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Beyin Sağlığını Korumada Egzersizin Önemi

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 18 - 23, 22.08.2025

Öz

Beyin sağlığının korunmasında farmakolojik olmayan müdahaleler arasında egzersiz, en etkili stratejilerden biri olarak öne çıkmaktadır. Egzersiz nörotrofik faktörlerin artışını destekler, beyin perfüzyonunu iyileştirir, nöroinflamasyonu azaltır ve oksidatif stresin modülasyonunu sağlar. Aerobik egzersizler, beyin kaynaklı nörotrofik faktör (BDNF) düzeylerini artırarak hipokampal nörogenezi teşvik eder, hafıza ve yürütücü işlevler gibi bilişsel fonksiyonları geliştirir. Direnç egzersizleri ise insülin benzeri büyüme faktörü-1 (IGF-1) düzeylerini artırarak yürütücü işlevlere katkı sağlar. Aerobik ve direnç egzersizlerinin birlikte uygulanması, tamamlayıcı mekanizmalar üzerinden daha geniş kapsamlı nöroprotektif etkiler sunabilir.

Kaynakça

  • 1. Avan A, Hachinski V, Brain Health Learn and Act Group. Brain health: Key to health, productivity, and well-being. Alzheimers Dement J Alzheimers Assoc. 2022 Jul;18(7):1396–407.
  • 2. Kolappa K, Seeher K, Dua T. Brain health as a global priority. J Neurol Sci 2022;439.
  • 3. Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. World Alzheimer Report 2016. Improving healthcare for people living with dementia: Coverage, Quality and costs now and in the future. Alzheimer’s Disease International; 2016.
  • 4. Aghjayan SL, Bournias T, Kang C, Zhou X, Stillman CM, Donofry SD, et al. Aerobic exercise improves episodic memory in late adulthood: a systematic review and meta-analysis. Commun Med. 2022;2(1):15.
  • 5. Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The lancet. 2020;396(10248):413–46.
  • 6. Kramer AF, Erickson KI. Effects of physical activity on cognition, well-being, and brain: Human interventions. Alzheimers Dement. 2007;3(2):S45–51.
  • 7. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58–65.
  • 8. Cotman CW, Berchtold NC. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci. 2002;25(6):295–301.
  • 9. Fujiwara Y, Ihara K, Hachisu M, Suzuki H, Kawai H, Hashizume M, et al. Higher Serum BDNF Levels are Associated with Lower Risk of Cognitive Decline in Older Adults: The Otassha Study. Innov Aging. 2021;5(Supplement_1):694–694.
  • 10. Alvarez A, Alvarez I, Iglesias O, Aleixandre M, Linares C, Figueroa J, et al. P1‐062: Serum BDNF Levels and Cognitive Performance in Alzheimer’s Disease Patients: Influence of Apathy and Apoe4 Status. Alzheimers Dement . 2016;12.
  • 11. Pereira AC, Huddleston DE, Brickman AM, Sosunov AA, Hen R, McKhann GM, et al. An in vivo correlate of exercise-induced neurogenesis in the adult dentate gyrus. Proc Natl Acad Sci. 2007;104(13):5638–43.
  • 12. Lu B, Nagappan G, Lu Y. BDNF and Synaptic Plasticity, Cognitive Function, and Dysfunction. In: Lewin GR, Carter BD, editors. Neurotrophic Factors. Berlin, Heidelberg: Springer; 2014;223–50.
  • 13. Vaynman S, Ying Z, Gomez‐Pinilla F. Hippocampal BDNF mediates the efficacy of exercise on synaptic plasticity and cognition. Eur J Neurosci. 2004;20(10):2580–90.
  • 14. Soke F, Kocer B, Fidan I, Keskinoglu P, Guclu-Gunduz A. Effects of task-oriented training combined with aerobic training on serum BDNF, GDNF, IGF-1, VEGF, TNF-α, and IL-1β levels in people with Parkinson’s disease: A randomized controlled study. Exp Gerontol. 2021;150:111384.
  • 15. VEGF and Neuronal Survival - Paula M. Calvo, Rosendo G. Hernández, Angel M. Pastor, Rosa R. de la Cruz, 2024; 22.
  • 16. Arazi H, Babaei P, Moghimi M, Asadi A. Acute effects of strength and endurance exercise on serum BDNF and IGF-1 levels in older men. BMC Geriatr. 2021;21(1).
  • 17. Griego E, Galván EJ. BDNF and Lactate as Modulators of Hippocampal CA3 Network Physiology. Cell Mol Neurobiol. 2023 Nov 1;43(8):4007–22.
  • 18. Leger C, Quirié A, Méloux A, Fontanier E, Chaney R, Basset C, et al. Impact of exercise intensity on cerebral BDNF levels: role of FNDC5/irisin. Int J Mol Sci. 2024;25(2):1213.
  • 19. Colcombe SJ, Kramer AF, Erickson KI, Scalf P, McAuley E, Cohen NJ, et al. Cardiovascular fitness, cortical plasticity, and aging. Proc Natl Acad Sci U S A. 2004 Mar 2;101(9):3316–21.
  • 20. Chapman SB, Aslan S, Spence JS, DeFina LF, Keebler MW, Didehbani N, et al. Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Front Aging Neurosci. 2013;5:75.
  • 21. Endres M, Gertz K, Lindauer U, Katchanov J, Schultze J, Schröck H, et al. Mechanisms of stroke protection by physical activity. Ann Neurol. 2003 Nov;54(5):582–90.
