Key result
Lower baseline lipid peroxidation links to greater verbal memory and executive function improvements after exercise.
Why the study?
Associations between lipid peroxidation markers and cognition, and their relation to cognitive response to exercise in coronary artery disease patients at risk of dementia, were unclear.
Do baseline lipid peroxidation markers predict cognitive response to a 24-week exercise intervention in adults with coronary artery disease?
Observational (n=118)
Do baseline lipid peroxidation markers predict cognitive response to a 24-week exercise intervention in adults with coronary artery disease?
Elevated baseline lipid peroxidation markers may limit the cognitive benefits of exercise in patients with coronary artery disease.
Answers are grounded in this paper and cite their sources.
Baseline oxidative stress markers may stratify cognitive response to exercise in CAD; hypothesis-generating and requires prospective validation.
This study examined associations between lipid peroxidation markers and cognition, and associations between these markers and cognitive response to an exercise intervention program, in adults with coronary artery disease at risk of dementia. Lipid peroxidation products were measured in serum in 118 patients (29 possible vascular mild cognitive impairment and 89 controls). Ratios of early- (lipid hydroperoxides, LPH) to late-stage (8-isoprostane, 8-ISO; 4-hydroxy-2-nonenal, 4-HNE) lipid peroxidation products were calculated. Cognitive performance was assessed before and at completion of a 24-week exercise intervention program. A global effect of group on lipid peroxidation markers was observed, adjusting for sex, years of education, and cardiopulmonary fitness (main effect of group F (3,102) = 2.957, p = 0.036). Lower lipid peroxidation at baseline, as determined by lower 8-ISO concentration, was associated with greater improvement in verbal memory (F (1, 64) = 4.738, p = 0.03) and executive function (F (1, 64) = 5.219, p = 0.026) performance. Similarly, higher ratios of 8-ISO/LPH (F (1, 65) = 6.592, p = 0.013) and (8-ISO+4-HNE) to LPH (F (1, 65) = 3.857, p = 0.054), were associated with less improvement in executive function performance over a 24-week exercise intervention. Lipid peroxidation may be a biomarker of early vascular cognitive impairment, and elevated lipid peroxidation might limit the cognitive benefits of exercise in this high-risk population.
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Suridjan et al. (2017) conducted an observational in Coronary artery disease at risk of dementia (n=118). Baseline lipid peroxidation markers was evaluated on Improvement in verbal memory and executive function performance (p=0.03 for verbal memory; 0.026 for executive function). Lower baseline lipid peroxidation was associated with greater improvement in verbal memory (p=0.03) and executive function (p=0.026) following a 24-week exercise intervention.
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