Objectives: Alzheimer disease is a progressive neurodegenerative disorder with the formation of amyloid β plaques in the brain. This study investigates the effects of a resistance training course with sildenafil supplementation on brain-derived neurotrophic factor and tropomyosin receptor kinase B in the hippocampal tissue of rats with Alzheimer disease. Methods: A total of 40 Wistar rats were randomly assigned to five groups. Alzheimer induction was performed with β-amyloid peptides 1-14. Rats performed resistance training 5 sessions per week for six weeks. Sildenafil was injected intraperitoneally. Then, 72 h after the last training session, the hippocampus of the rats was extracted. The results of the analysis of variance showed a significant difference between brain-derived neurotrophic factor mRNA and tropomyosin receptor kinase B mRNA (P≤0.001). Results: The results of the Bonferroni post hoc test showed a significant difference between the control group and the experimental groups. Discussion: Training and sildenafil supplementation groups performed better in the Morris water maze cognitive test compared to other groups. Resistance training and sildenafil supplementation, by synergizing their effects, can increase tropomyosin receptor kinase B, the expression of neurotrophin genes, and hippocampal receptors; in addition, they are effective in the development of cognitive activity and memory.