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The Study

Effects of Mindfulness and Exercise on Growth Factors, Inflammation, and Stress Markers in Chronic Stroke: The MindFit Project Randomized Clinical Trial

In simple terms

This study is like a science experiment where they gave different groups of stroke survivors different kinds of brain exercises and measured tiny body signals. They found some signals changed, but those changes didn't match up with people feeling better or thinking clearer. So we know the exercises changed some body stuff, but we don't know if that actually helped them recover.

75%

Analysis score

75/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting40
Methodology80
Publication100
Statistical77
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

After a stroke, some people do brain exercises, mindfulness, or exercise to feel better. This study checked if these activities change special body chemicals that might help the brain recover.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
75

75 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1The changes in body chemicals didn't explain why people felt better or improved mentally — so while mindfulness and exercise may help the body in small ways, they didn't clearly cause the brain improvements seen.
  2. 2After 12 weeks: Mindfulness kept one brain chemical (VEGF) steady; both mindfulness and exercise lowered stress hormone (cortisol); all groups had lower IGF-1 (a growth chemical); no changes in BDNF, CRP, or IL-6.
  3. 3None of these changes matched improvements in thinking, mood, or fitness.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Journal of Clinical Medicine

Year

2025

Authors

Adrià Bermudo-Gallaguet, Mar Ariza, Daniela Agudelo, Neus Camins-Vila, M. Boldó, S. Peters, A. Sawicka, Rosalía Dacosta-Aguayo, Juan José Soriano-Raya, Marc Via, Imma C. Clemente, A. García-Molina, M. J. Durà Mata, Pere Torán-Monserrat, Kirk I. Erickson, Maria Mataró

Open Access
2 citations
Analysis v5

Related Content

Claims (6)

Assertion

Physical exercise lowers levels of biological stress indicators and enhances the functioning of the hormonal and nervous systems that regulate stress responses.

Mechanistic
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Assertion

In adults with chronic stroke, a 12-week program combining mindfulness and computer-based cognitive training maintains stable levels of vascular endothelial growth factor in the blood, while similar training without mindfulness, or with physical exercise, leads to a decrease in this protein.

Causal
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Assertion

In adults with chronic stroke, 12 weeks of mindfulness-based stress reduction or physical exercise combined with computerized cognitive training lowers plasma cortisol levels compared to before the intervention, and both approaches lower cortisol to a similar extent.

Quantitative
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Assertion

Twelve weeks of computerized cognitive training does not change the blood levels of BDNF, CRP, or IL-6 in adults with chronic stroke.

Descriptive
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Assertion

Adults with chronic stroke who undergo 12 weeks of computerized cognitive training, regardless of whether they also do mindfulness or physical exercise, show a measurable decrease in plasma insulin-like growth factor-1 (IGF-1) levels.

Quantitative
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Assertion

In adults with chronic stroke, changes in blood markers related to brain adaptation, inflammation, and stress do not change in tandem with improvements in thinking, mood, mindfulness, or physical ability.

Correlational
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