809 participants, were included in the meta-analysis. Overall, both acute (5 trials, SMD: 1.20, 95% CI: 0.36 to 2.04, p = .005) and long-term (17 trials, SMD: 0.68, 95% CI: 0.27 to 1.08, p = .001) PE had significant positive effects on BDNF levels. Via subgroup analysis, studies of long-term PE with larger sample sizes, female participants, participants older than 60 years, and aerobic exercise contributed to a more pronounced improvement on BDNF levels than that found when all studies were combined.

Conclusion: Both acute and long-term PE had significant positive effects on circulating BDNF in healthy subjects. This review suggests that acute exercise and long-term aerobic exercise are powerful forms of PE to enhance neurotrophic effect, especially for female subjects or subjects over 60 years.

Keywords: brain-derived neurotrophic factor; meta-analysis; neurotrophic factor; physical exercise.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

FIGURE 1
FIGURE 1
Flowchart of study selection through the review
FIGURE 2
FIGURE 2
The forest plot of acute PE intervention on circulating BDNF levels
FIGURE 3
FIGURE 3
The forest plot of long‐term PE intervention on circulating BDNF levels
FIGURE 4
FIGURE 4
The subgroup analysis of long‐term PE intervention on circulating BDNF levels stratified by sample size (A), gender (B), age (C), and baseline BMI (D)
FIGURE 4
FIGURE 4
The subgroup analysis of long‐term PE intervention on circulating BDNF levels stratified by sample size (A), gender (B), age (C), and baseline BMI (D)
FIGURE 5
FIGURE 5
The subgroup analysis of long‐term PE intervention on circulating BDNF levels stratified by duration of exercise (A) and type of exercise (B)
FIGURE 5
FIGURE 5
The subgroup analysis of long‐term PE intervention on circulating BDNF levels stratified by duration of exercise (A) and type of exercise (B)

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