View the recording below which summarizes our lesson on Exercise and the brain.
BrainHQ site: https://v4.brainhq.com/
Zoom: Wednesday session (6:30 - 8:30)
Zoom link: https://sdccd-edu.zoom.us/j/9191959460?pwd=OXh0RE9ZTVZTWElTMUQ0ZzAxQzExdz09.
We were curious: How do bears hibernate? View this Ted Lesson to learn more.
How does hibernation compare to sleep? I asked Claude.ai. Here is what it said.
We also discussed technology, including Apple Watches. How do they track our sleep?
Cross body exercises: What are the benefits to the brain?
CPAP machines and dreaming: What does research suggest about the effect on dreaming (used Consensus, an AI for research)
Type 3 diabetes: Why is Alzheimer's disease sometimes referred to as Type 3 diabetes?
Zoom question: What if you cannot hear or be heard in breakout rooms?
When we think about exercise, we often focus on its benefits for the body such as stronger muscles, better balance, and improved heart health. But staying active is just as important for your brain. Research shows that regular physical activity can help keep your mind sharp, improve memory, and even reduce the risk of cognitive decline as we age.
In this lesson, we’ll explore how different types of exercise support both physical and cognitive health. We’ll also discuss how to incorporate movement into daily life, set realistic goals, and track your progress.
The human brain is an incredible organ, responsible for everything from memory and movement to emotions and decision-making. Understanding basic brain anatomy and how it receives blood flow will help us appreciate why exercise is so important for cognitive health.
Video: If you have the time, I strongly recommend this video. This presenter is engaging and informative, and provides us with a clear introduction to our lesson.
The brain is the control center of the body, and different areas work together to help us move, think, and stay balanced. When we exercise, several key parts of the brain play a role. The cerebrum, the largest part of the brain, helps us plan and coordinate movements. The cerebellum, located at the back of the brain, is responsible for balance and fine-tuning our movements, making sure we stay steady on our feet. The motor cortex, found in the cerebrum, sends signals to our muscles, telling them when and how to move. Deep inside the brain, the basal ganglia help control smooth, coordinated movement, while the hippocampus, a key area for memory, benefits from exercise by growing new brain cells. Even the brainstem plays a role by regulating heart rate and breathing, helping our body adjust to physical activity. Each of these areas relies on a constant supply of oxygen and nutrients delivered through blood flow.
Even though your brain makes up only about 2% of your body weight, it uses 15-20% of your blood supply. Your brain needs a constant flow of oxygen and nutrients to function at its best. At the same time, blood circulation helps clear away waste products, like carbon dioxide, that can build up and slow things down.
Your brain gets its blood supply from four key arteries:
• Carotid arteries (left and right) – These run along the sides of your neck, feeding the front part of your brain, where thinking and movement planning happen.
• Vertebral arteries (left and right) – These travel up your spine and supply the back of your brain, which helps with balance and coordination.
Together, these arteries form a safety net called the Circle of Willis, which helps keep blood flowing even if one pathway is blocked or narrowed.
Why does this matter for exercise? Movement increases blood flow, helping your brain get the oxygen it needs to stay sharp, process information, and keep you steady on your feet. Whether it’s a brisk walk, stretching, or strength training, every bit of movement supports your brain health.
When we exercise, our heart works harder, pumping more blood throughout the body, including the brain. This surge in blood flow provides essential benefits that keep the brain sharp. More blood means more oxygen and vital nutrients reaching brain cells (neurons), allowing them to work more efficiently. Just like muscles need fuel to stay strong, the brain relies on this steady supply of nutrients to support thinking, memory, and coordination. At the same time, increased circulation helps remove waste products and toxins, including metabolic byproducts that can contribute to cognitive decline. This natural cleansing process is like taking out the brain’s trash, preventing buildup that can slow down mental function over time.
Exercise also plays a direct role in neurogenesis (the process of creating new brain cells). This is especially important in the hippocampus, the part of the brain responsible for memory and learning. By staying active, we encourage the brain to grow and maintain new cells, which may help protect against memory loss as we age. Additionally, regular movement improves brain plasticity, the brain’s ability to form new neural connections. This adaptability supports learning, problem-solving, and even emotional well-being.
A proposed hypothesis of arterial aging and cerebrovascular function in sedentary aging and physical exercise. Source
Exercise has powerful effects on brain chemistry, which helps improve mood, memory, and cognitive function. Here are some ways that exercise influences brain chemistry:
Exercise has a powerful effect on the brain, in part because it boosts the production of key neurotransmitters, the chemical messengers that help brain cells communicate. These neurotransmitters play a crucial role in mood, focus, and cognitive function.
