The impact of endurance training and table soccer on brain metabolites in schizophrenia.

Higher glutamate and glutamine (together: Glx) and lower N-acetyl-aspartate (NAA) levels were reported in schizophrenia. Endurance training normalizes NAA in the hippocampus, but its effects on other metabolites in the brain and the relationship of metabolites to clinical symptoms remain unknown. Fo...

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Publicado en:Brain Imaging & Behavior Vol. 14; no. 2; pp. 515 - 527
Autores principales: Rauchmann, Boris-Stephan, Ghaseminejad, Farhad, Keeser, Daniel, Keller-Varady, Katriona, Schneider-Axmann, Thomas, Takahashi, Shun, Karali, Temmuz, Helms, Gunther, Dechent, Peter, Maurus, Isabel, Hasan, Alkomiet, Wobrock, Thomas, Ertl-Wagner, Birgit, Schmitt, Andrea, Malchow, Berend, Falkai, Peter
Formato: Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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          Rauchmann, Boris-Stephan
          Ghaseminejad, Farhad
          Keeser, Daniel
          Keller-Varady, Katriona
          Schneider-Axmann, Thomas
          Takahashi, Shun
          Karali, Temmuz
          Helms, Gunther
          Dechent, Peter
          Maurus, Isabel
          Hasan, Alkomiet
          Wobrock, Thomas
          Ertl-Wagner, Birgit
          Schmitt, Andrea
          Malchow, Berend
          Falkai, Peter
        affil: Department of Radiology, University Hospital, LMU Munich, Munich, Germany
      sug:
        subj:
          Cognition
          Schizophrenia Metabolism
          Hippocampus Metabolism
          Brain Metabolism
          Male
          Thalamus Pathology
          Magnetic Resonance Spectroscopy Methods
          Adult
          Frontal Lobe Pathology
          Glutamic Acid Metabolism
          Neurons Metabolism
          Brain
          Creatine Metabolism
          Hippocampus Pathology
          Inpatients
          Hippocampus
          Glutamine Metabolism
          Female
          Aspartic Acid Metabolism
          Brain Pathology
          Scales
          Adult: 19-44 years
          Male
          Female
      ab: Higher glutamate and glutamine (together: Glx) and lower N-acetyl-aspartate (NAA) levels were reported in schizophrenia. Endurance training normalizes NAA in the hippocampus, but its effects on other metabolites in the brain and the relationship of metabolites to clinical symptoms remain unknown. For 12 weeks, 20 schizophrenia inpatients (14 men, 6 women) and 23 healthy controls (16 men, 7 women) performed endurance training and a control group of 21 schizophrenia inpatients (15 men, 6 women) played table soccer. A computer-assisted cognitive performance training program was introduced after 6 weeks. We assessed cognitive performance, psychopathological symptoms, and everyday functioning at baseline and after 6 and 12 weeks and performed single voxel magnetic resonance spectroscopy of the hippocampus, left dorsolateral prefrontal cortex (DLPFC), and thalamus. We quantified NAA, Glx, total creatine (tCr), calculated NAA/tCr and Glx/tCr and correlated these ratios with physical fitness, clinical and neurocognitive scores, and everyday functioning. At baseline, in both schizophrenia groups NAA/tCr was lower in the left DLPFC and left hippocampus and Glx/tCr was lower in the hippocampus than in the healthy controls. After 6 weeks, NAA/tCr increased in the left DLPFC in both schizophrenia groups. Brain metabolites did not change significantly in the hippocampus or thalamus, but the correlation between NAA/tCr and Glx/tCr normalized in the left DLPFC. Global Assessment of Functioning improvements correlated with NAA/tCr changes in the left DLPFC. In our study, endurance training and table soccer induced normalization of brain metabolite ratios in the brain circuitry associated with neuronal and synaptic elements, including metabolites of the glutamatergic system.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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