  • 22. Toda N, Okamura T. Cerebral blood flow regulation by nitric oxide in Alzheimer’s disease. J Alzheimers Dis JAD. 2012;32(3):569–78.
  • 23. Colcombe SJ, Erickson KI, Scalf PE, Kim JS, Prakash R, McAuley E, et al. Aerobic exercise training increases brain volume in aging humans. J Gerontol A Biol Sci Med Sci. 2006;61(11):1166–70.
  • 24. Lin MT, Beal MF. Alzheimer’s APP mangles mitochondria. Nat Med. 2006;12(11):1241–3.
  • 25. Bo H, Kang W, Jiang N, Wang X, Zhang Y, Ji LL. Exercise-Induced Neuroprotection of Hippocampus in APP/PS1 Transgenic Mice via Upregulation of Mitochondrial 8-Oxoguanine DNA Glycosylase. Oxid Med Cell Longev. 2014;2014:1–14.
  • 26. Safdar A, Little JP, Stokl AJ, Hettinga BP, Akhtar M, Tarnopolsky MA. Exercise increases mitochondrial PGC-1α content and promotes nuclear-mitochondrial cross-talk to coordinate mitochondrial biogenesis [Internet]. Elsevier; 2011;22.
  • 27. Chaturvedi RK, Adhihetty P, Shukla S, Hennessy T, Calingasan N, Yang L, et al. Impaired PGC-1α function in muscle in Huntington’s disease. Hum Mol Genet. 2009;18(16):3048–65.
  • 28. Radak Z, Chung HY, Goto S. Systemic adaptation to oxidative challenge induced by regular exercise. Free Radic Biol Med. 2008;44(2):153–9.
  • 29. Meng Q, Su CH. The impact of physical exercise on oxidative and nitrosative stress: balancing the benefits and risks. Antioxidants. 2024;13(5):573.
  • 30. Angelova PR, Esteras N, Abramov AY. Mitochondria and lipid peroxidation in the mechanism of neurodegeneration: Finding ways for prevention. Med Res Rev. 2021;41(2):770–84.
  • 31. Ni C, Ji Y, Hu K, Xing K, Xu Y, Gao Y. Effect of exercise and antioxidant supplementation on cellular lipid peroxidation in elderly individuals: Systematic review and network meta-analysis. Front Physiol. 2023;14:1113270.
  • 32. Heneka MT, Golenbock DT, Latz E. Innate immunity in Alzheimer’s disease. Nat Immunol. 2015;16(3):229–36.
  • 33. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nat Rev Immunol. 2011;11(9):607–15.
  • 34. Pedersen BK. Muscle as a secretory organ. Compr Physiol. 2013;3(3):1337–62.
  • 35. Kohman RA, Rhodes JS. Neurogenesis, inflammation and behavior. Brain Behav Immun. 2013;27:22–32.
  • 36. Voss MW, Nagamatsu LS, Liu-Ambrose T, Kramer AF. Exercise, brain, and cognition across the life span. J Appl Physiol. 2011;111(5):1505–13.
  • 37. Erickson KI, Hillman C, Stillman CM, Ballard RM, Bloodgood B, Conroy DE, et al. Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Med Sci Sports Exerc. 2019;51(6):1242.
  • 38. de Assis GG, Almondes KM de. Exercise-dependent BDNF as a Modulatory Factor for the Executive Processing of Individuals in Course of Cognitive Decline. A Systematic Review. Front Psychol [Internet]. 2017;8.
  • 39. Tarumi T, Zhang R. Cerebral blood flow in normal aging adults: cardiovascular determinants, clinical implications, and aerobic fitness. J Neurochem. 2018;144(5):595–608.
  • 40. Coelho-Junior H, Marzetti E, Calvani R, Picca A, Arai H, Uchida M. Resistance training improves cognitive function in older adults with different cognitive status: a systematic review and Meta-analysis. Aging Ment Health. 2022;26(2):213–24.
  • 41. Liu-Ambrose T, Nagamatsu LS, Voss MW, Khan KM, Handy TC. Resistance training and functional plasticity of the aging brain: a 12-month randomized controlled trial. Neurobiol Aging. 2012;33(8):1690–8.
  • 42. Suo C, Singh MF, Gates N, Wen W, Sachdev P, Brodaty H, et al. Therapeutically relevant structural and functional mechanisms triggered by physical and cognitive exercise. Mol Psychiatry. 2016;21(11):1633–42.
  • 43. Cassilhas RC, Viana VA, Grassmann V, Santos RT, Santos RF, Tufik S, et al. The impact of resistance exercise on the cognitive function of the elderly. Med Sci Sports Exerc. 2007;39(8):1401–7.
  • 44. Firth J, Stubbs B, Vancampfort D, Schuch F, Lagopoulos J, Rosenbaum S, et al. Effect of aerobic exercise on hippocampal volume in humans: a systematic review and meta-analysis. Neuroimage. 2018;166:230–8.
  • 45. Szabo-Reed A, Clutton J, White S, Van Sciver A, White D, Morris J, et al. COMbined Exercise Trial (COMET) to improve cognition in older adults: Rationale and methods. Contemp Clin Trials. 2022;118:106805.
  • 46. Zhang M, Fang W, Wang J. Effects of human concurrent aerobic and resistance training on cognitive health: A systematic review with meta-analysis. Int J Clin Health Psychol. 2025;25(1):100559.

