Brain Booster Buildings: Modelling Stair Use as a Daily Booster of Brain-Derived Neurotrophic Factor
Mohamed Hesham Khalil, Koen Steemers
Abstract
This paper establishes the Brain Booster Buildings framework, the first model to demonstrate how daily stair use can elevate brain-derived neurotrophic factor (BDNF), a vital molecule for lifelong neurogenesis and brain health in humans. Through a novel framework of the associations between metabolic equivalents (METs) data and BDNF response studies, we establish that stairs are generally higher in METs than any indoor activity. We further explain how architectural parameters (riser height, floor number, pace) predictably modulate exercise intensity during stair use. We identify two implementable patterns: moderate-intensity continuous use (≥20 min, 1–3 floors) and high-intensity interval training (6 min, carrying loads while using stairs in a building with three floors or less, or using stairs in a building with ≥3 floors, load-free). Based on BDNF responses to comparable exercise intensities, 6 min of high-intensity stair climbing is predicted to increase serum BDNF by up to 40%. Since people spend ~90% of their time indoors while neurogenesis declines fourfold throughout the adult lifespan, affecting mood, stress resilience, and memory, vertical architecture emerges as a vital, accessible, and cost-effective infrastructure that boosts BDNF for neurogenesis, plasticity, and brain health. We conducted scenario-based modelling using the Brain Booster Buildings framework to estimate how the use of stairs in residential, office, educational, hospital, and commercial buildings may boost BDNF levels based on established intensity–BDNF relationships. The framework provides architects, policymakers, and clinicians with evidence-based estimated specifications to use buildings as daily brain boosters.