One important neurotransmitter influenced by exercise is dopamine, which helps with motivation, learning, and pleasure. Regular physical activity increases dopamine levels, which may improve focus and prevent cognitive decline, making it easier to stay engaged and motivated in daily activities.
Another key neurotransmitter is serotonin, often called the "feel-good" chemical. Exercise, especially aerobic activities like walking or dancing, helps increase serotonin levels, reducing stress, anxiety, and symptoms of depression. This is one reason why people often feel a sense of well-being after being active.
Additionally, exercise boosts norepinephrine, a neurotransmitter that sharpens attention, improves reaction time, and enhances cognitive performance. By increasing norepinephrine, physical activity helps the brain stay alert and responsive, making it easier to concentrate and process information.
Together, these neurotransmitters create a powerful brain-boosting effect, helping to improve both mental and emotional well-being with every movement you make.
Exercise plays a powerful role in keeping your brain healthy. One of the key reasons for this is a special protein called Brain-Derived Neurotrophic Factor (BDNF). Think of BDNF as "fertilizer for the brain" because it helps brain cells (neurons) grow, stay strong, and form new connections. This is especially important as we age, since the brain naturally loses some of its flexibility over time. Higher levels of BDNF support neurogenesis, particularly in the hippocampus (the area responsible for memory and learning). When BDNF levels are high, the brain is better at adapting, storing information, and staying sharp. This helps protect against cognitive decline and conditions like dementia.
BDNF is enhanced through regular physical activity. Exercise increases blood flow, which in turn stimulates the release of BDNF, improving communication between brain cells and making it easier to learn new skills, remember details, and even regulate mood. Activities like walking, strength training, and balance exercises all contribute to this brain-boosting effect. Studies show that people who engage in regular movement tend to have higher levels of BDNF, which may help slow age-related memory loss and keep the brain resilient. Later in the lesson we will discuss what types of exercise are particularly effective for increasing BDNF.
Exercise provides a natural way to balance cortisol levels and protect the brain from stress-related damage. It helps regulate the body's stress response by lowering the levels of cortisol, the primary stress hormone. The body's stress response, controlled by the autonomic nervous system and HPA axis, is a natural survival mechanism. When facing a threat or stressor, the brain initiates the release of cortisol and adrenaline. These hormones elevate heart rate, enhance focus, and prepare the body for a "fight or flight" response. Regular exercise helps regulate the stress response by lowering cortisol, boosting mood-enhancing neurotransmitters, and promoting relaxation, ultimately protecting the brain from the harmful effects of prolonged stress. Chronically high cortisol levels are linked to conditions such as anxiety and depression. They can influence memory problems and cognitive decline and may increase the risk of Alzheimer’s disease.
Endorphins are the brain’s natural painkillers and mood boosters, released in response to physical activity, stress, or pain. These neurochemicals interact with opioid receptors in the brain, reducing the perception of pain and promoting a sense of well-being and relaxation. Exercise, especially aerobic activities like walking, running, or dancing, triggers endorphin release, often leading to a "runner’s high" or an improved mood. By increasing endorphin levels, regular physical activity helps reduce stress, combat anxiety and depression, and enhance overall mental resilience, making exercise a powerful tool for both physical and emotional well-being.
The brain relies on glucose as its primary source of energy, using about 20% of the body’s total glucose supply despite making up only a small percentage of body weight. Glucose fuels neurons, allowing them to generate electrical signals, process information, and communicate effectively. Without a steady supply, cognitive functions like memory, focus, and decision-making can decline. Exercise helps regulate glucose metabolism by improving insulin sensitivity, ensuring that the brain receives a stable flow of energy.
Video: A simple explanation of glucose and the brain
Video: Neuroinflammation is inflammation in the brain. This condition can contribute to degenerative disorders (like Alzheimer's disease) as well as mood disorders. Lear more in this short 4 minute video. (This video does include an untested therapy protocol involving psychedelics. This is an unproven therapy which is still in research mode. To learn more, visit the MIND foundation website.
Chronic inflammation is a prolonged immune response that can damage tissues and organs, including the brain. When inflammation persists, it can disrupt normal brain function by increasing oxidative stress and impairing the ability of neurons to communicate effectively. Research suggests that chronic inflammation is linked to cognitive decline and plays a role in neurodegenerative diseases like Alzheimer’s and Parkinson’s disease. Inflammatory molecules, such as cytokines, can accelerate the buildup of harmful proteins like beta-amyloid plaques, which contribute to memory loss and brain cell damage. Regular exercise helps reduce brain inflammation by promoting the release of anti-inflammatory molecules, enhancing immune system function and clearing out harmful proteins that contribute to brain aging.