The Role of Exercise in Maintaining Brain Health

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 18 - 23, 22.08.2025

Öz

Exercise stands out as one of the most effective non-pharmacological strategies for maintaining brain health. It supports the increase of neurotrophic factors, improves cerebral perfusion, reduces neuroinflammation, and contributes to the modulation of oxidative stress. Aerobic exercise enhances brain-derived neurotrophic factor (BDNF) levels, thereby promoting hippocampal neurogenesis and improving cognitive functions such as memory and executive functions. Resistance training, on the other hand, increases insulin-like growth factor-1 (IGF-1) levels, which also contributes to improvements in executive functioning. The combined application of aerobic and resistance exercises may offer broader neuroprotective effects through complementary mechanisms.

Kaynakça

  • 1. Avan A, Hachinski V, Brain Health Learn and Act Group. Brain health: Key to health, productivity, and well-being. Alzheimers Dement J Alzheimers Assoc. 2022 Jul;18(7):1396–407.
  • 2. Kolappa K, Seeher K, Dua T. Brain health as a global priority. J Neurol Sci 2022;439.
  • 3. Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. World Alzheimer Report 2016. Improving healthcare for people living with dementia: Coverage, Quality and costs now and in the future. Alzheimer’s Disease International; 2016.
  • 4. Aghjayan SL, Bournias T, Kang C, Zhou X, Stillman CM, Donofry SD, et al. Aerobic exercise improves episodic memory in late adulthood: a systematic review and meta-analysis. Commun Med. 2022;2(1):15.
  • 5. Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The lancet. 2020;396(10248):413–46.
  • 6. Kramer AF, Erickson KI. Effects of physical activity on cognition, well-being, and brain: Human interventions. Alzheimers Dement. 2007;3(2):S45–51.
  • 7. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58–65.
  • 8. Cotman CW, Berchtold NC. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci. 2002;25(6):295–301.
  • 9. Fujiwara Y, Ihara K, Hachisu M, Suzuki H, Kawai H, Hashizume M, et al. Higher Serum BDNF Levels are Associated with Lower Risk of Cognitive Decline in Older Adults: The Otassha Study. Innov Aging. 2021;5(Supplement_1):694–694.
  • 10. Alvarez A, Alvarez I, Iglesias O, Aleixandre M, Linares C, Figueroa J, et al. P1‐062: Serum BDNF Levels and Cognitive Performance in Alzheimer’s Disease Patients: Influence of Apathy and Apoe4 Status. Alzheimers Dement . 2016;12.
  • 11. Pereira AC, Huddleston DE, Brickman AM, Sosunov AA, Hen R, McKhann GM, et al. An in vivo correlate of exercise-induced neurogenesis in the adult dentate gyrus. Proc Natl Acad Sci. 2007;104(13):5638–43.
  • 12. Lu B, Nagappan G, Lu Y. BDNF and Synaptic Plasticity, Cognitive Function, and Dysfunction. In: Lewin GR, Carter BD, editors. Neurotrophic Factors. Berlin, Heidelberg: Springer; 2014;223–50.
  • 13. Vaynman S, Ying Z, Gomez‐Pinilla F. Hippocampal BDNF mediates the efficacy of exercise on synaptic plasticity and cognition. Eur J Neurosci. 2004;20(10):2580–90.
