RT journal article T1 Changes in stress pathways as a possible mechanism of aerobic exercise training on brain health: a scoping review of existing studies A1 Molina-Hidalgo, Cristina A1 Stillman, Chelsea M. A1 Collins, Audrey M. A1 Velázquez-Díaz, Daniel A1 Ripperger, Hayley S. A1 Drake, Jermon A. A1 Gianaros, Peter J. A1 Marsland, Anna L. A1 Erickson, Kirk I. A2 Didáctica de la Educación FísicaPlástica y Musical K1 ANS K1 cortisol K1 HPA axis K1 physical activity K1 salivary alpha-amylase AB Physical activity (PA) in the form of aerobic exercise (AE) preserves and improves neurocognitive function across the lifespan. However, a mechanistic understanding of the pathways by which aerobic exercise impacts brain health is still lacking, particularly with respect to stress-related pathways. One mechanistic hypothesis is that AE improves neurocognitive health in part by modifying circulating levels of stress-related hormones and signaling factors associated with the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS), as commonly measured by the biomarkers cortisol (CORT) and salivary α-amylase (sAA). Thus, this hypothesis predicts that changes in stress biomarkers, such as CORT and sAA, are possible explanatory pathways mediating the positive effects of AE on neurocognitive health. In the present review article, we provide a summary of available studies examining the possibility that exercise-induced changes to stress biomarkers could partly account for exercise-related improvements in neurocognitive health. Our review indicates that despite the intuitive appeal of this hypothesis, there is insufficient evidence available to conclude that chronic and habitual AE affects neurocognitive health by altering stress biomarker pathways. The cross-sectional nature of the majority of reviewed studies highlights the need for well-controlled studies to adequately test this hypothesis. PB Frontiers Media SA SN 1664-042X YR 2023 FD 2023 LK http://hdl.handle.net/10498/32323 UL http://hdl.handle.net/10498/32323 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 11-nov-2026