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March 21, 2026Journal of sport and health science/Journal of Sport and Health ScienceOpen Access

Effects of a year-long aerobic exercise intervention on neuroendocrine, autonomic, and neural correlates of stress, emotion, and cardiovascular disease risk in midlife adults

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Why the study?

Prior evidence linking aerobic exercise to reduced cardiovascular risk and stress- and emotion-related neuroendocrine, autonomic, and neural activity was mixed and largely correlational or cross-sectional.

Does a 150 min per week moderate-to-vigorous aerobic exercise intervention improve biomarkers of cardiovascular disease risk and stress-related neuroendocrine activity in healthy midlife adults?

Population

130 healthy adults aged 26 to 58 years

Comparison

150 min per week of moderate-to-vigorous aerobic exercise vs health-information control

Design

Preregistered randomized clinical trial

Follow-up

12 months

Key result

A 12-month aerobic exercise intervention reduced hair cortisol (between-group difference = -0.62; p=0.039) in midlife adults, without affecting other cardiovascular or stress biomarkers.

Authors

PGPeter J. GianarosLWLu WanMDMia K. DeCataldo

Discussion

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Overview

Supports aerobic exercise for stress reduction in midlife adults; leaves open impact on cardiovascular risk biomarkers.

Key Points

  • The study aims to investigate the effects of a year-long aerobic exercise intervention on cardiovascular disease risk and stress-related neuroendocrine and autonomic activity in midlife adults.
  • 12-month clinical trial
  • Randomized controlled design
  • Participants aged 26-58 years
  • Moderate-to-vigorous aerobic exercise group vs. health-information control group
  • Outcomes assessed included various cardiovascular and neuroendocrine biomarkers.
  • Aerobic exercise improved cardiorespiratory fitness
  • Hair cortisol levels decreased significantly in the exercise group
  • No consistent changes in other biomarkers related to stress and emotion were observed

Structured PICO

Does a 150 min per week moderate-to-vigorous aerobic exercise intervention improve biomarkers of cardiovascular disease risk and stress-related neuroendocrine activity in healthy midlife adults?

P
Population
130 healthy adults aged 26 to 58 years (mean age = 41.4 years; 67.7% female)
I
Intervention
150 min per week of moderate-to-vigorous aerobic exercise for 12 months
C
Comparator
Health-information control group
O
Outcome
Biomarkers of cardiovascular disease risk and indicators of stress- and emotion-related neuroendocrine, autonomic, and neural activity (including cardiometabolic and vascular risk factors, hair cortisol, heart rate variability, systemic and vascular inflammation, and fMRI responses)surrogate

A 12-month aerobic exercise intervention reduced hair cortisol but did not significantly alter other stress, emotion, or cardiovascular risk biomarkers in healthy midlife adults.

Cite This Study

Gianaros et al. (2026) studied this question. A 12-month aerobic exercise intervention reduced hair cortisol (between-group difference = -0.62; p=0.039) in midlife adults, without affecting other cardiovascular or stress biomarkers.

synapsesocial.com/papers/69be35166e48c4981c6733dehttps://doi.org/10.1016/j.jshs.2026.101135
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