THE EFFECTS ON COGNITIVE RESERVE (CR) GENERATED BY EXERCISE IN ALZHEIMER’S DISEASE: A SYSTEMATIC REVIEW
Background: Cognitive reserve (CR) is a concept that describes a large amount of neural changes, which come from habits, like physical activity. CR protects the brain against the development and evolution of dementia. The possible mechanisms of these changes still remain unknown, and this lack of knowledge distorts the elaboration of practices capable of amplifying this protection. Objectives: To analyze the data about how physical activity can reverberate on the nervous system, relating the effects of exercise and development of AD. Methods: Search in the Pubmed database using descriptors: “Physical activity” OR “Exercise” AND “Cognitive reserve” AND “Alzheimer”. All articles that include any physiological correlation between exercise and CR were analysed. Results: Sedentaries people had greater β-amyloid loads in the brain and lower levels of it in the cerebrospinal fluid. Furthermore, habitual physical activity may improve serum level of brain derived neurotrophic factor, a protein which is capable of enhancing synaptic plasticity and leads to the formation of new neurons in the dentate gyrus of the hippocampus. The studies also showed that aerobics exercises have a greater effect on CR, mainly if they are done in a regular form. Conclusion: Habitual physical activity can impact AD by helping the effectiveness of the treatment and delaying it´s evolution.