In our lesson last week, we discussed the importance of sleep for a healthy brain. Exercise is influential in controlling the circadian rhythm, the body's natural 24-hour internal clock that regulates sleep-wake cycles, hormone release, and other essential functions. This rhythm is influenced by light exposure, daily activities, and lifestyle habits. When disrupted by stress, poor sleep habits, or aging, it can lead to insomnia, fatigue, and cognitive decline. Exercise helps regulate the circadian rhythm by promoting the release of sleep-inducing hormones like melatonin, reducing stress levels, and increasing overall sleep quality. It can also help individuals fall asleep faster, experience deeper, more restorative sleep, and maintain a healthy sleep cycle, which is essential for brain function and overall well-being.
Video: Learn more about the circadian rhythm, our body's internal clock. You will see how this is related to last week's lesson by hormones involved and body temperature.
Research suggests that there are ways that different types of exercise can boost brain health. Here are some of the key studies which have investigated this idea.
Regular aerobic exercise, like walking, swimming, or cycling, plays a powerful role in keeping the brain strong and healthy. Research shows that it can actually increase the size of an important part of the brain involved in memory and learning (Thomas, 2014). These changes help slow down natural brain aging and protect areas that control problem-solving and decision-making (Colcombe et al., 2003).
Exercise also strengthens memory and thinking skills. Studies have found that it improves focus, reaction time, and overall brain function, no matter your age (Changhao & Tingting, 2013). Even short-term aerobic training—as little as 12 weeks—can lead to noticeable improvements in memory and cognitive function (Chapman et al., 2013).
Another major benefit of aerobic activity is increased blood flow to the brain. Moving your body increases oxygen and nutrients to your brain, keeping it active and alert. Even a single session of exercise can boost blood flow and activate key areas involved in thinking and memory (MacIntosh et al., 2014). Over time, exercise also helps improve heart health, which further supports brain function and structure (Tarumi & Zhang, 2015).
Aerobic exercise also encourages the production of brain chemicals that keep the mind sharp. It increases levels of brain-derived neurotrophic factor (BDNF) and serotonin, which are essential for learning, memory, and overall brain flexibility (Pietrelli et al., 2018). These changes help brain cells connect better, particularly in areas responsible for decision-making and cognitive control (Innocenzi et al., 2021).
Beyond these cognitive benefits, exercise is also great for sleep and stress management. A study found that after 12 weeks of regular aerobic exercise, older adults experienced improved sleep quality, including more deep sleep, which is essential for memory and brain repair (Ouyang et al., 2022). Additionally, exercise lowers stress hormones like cortisol, which can help protect the brain from long-term damage and prevent memory decline (Molina-Hidalgo et al., 2023).
Video: Short 10 minute aerobic exercise, seated, for beginners.
Balance and coordination exercises, such as standing on one leg or using a wobble board, do more than just improve stability. They can also enhance brain function. One study found that combining balance training with cognitive exercises led to better mobility and thinking skills, particularly when performing two tasks at once, like walking while remembering a shopping list (de Oliveira et al., 2020). The BRAIN Training Trial explores whether high-intensity balance, strength, and interval training can help people with mild cognitive impairment maintain cognitive function (Valenzuela et al., 2022).
Video: In this short 4 minute video, you receive some information on the importance of balance and safety. Use safety suggestions from the PT presenter.
Strength training, such as lifting weights or using resistance bands, has also been shown to benefit brain health. A study found that older adults with higher grip strength at the start of a 12-week resistance training program showed cognitive improvements by the end (Chang et al., 2019). Strength training has also been linked to better decision-making and attention (Herold et al. 2019), as well as improved memory, focus, and verbal fluency (Santos et al., 2020). A broader review confirmed that strength training, especially when paired with cognitive exercises, enhances both thinking skills and daily functioning (Esmaeilzadeh et al., 2022).
Videos: In this 20 minute video, you can participate in a 20 minute strength training routine (standing or sitting, with our without exercises)
Mind-body exercises like Tai Chi and Yoga also provide brain benefits by combining movement with mental focus. A meta-analysis found that Tai Chi significantly improved memory and overall cognitive function in older adults (Wu et al., 2013), while another review showed that both Tai Chi and Yoga helped individuals with mild cognitive impairment (Wang et al., 2018). Additionally, yoga has been linked to improvements in memory, decision-making, and processing speed (Bhattacharyya et al., 2020).
