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Weak muscles, weak brain? True or not? I’ve always been more concerned with my mental state than my fitness level. Maybe that’s because I’ve battled with some gene mutations that mess with my mood, motivation, and energy. I mean, who wants to think about fitness when they’re struggling to stay awake and motivated?

Or maybe it’s because I love learning and exploring new ideas, and I want to keep doing that for the rest of my life.

Whatever the reason, I tend to see my brain as more important than my body. So you can imagine how shocked I was when I learned that, as I get older, the health of my muscles can have a major influence on the health of my brain.

I didn’t want to believe it, but it’s true.

Weak muscles and brain connection

Our brain and muscles are more strongly connected than most people realize. Not only does the health of our muscles directly influence the health of our brain, but the two are also affected by many of the same factors.

When our muscles contract, they produce small proteins called myokines, many of which are involved in communication between the muscles and the brain. Releasing them during exercise is of great benefit to the brain and may be especially critical in maintaining cognitive ability as we age (1).

IL-6 (interleukin-6, a cytokine) is also released during exercise; the amounts increase with intensity and duration. According to Docherty et. al (2022), IL-6 usually increases inflammation – but it has the opposite effect during exercise. Here it stimulates the anti-inflammatory cytokines IL-10 and IL-1Ra and inhibits TNF-α, a pro-inflammatory cytokine released in response to cellular damage (2).

The tole of BNDF

These cytokines can cross the blood-brain barrier and reduce immune inflammatory responses, which are known to play a role in neurodegenerative disorders.

Our muscles also secrete something you may be more familiar with. BDNF (brain-derived neurotrophic factor) plays a role in memory consolidation, cognitive function, and neuron protection. It also decreases the production of amyloid plaques (3). People with Alzheimer’s, Parkinson’s disease, and depression tend to have low levels of BDNF (3).

So how do we generate more BDNF?

Exercise for Your Muscles and Brain

As you would expect, exercise is a fantastic way to increase BDNF, but not only because of its effect on myokines and other cytokines.

Our muscles play an important role in glucose storage and metabolism. Low muscle mass is associated with insulin resistance, which is an independent risk factor for cognitive decline (4). Exercise protects against insulin resistance by stimulating energy metabolism in the brain as well as the rest of the body (5).

Physical activity also promotes mitochondrial health, reduces excessive oxidative stress, and improves ATP production in both the muscles and the brain (5). These improvements all help to prevent cognitive dysfunction (5).

Exercise as medicine

Exercise also supports our microglia, the cells that regulate brain development, and the maintenance and repair of neurons. These cells also play a key role in the elimination of abnormal proteins involved in neurodegenerative diseases.

Exercise may also protect the neurons by keeping the intestinal barrier intact, preventing toxins from reaching the brain.

Studies have shown that regular physical activity and improving weak muscles, can reduce the risk of both cognitive decline and dementia (by 38% and 28% respectively) (6). Combining aerobic exercise (like dancing, cycling, and sports) with weight-bearing exercise can keep your muscles from shrinking and improve cognitive skills like memory and reasoning (6).

But exercise shouldn’t be the only tool in your toolbox. The right nutrition can also enable your muscles to better support your brain.

Nutrients for your weak muscles

We need protein to build, repair, and maintain our muscles when we’re young. But as we age, our muscles start to shrink. According to Oudbier et al. (2022), muscle mass declines at a rate of approximately 3%–8% per decade after the age of 30 and accelerates from 60 years onwards (7). This means we require even more protein as the years go by.

And protein doesn’t just support the muscles; it’s directly involved in cognitive functions. Low protein levels in the brain accelerate its degeneration and impair memory.

A study funded by the National Institutes of Health (8) suggests that an over-the-counter supplement known as HMB (beta-hydroxy beta-methylbutyrate) may also help. Bodybuilders use HMB to improve their performance and increase the benefits of exercise, including gains in muscle size and strength. It reduced plaques and increased factors for neuronal growth in mice with Alzheimer’s disease, which is promising. Hopefully, human studies of HMB and other supplements will follow.

