Improving cognitive skills with aerobic exercise

The Bottom Line

  • Executive function consists of cognitive skills and processes that help us complete activities of daily living.
  • Aging, engaging in sedentary behaviours, and a lack of physical activity can diminish executive function.
  • In middle-aged and older adults, aerobic exercise can enhance impulse control, working memory, and cognitive flexibility.
  • Talk to your healthcare team about incorporating a tailored aerobic exercise program into your routine. 

Problem solving, adjusting to changes, planning, regulating our emotions and impulses, and holding onto and using information in the short term while completing tasks are all cognitive skills and processes that we use in our daily lives (1-3). For example, making a grocery list requires planning and organization, while sticking to it at the store requires impulse control. Following a recipe requires working memory, while adapting to the situation if something goes wrong as you cook it requires cognitive flexibility. These core skills and processes fall under the umbrella of “executive function” (1-3).


It's clear that executive function plays an important role in helping us navigate life, and as such, we should aim to preserve it. To do this, let’s first discuss a few of the factors that are associated with a decline in our executive function. These include aging, with the earliest signs of deterioration popping up in middle age (around mid-to-late 40s); spending too much time engaging in sedentary behaviours like sitting on the couch watching TV or lounging on a lawn chair; and a lack of physical activity (1-7).


Sedentary behaviours and physical activity have been a focus of research on executive function (1-3). It’s not surprising given that less than 1 in 5 Canadians meet sedentary behaviour recommendations of eight hours or less spent on sedentary activities each day. What's more, less than half meet physical activity recommendations of 150 minutes of moderate-to-vigorous intensity exercise each week (8). Luckily, sitting less and exercising more are well within our reach! To motivate us, let’s turn to a systematic review looking at the effects of aerobic exercise (e.g., general aerobic exercise like hiking, cycling, treadmill, swimming, dance, and walking or mind-body exercise like yoga) on executive function in healthy middle-aged and older adults (1).


What the research tells us

Put on your sweatpants and running shoes! The review found aerobic exercise can improve multiple components of executive function, namely impulse control, working memory, and cognitive flexibility. It’s worth noting that one area that did not see improvement is planning.


Focusing in further, we are able to comment on which type, intensity, length, duration, and frequency of aerobic exercise appears to be most effective for the areas of executive function that saw benefits.  

  • Impulse control: General aerobic exercise conduced in 20–45-minute sessions 3–4 days a week for 13–24 weeks.
  •  Working memory: General aerobic exercise with gradual increases in intensity conducted in 20–45-minute sessions 5-7 days a week for 13-24 weeks.
  • Cognitive flexibility: Mind–body exercise with gradual increases in intensity conducted in 46–60-minute sessions 5-7 days a week for 13-24 weeks.

In terms of safety, some mild-moderate side effects like pain, leg injuries, and sprains were reported but luckily no serious side effects (1).


From our physical health to our cognitive health, being less sedentary and more active can do us a world of good and are very actionable next steps for those looking for healthy lifestyle modifications. Those interested in incorporating aerobic exercise into their weekly routine should consult with their healthcare team about developing an individualized plan that meets their needs.

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References

  1. Ye M, Song T, Xia H, et al. Effects of aerobic exercise on executive function of healthy middle-aged and older adults: A systematic review and meta-analysis. Int J Nurs Stud. 2024; 160:104912. doi: 10.1016/j.ijnurstu.2024.104912.
  2. Tian S, Liang Z, Qiu F, et al. Physical activity on executive function in sedentary individuals: Systematic review and meta-analysis of randomized controlled trials. PLoS One. 2023; 18(12):e0294251.
  3. Xiong J, Ye M, Wang L, et al. Effects of physical exercise on executive function in cognitively healthy older adults: A systematic review and meta-analysis of randomized controlled trials: Physical exercise for executive function. Int J Nurs Stud. 2021; 114:103810. doi: 10.1016/j.ijnurstu.2020.103810.
  4. Singh-Manoux A, Kivimaki M, Glymour MM, et al. Timing of onset of cognitive decline: Results from Whitehall II prospective cohort study. Bmj. 2012; 344:d7622. 
  5. Persson J, Nyberg L, Lind J, et al. Structure-function correlates of cognitive decline in aging. Cereb Cortex. 2006; 16:907-915. doi:10.1093/cercor/bhj036.
  6. Tucker-Drob EM. Global and domain-specific changes in cognition throughout adulthood. Dev Psychol. 2011; 47: 331-343. doi:10.1037/a0021361.
  7. Li S, Guo J, Zheng K, et al. Is Sedentary behavior associated with executive function in children and adolescents? A systematic review. Front Public Health. 2022;10:832845.
  8. Government of Canada. Tracking health through daily movement behaviour: Data blog. [Internet] 2023. [cited March 2025]. Available from: https://health-infobase.canada.ca/datalab/pass-blog.html

DISCLAIMER: These summaries are provided for informational purposes only. They are not a substitute for advice from your own health care professional. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the McMaster Optimal Aging Portal (info@mcmasteroptimalaging.org).

Many of our Blog Posts were written before the COVID-19 pandemic and thus do not necessarily reflect the latest public health recommendations. While the content of new and old blogs identify activities that support optimal aging, it is important to defer to the most current public health recommendations. Some of the activities suggested within these blogs may need to be modified or avoided altogether to comply with changing public health recommendations. To view the latest updates from the Public Health Agency of Canada, please visit their website.