Video: Five minute gentle tai chi routine
Staying active isn’t just good for your body; it’s great for your brain, too! Whether through balance exercises, strength training, or gentle movement like Tai Chi and Yoga, regular activity can support cognitive function and overall well-being. Adding even small amounts of these exercises to your routine may help keep both your body and mind strong as you age.
This lesson has shown that exercise can be instrumental in supporting brain health, as well as other advantages such as maintaining independence and improving mobility. A well-rounded exercise routine should include aerobic exercise, strength training, balance exercises, and mind-body activities. Below is a simple and achievable weekly plan with safety considerations and modifications to help everyone participate at their own pace.
Aerobic Exercise (3-5 days per week, 20-30 minutes per session)
Walking, swimming, cycling, or dancing are excellent options. Start with 10-minute sessions and gradually increase time and intensity. If walking outside, choose even surfaces and wear supportive shoes. If balance is a concern, use a treadmill with handrails or try chair exercises.
Strength Training (2-3 days per week, non-consecutive days)
Use light dumbbells, resistance bands, or bodyweight exercises (e.g., seated leg lifts, wall push-ups, or bicep curls). Begin with one set of 10-15 repetitions and increase as strength improves. If gripping weights is difficult, opt for wrist weights or resistance bands with handles.
Balance Exercises (Daily, 5-10 minutes)
Simple exercises like standing on one foot (holding onto a sturdy chair for support), walking heel-to-toe, or practicing sit-to-stand movements strengthen stability and reduce fall risk. Tai Chi and yoga are also excellent for improving balance.
Mind-Body Exercises (2-3 days per week, 15-30 minutes per session)
Yoga, Tai Chi, or Pilates help with flexibility, relaxation, and mental focus. Use a chair for seated yoga or practice slow, controlled movements to avoid injury.
Video: Feeling Fit is a program sponsored by County of San Diego. This 60 minute video leads you through an entire session featuring aerobic exercises, stretching, strength training and balance. Features our own Char Schade. Contains ads.
Exercise doesn’t have to feel like a workout—small activities throughout the day add up!
• Walk more: Take an extra lap around the house or walk while talking on the phone.
• Use the stairs: If safe to do so, choose stairs over elevators.
• Stretch while watching TV: Gentle stretches or seated leg lifts can be done during commercials.
• Strengthen while cooking: Do calf raises while waiting for water to boil or practice balancing on one foot while brushing your teeth.
• Dance to music: Play your favorite tunes and move around for fun!
Setting realistic goals and monitoring progress can keep you accountable. Whether using a simple journal, a step counter, or a fitness app, having a record of your workouts encourages consistency and helps you build long-term habits. Most importantly, tracking your progress reinforces the idea that every small step matters. Staying active, no matter the pace, contributes to better health and well-being over time.
Tracking your progress is a key part of staying motivated and committed to an exercise routine. When you start a new program, small improvements may not always be immediately noticeable, but keeping track of your activities helps you see how far you’ve come over time. By recording what exercises you do, how long you do them, and how you feel afterward, you can celebrate achievements—whether it’s walking longer distances, lifting heavier weights, or simply feeling more energized throughout the day.
Progress tracking also helps ensure that your routine remains safe and effective. By noting how your body responds to different exercises, you can identify what works well and what may need adjustment. If certain movements cause discomfort, you can modify them, and if a particular activity feels too easy, you can gradually increase the intensity.
Regular exercise is one of the best ways to support both physical and cognitive health as we age. Whether it’s walking, strength training, balance exercises, or mind-body activities like Yoga and Tai Chi, staying active keeps our muscles strong, improves stability, and enhances brain function. As we have discussed today, exercise increases blood flow to the brain, supports memory, and helps with decision-making and focus. The key takeaway is that movement isn’t just about staying physically fit. It plays a crucial role in keeping our minds sharp and engaged.
One of the best ways to stay motivated is to involve friends and family in your exercise routine. Having a walking partner, joining a class, or even checking in with a friend about your progress can make physical activity more enjoyable and help keep you accountable. Exercising with others also provides social connection, which is another key factor in maintaining cognitive and emotional well-being.
Ultimately, the most important thing is to find movement that you enjoy and make it a part of your daily life. Every step, stretch, and strength-building activity counts toward better health. So, whether you dance in the kitchen, take a stroll with a neighbor, or try a new balance exercise, keep moving! Your body and brain will thank you!