Help Your Muscles Help Your Brain

With more and more people over the age of 60 succumbing to neurodegenerative diseases like Alzheimer’s, it’s easy to feel helpless. But there are plenty of things you can do to protect your brain. Who knew that looking after your muscles would be near the top of the list? So yes, weak muscles can mean a weak brain. And there is always time to do something about that!

References

1. Vints WAJ, Gökçe E, Langeard A, Pavlova I, Çevik ÖS, Ziaaldini MM, Todri J, Lena O, Sakkas GK, Jak S, Zorba Zormpa I, Karatzaferi C, Levin O, Masiulis N, Netz Y. Myokines as mediators of exercise-induced cognitive changes in older adults: protocol for a comprehensive living systematic review and meta-analysis. Front Aging Neurosci. 2023 Jul 13;15:1213057. doi: 10.3389/fnagi.2023.1213057. PMID: 37520128; PMCID: PMC10374322.
2. Arosio B, Calvani R, Ferri E, Coelho-Junior HJ, Carandina A, Campanelli F, Ghiglieri V, Marzetti E, Picca A. Sarcopenia and Cognitive Decline in Older Adults: Targeting the Muscle-Brain Axis. Nutrients. 2023 Apr 12;15(8):1853. doi: 10.3390/nu15081853. PMID: 37111070; PMCID: PMC10142447.
2. Docherty, S., Harley, R., McAuley, J.J. et al. The effect of exercise on cytokines: implications for musculoskeletal health: a narrative review. BMC Sports Sci Med Rehabil 14, 5 (2022). https://doi.org/10.1186/s13102-022-00397-2
3. Gao, L., Zhang, Y., Sterling, K. et al. Brain-derived neurotrophic factor in Alzheimer’s disease and its pharmaceutical potential. Transl Neurodegener 11, 4 (2022). https://doi.org/10.1186/s40035-022-00279-0
4. Alabadi, B.; Civera, M.; De la Rosa, A.; Martinez-Hervas, S.; Gomez-Cabrera, M.C.; Real, J.T. Low Muscle Mass Is Associated with Poorer Glycemic Control and Higher Oxidative Stress in Older Patients with Type 2 Diabetes. Nutrients 2023, 15, 3167. https://doi.org/10.3390/nu15143167
5. Lu, Y., Bu, FQ., Wang, F. et al. Recent advances on the molecular mechanisms of exercise-induced improvements of cognitive dysfunction. Transl Neurodegener 12, 9 (2023). https://doi.org/10.1186/s40035-023-00341-5
6. Karamacoska D, Butt A, Leung IHK, Childs RL, Metri N-J, Uruthiran V, Tan T, Sabag A and Steiner-Lim GZ (2023) Brain function effects of exercise interventions for cognitive decline: a systematic review and meta-analysis. Front. Neurosci. 17:1127065. doi: 10.3389/fnins.2023.1127065
7. Oudbier SJ, Goh J, Looijaard SMLM, Reijnierse EM, Meskers CGM, Maier AB. Pathophysiological Mechanisms Explaining the Association Between Low Skeletal Muscle Mass and Cognitive Function. J Gerontol A Biol Sci Med Sci. 2022 Oct 6;77(10):1959-1968. doi: 10.1093/gerona/glac121. PMID: 35661882; PMCID: PMC9536455.
8. Courel-Ibáñez J, Vetrovsky T, Dadova K, Pallarés JG, Steffl M. Health Benefits of β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Addition to Physical Exercise in Older Adults: A Systematic Review with Meta-Analysis. Nutrients. 2019 Sep 3;11(9):2082. doi: 10.3390/nu11092082. PMID: 31484462; PMCID: PMC6769498.
Steph Sterner

Steph Sterner

Steph Sterner is a holistic practitioner and the author of No Guilt, No Games, No Drama and other self-help books. She writes about personal development, why we think and feel the way we do, and the nature of consciousness. You can find her on Medium (@Steph.Sterner) or at www.stephsterner.com.

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