The neural correlates of physical exercise-induced general cognitive gains: A systematic review and meta-analysis of functional magnetic resonance imaging studies

Neurosci Biobehav Rev. 2025 Feb:169:106008. doi: 10.1016/j.neubiorev.2025.106008. Epub 2025 Jan 10.

Abstract

The general-domain effect of physical exercise-induced cognitive gains in behavioral outcomes is well-documented, but a consensus on the neural correlates remains elusive. This meta-analysis aims to identify the neural correlates of physical exercise-induced general cognitive gains by examining task-related brain activation consistently modulated by physical exercise and its relationship to those gains. Our analysis of 52 studies with 1503 participants shows that physical exercise enhances cognitive task performance (Hedges' g = 0.271) and consistently increases task-related brain activation primarily in the bilateral precuneus. These increases in task-related brain activation correlate positively with cognitive task performance improvements improvements. Notably, physical exercise intensity, adherence, and social environment significantly modulate task-related brain activation changes induced by physical exercise. This meta-analysis offers an unprecedented comprehensive assessment of how physical exercise modulates task-related brain activation changes, providing neural evidence to support the general-domain effects on cognitive function induced by physical exercise.

Keywords: Brain activation; Cognitive function; Meta-analysis; Neuroimage; Physical exercise.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Brain* / diagnostic imaging
  • Brain* / physiology
  • Cognition* / physiology
  • Exercise* / physiology
  • Humans
  • Magnetic Resonance Imaging