Cognitive benefits of physical activity for older adults (ACSM 2022) https://www.acsm.org/blog-detail/acsm-blog/2022/05/20/cognitive-benefits-physical-activity-older-adults
Effects of Physical Exercise on Cognitive Functioning and Wellbeing: Biological and Psychological Benefits (NIH 2018) https://pmc.ncbi.nlm.nih.gov/articles/PMC5934999/
Exercise can boost your memory and thinking skills (Harvard 2024) https://www.health.harvard.edu/mind-and-mood/exercise-can-boost-your-memory-and-thinking-skills
How older adults can get started with exercise (2020 NIH) https://www.nia.nih.gov/health/exercise-and-physical-activity/how-older-adults-can-get-started-exercise
Is exercise actually good for the brain (Science 2023) Provides a critical view of research. https://www.science.org/content/article/exercise-actually-good-brain
Neurobiological effects of physical exercise (Wikipedia 2025) https://en.wikipedia.org/wiki/Neurobiological_effects_of_physical_exercise
Physical activity boosts brain health (CDC 2025) https://www.cdc.gov/physical-activity/features/boost-brain-health.html
Physical activity guidelines for older adults (NHS.UK 2024) https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-older-adults/
Chang et al. (2019). Association between grip strength and cognitive function among community-dwelling older adults. Innovation in Aging, 3, S483 - S484. https://doi.org/10.1093/geroni/igz038.1797.
Changhao, J., & Tingting, C. (2013). Effects of Aerobic Exercise on Executive Control and Brain Function. , 21, 1844-1850. https://doi.org/10.3724/SP.J.1042.2013.01844.
Chapman et al. (2013). Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Frontiers in Aging Neuroscience, 5. https://doi.org/10.3389/fnagi.2013.00075.
Chapman et al. (2013). Shorter term aerobic exercise improves brain, cognition, and cardiovascular fitness in aging. Frontiers in Aging Neuroscience, 5. https://doi.org/10.3389/fnagi.2013.00075.
Colcombe et al. (2003). Aerobic fitness reduces brain tissue loss in aging humans.. The journals of gerontology. Series A, Biological sciences and medical sciences, 58 2, 176-80 . https://doi.org/10.1093/GERONA/58.2.M176.
Esmaeilzadeh et al. (2022). Strength-Cognitive Training: A Systemic Review in Adults and Older Adults, and Guidelines to Promote “Strength Exergaming” Innovations. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.855703.
Herold et al. (2019). Functional and/or structural brain changes in response to resistance exercises and resistance training lead to cognitive improvements – a systematic review. European Review of Aging and Physical Activity, 16. https://doi.org/10.1186/s11556-019-0217-2.
Innocenzi et al. (2021). Aerobic Exercise Induces Alternative Splicing of Neurexins in Frontal Cortex. Journal of Functional Morphology and Kinesiology, 6. https://doi.org/10.3390/jfmk6020048.
MacIntosh et al. Impact of a Single Bout of Aerobic Exercise on Regional Brain Perfusion and Activation Responses in Healthy Young Adults. PLoS ONE, 9. https://doi.org/10.1371/journal.pone.0085163.
Molina-Hidalgo et al (2023). Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies. Frontiers in Physiology, 14. https://doi.org/10.3389/fphys.2023.1273981.m Clinical Trial. . https://doi.org/10.1101/2022.06.13.22276337.
Pietrelli et al.(2018). Aerobic exercise upregulates the BDNF-Serotonin systems and improves the cognitive function in rats. Neurobiology of Learning and Memory, 155, 528-542. https://doi.org/10.1016/j.nlm.2018.05.007.
Santos et al. (2020). Improving cognitive and physical function through 12-weeks of resistance training in older adults: Randomized controlled trial. Journal of Sports Sciences, 38, 1936 - 1942. https://doi.org/10.1080/02640414.2020.1763740.
Tarumi, T., & Zhang, R. (2015). The Role of Exercise-Induced Cardiovascular Adaptation in Brain Health. Exercise and Sport Sciences Reviews, 43, 181–189. https://doi.org/10.1249/JES.0000000000000063.
Thomas, A. (2014). Brain plasticity and aerobic fitness. .
Valenzuela al (2022). Study protocol for the BRAIN Training Trial: a randomized controlled trial of Balance, Resistance, And Interval training on cognitive function in older adults with mild cognitive impairment. BMJ Open, 12. https://doi.org/10.1136/bmjopen-2022-062059.