Work out in
polluted air and you may miss out on some of the brain benefits of
exercise,
according to two large-scale new studies of exercise, air quality, and brain
health.
اضافة اعلان
The studies, which
involved tens of thousands of British men and women, found that, most of the
time, people who ran and rode vigorously had larger
brain volumes and lower
risks for dementia than their less active peers. But if people exercised in
areas with even moderate levels of air pollution, the expected brain improvements
from exercise almost disappeared.
The new studies
raise questions about balancing the undeniable health gains of working out with
the downsides of breathing in bad air and underscore that our environment can
change what exercise does — and does not do — for our bodies.
A large body of
evidence demonstrates that, on the whole, exercise bulks up our brains. In
studies, active people generally sport more gray matter in many parts of their
brains than sedentary people. Gray matter is made up of the brain’s essential,
working neurons.
Fit people also tend to have healthier white matter, meaning
the cells that support and connect neurons. White matter often frays with age,
shrinking and developing Swiss-cheese-like lesions even in healthy adults. But
fit people’s white matter shows fewer and smaller lesions.
Partially as a
consequence of these brain changes, exercise is strongly linked with lower
risks for dementia and other memory problems with age.
But air pollution
has the opposite effects on brains. In a 2013 study, for example, older
Americans living in areas with high levels of air pollution showed bedraggled
white matter on brain scans and tended to develop higher rates of mental
decline than older people living elsewhere. And in a 2021 study of rats housed
in cages placed near a heavily trafficked, exhaust-clogged road tunnel in
Northern California, most of those bred with a predisposition to a rodent
analog of Alzheimer’s disease soon developed dementia. But so did another set
of rats with no genetic inclination to the disease.
Few studies, though,
had explored how exercise and air pollution might interact inside our skulls
and whether working out in smoggy air would protect our brains from noxious
fumes or undermine the good we otherwise gain from working out.
(Photo: Envato Elements)
So, for the first of
the new studies, published in January in Neurology, researchers at the
University of Arizona and
University of Southern California pulled records for
8,600 middle-aged adults enrolled in the UK Biobank. A huge trove of health and
lifestyle records, the Biobank holds information on more than 500,000 British
adults, such as their ages, home locations, socioeconomic status, genomes, and
extensive health data. Some participants also completed brain scans and wore
activity monitors for a week to track their exercise habits.
The researchers
focused on those who had worn a monitor, had a brain scan, and, according to
their trackers, often exercised vigorously, such as by running, which meant
they breathed heavily during workouts. The heavier you breathe, the more air
pollutants you draw in. The researchers also included some people who never
worked out vigorously, for comparison.
Using established
air quality models, they then estimated air pollution levels where the people
lived and, finally, compared everyone’s brain scans.
Disappearing benefits
As expected, vigorous exercise was linked, in general, to sturdy brain
health. Men and women who lived and presumably worked out in areas with little
air pollution showed relatively large amounts of gray matter and a low
incidence of white matter lesions, compared to people who never exercised hard.
And the more they exercised, the better their brains tended to look.
But any beneficial
associations almost disappeared when exercisers lived in areas with even
moderate air pollution. (Levels in this study were mostly within the bounds
considered acceptable for health by
European and American air quality
standards.) Their gray matter volume was smaller, and white matter lesions more
numerous than among people living and exercising away from pollution, even if
their workouts were similar.
Extending these
findings in a second, follow-up study published in February in Medicine &
Science in Sports & Exercise, the same scientists repeated aspects of this
experiment with another 35,562 older UK Biobank participants, comparing
people’s exercise habits, local pollution levels, and diagnoses of dementia, if
any. The data showed the more people exercised, the less likely they were to
develop dementia over time — provided their local air was clear. When it was
moderately polluted, though, they had an increased long-term risk of dementia,
whether they exercised or not.
‘Alarming’ finding
“These data are of significant importance in terms of our understanding
of modifiable risk factors for brain aging,” said Pamela Lein, a professor of
neurotoxicity at the
University of California, Davis, who led the earlier study
of rats and pollution. She was not involved with the new studies. “The
observation that air pollution negates the well-established beneficial effects
of exercise on brain health is alarming and increases the urgency for
developing more-effective regulatory policies” related to air quality.
(Photo: Envato Elements)
The studies have
limitations. They are observational and show links between exercise, pollution,
and
brain health, but cannot prove that bad air directly counteracts the brain
benefits of exercise, or how this might occur. They also did not look into
where people worked out, only that some lived in places with iffy air.
But the results do
intimate that the quality of the air influences the results of the workout and
that for the sake of our brains, we should try not to exercise in bad air, said
David Raichlen, a professor of biological sciences at the University of Southern
California and co-author of the new studies.
Boosting brain health
In practice, a number of measures may help to bolster the brain benefits
of exercise, experts say.
• “Stay away from
busy highways, if at all possible,” Raichlen said. Automobile exhausts are
among the worst pollutants for human health.
• Check local air conditions. Most weather apps also
include the local AQI. Aim to workout in air quality rated as Green, which is
Good. Air quality changes throughout the day, so check back in a few hours if
conditions seem unfavorable at first.
• Working out indoors may be no better. “The available
evidence suggests pollution levels indoors are about the same as those
outside,” Raichlen said, unless a building, such as a gym, has installed
extensive air filtration systems. Pollutants can readily enter buildings
through open doors or windows or cracks in the structure, and the government
doesn’t routinely monitor indoor air quality. You can learn more at the
Environmental Protection Agency website.
• Masking might help. Both surgical and N95 masks filter
some unhealthy particulates, such as soot and other matter, said Melissa
Furlong, an environmental public health researcher at the University of Arizona
and co-author of the two studies. “If you don’t mind wearing a mask while
exercising,” she said, “this would likely result in a reduction of exposure to
particulates.”
• Most important, keep exercising. Exercise has multiple
benefits for cardiovascular health, and “we do not want to discourage people
from being physically active,” Raichlen said, even if air conditions are not
ideal. In the new studies, the brains of people who exercised in polluted air
looked no better, he pointed out — but their brains were also no worse than
those of people who did not exercise at all.
So, if your only
opportunity to exercise is with some pollution hanging in the air, don a mask
and go. Then check your local AQI forecast to look for clearer conditions in
the future. The better the air quality is around you as you exercise, Raichlen
said, the better the workout will be for your brain.
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