  • 14. Soke F, Kocer B, Fidan I, Keskinoglu P, Guclu-Gunduz A. Effects of task-oriented training combined with aerobic training on serum BDNF, GDNF, IGF-1, VEGF, TNF-α, and IL-1β levels in people with Parkinson’s disease: A randomized controlled study. Exp Gerontol. 2021;150:111384.
  • 15. VEGF and Neuronal Survival - Paula M. Calvo, Rosendo G. Hernández, Angel M. Pastor, Rosa R. de la Cruz, 2024; 22.
  • 16. Arazi H, Babaei P, Moghimi M, Asadi A. Acute effects of strength and endurance exercise on serum BDNF and IGF-1 levels in older men. BMC Geriatr. 2021;21(1).
  • 17. Griego E, Galván EJ. BDNF and Lactate as Modulators of Hippocampal CA3 Network Physiology. Cell Mol Neurobiol. 2023 Nov 1;43(8):4007–22.
  • 18. Leger C, Quirié A, Méloux A, Fontanier E, Chaney R, Basset C, et al. Impact of exercise intensity on cerebral BDNF levels: role of FNDC5/irisin. Int J Mol Sci. 2024;25(2):1213.
  • 19. Colcombe SJ, Kramer AF, Erickson KI, Scalf P, McAuley E, Cohen NJ, et al. Cardiovascular fitness, cortical plasticity, and aging. Proc Natl Acad Sci U S A. 2004 Mar 2;101(9):3316–21.
  • 20. Chapman SB, Aslan S, Spence JS, DeFina LF, Keebler MW, Didehbani N, et al. Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Front Aging Neurosci. 2013;5:75.
  • 21. Endres M, Gertz K, Lindauer U, Katchanov J, Schultze J, Schröck H, et al. Mechanisms of stroke protection by physical activity. Ann Neurol. 2003 Nov;54(5):582–90.
  • 22. Toda N, Okamura T. Cerebral blood flow regulation by nitric oxide in Alzheimer’s disease. J Alzheimers Dis JAD. 2012;32(3):569–78.
  • 23. Colcombe SJ, Erickson KI, Scalf PE, Kim JS, Prakash R, McAuley E, et al. Aerobic exercise training increases brain volume in aging humans. J Gerontol A Biol Sci Med Sci. 2006;61(11):1166–70.
  • 24. Lin MT, Beal MF. Alzheimer’s APP mangles mitochondria. Nat Med. 2006;12(11):1241–3.
  • 25. Bo H, Kang W, Jiang N, Wang X, Zhang Y, Ji LL. Exercise-Induced Neuroprotection of Hippocampus in APP/PS1 Transgenic Mice via Upregulation of Mitochondrial 8-Oxoguanine DNA Glycosylase. Oxid Med Cell Longev. 2014;2014:1–14.
  • 26. Safdar A, Little JP, Stokl AJ, Hettinga BP, Akhtar M, Tarnopolsky MA. Exercise increases mitochondrial PGC-1α content and promotes nuclear-mitochondrial cross-talk to coordinate mitochondrial biogenesis [Internet]. Elsevier; 2011;22.
  • 27. Chaturvedi RK, Adhihetty P, Shukla S, Hennessy T, Calingasan N, Yang L, et al. Impaired PGC-1α function in muscle in Huntington’s disease. Hum Mol Genet. 2009;18(16):3048–65.
  • 28. Radak Z, Chung HY, Goto S. Systemic adaptation to oxidative challenge induced by regular exercise. Free Radic Biol Med. 2008;44(2):153–9.
  • 29. Meng Q, Su CH. The impact of physical exercise on oxidative and nitrosative stress: balancing the benefits and risks. Antioxidants. 2024;13(5):573.
  • 30. Angelova PR, Esteras N, Abramov AY. Mitochondria and lipid peroxidation in the mechanism of neurodegeneration: Finding ways for prevention. Med Res Rev. 2021;41(2):770–84.
  • 31. Ni C, Ji Y, Hu K, Xing K, Xu Y, Gao Y. Effect of exercise and antioxidant supplementation on cellular lipid peroxidation in elderly individuals: Systematic review and network meta-analysis. Front Physiol. 2023;14:1113270.
