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Exercise Helps Protect Brain of MS Patients
Highly fit multiple sclerosis (MS) patients perform significantly better on tests of cognitive function than similar less-fit patients, a new study shows.
"We found that aerobic fitness has a protective effect on parts of the brain that are most affected by multiple sclerosis," said Ruchika Shaurya Prakash, lead author of the study and assistant professor of psychology at Ohio State University. "As a result, these fitter patients actually show better performance on tasks that measure processing speed."
The study involved 21 women diagnosed with relapsing-remitting MS. They were compared with 15 age- and education-matched healthy female controls. The study assessed fitness, cognitive function, and structural changes in all participants.
In order to measure fitness levels, the participants underwent a VO2 max test, in which they rode a stationary bicycle until they felt exhausted. During the test, they breathed into a mask which measured their oxygen consumption.
All the women also took a variety of tests designed to evaluate cognitive functions, such as processing speed and selective attention. In one test, for example, participants had to write down in one minute as many words as they could think of that began with the letter "F." MS patients generally perform poorly on these tests compared to healthy people.
The third analysis involved MRIs of the participants, revealing any damage to their brains.
As expected, the MS patients did much worse than the healthy controls on the tests of brain functioning, and showed more deterioration in their brains as revealed through the MRIs.
But what was interesting, Prakash said, was the significant differences between the more aerobically fit MS patients and those who were less fit.
The study found that fitness in MS patients was associated with larger volume of gray matter, accounting for about 20 percent of the volume in gray matter. That's important, Prakash said, because gray matter is linked to brain processing skills.
"Even in gray matter that appeared relatively healthy, we found a deterioration in the volume in MS patients," she said. "But for some of the highest fit MS patients, we found that their gray matter volume was nearly equivalent to that of healthy controls."
"Our hypothesis is that aerobic exercise enhances these nerve growth factors in MS patients, which increases the volume of the gray matter and increases the integrity of the white matter," she said. "As a result there is an improvement in cognitive function."
REHACARE.de; Source: Ohio State University
- More about the Ohio State University at www.osu.edu
( Source: REHACARE.de )