  • 32. Heneka MT, Golenbock DT, Latz E. Innate immunity in Alzheimer’s disease. Nat Immunol. 2015;16(3):229–36.
  • 33. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nat Rev Immunol. 2011;11(9):607–15.
  • 34. Pedersen BK. Muscle as a secretory organ. Compr Physiol. 2013;3(3):1337–62.
  • 35. Kohman RA, Rhodes JS. Neurogenesis, inflammation and behavior. Brain Behav Immun. 2013;27:22–32.
  • 36. Voss MW, Nagamatsu LS, Liu-Ambrose T, Kramer AF. Exercise, brain, and cognition across the life span. J Appl Physiol. 2011;111(5):1505–13.
  • 37. Erickson KI, Hillman C, Stillman CM, Ballard RM, Bloodgood B, Conroy DE, et al. Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Med Sci Sports Exerc. 2019;51(6):1242.
  • 38. de Assis GG, Almondes KM de. Exercise-dependent BDNF as a Modulatory Factor for the Executive Processing of Individuals in Course of Cognitive Decline. A Systematic Review. Front Psychol [Internet]. 2017;8.
  • 39. Tarumi T, Zhang R. Cerebral blood flow in normal aging adults: cardiovascular determinants, clinical implications, and aerobic fitness. J Neurochem. 2018;144(5):595–608.
  • 40. Coelho-Junior H, Marzetti E, Calvani R, Picca A, Arai H, Uchida M. Resistance training improves cognitive function in older adults with different cognitive status: a systematic review and Meta-analysis. Aging Ment Health. 2022;26(2):213–24.
  • 41. Liu-Ambrose T, Nagamatsu LS, Voss MW, Khan KM, Handy TC. Resistance training and functional plasticity of the aging brain: a 12-month randomized controlled trial. Neurobiol Aging. 2012;33(8):1690–8.
  • 42. Suo C, Singh MF, Gates N, Wen W, Sachdev P, Brodaty H, et al. Therapeutically relevant structural and functional mechanisms triggered by physical and cognitive exercise. Mol Psychiatry. 2016;21(11):1633–42.
  • 43. Cassilhas RC, Viana VA, Grassmann V, Santos RT, Santos RF, Tufik S, et al. The impact of resistance exercise on the cognitive function of the elderly. Med Sci Sports Exerc. 2007;39(8):1401–7.
  • 44. Firth J, Stubbs B, Vancampfort D, Schuch F, Lagopoulos J, Rosenbaum S, et al. Effect of aerobic exercise on hippocampal volume in humans: a systematic review and meta-analysis. Neuroimage. 2018;166:230–8.
  • 45. Szabo-Reed A, Clutton J, White S, Van Sciver A, White D, Morris J, et al. COMbined Exercise Trial (COMET) to improve cognition in older adults: Rationale and methods. Contemp Clin Trials. 2022;118:106805.
  • 46. Zhang M, Fang W, Wang J. Effects of human concurrent aerobic and resistance training on cognitive health: A systematic review with meta-analysis. Int J Clin Health Psychol. 2025;25(1):100559.
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Spor Hekimliği
Bölüm DERLEMELER / REVIEWS
Yazarlar

Erdem Atalay 0000-0002-7749-7735

Yayımlanma Tarihi 22 Ağustos 2025
Gönderilme Tarihi 23 Temmuz 2025
Kabul Tarihi 20 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı

Kaynak Göster

Vancouver Atalay E. Beyin Sağlığını Korumada Egzersizin Önemi. Osmangazi Tıp Dergisi. 2025;47(Beyin Farkındalığı 2025 Özel Sayısı):18-23.


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