Prospective associations between leisure-time physical activity and cognitive performance among older adults across an 11-year period

Background: Few studies have explored the relations between naturally occurring changes in physical activity and cognitive performance in later life. This study examined prospective associations between changes in physical activity and cognitive performance in a population-based sample of Taiwanese older adults during an 11-year period. Methods: Analyses were based on nationally representative data from the Taiwan Health and Living Status of the Elderly Survey collected in 1996, 1999, 2003, and 2007. Data from a fixed cohort of 1160 participants who were aged 67 years or older in 1996 and followed for 11 years were included. Cognitive performance (outcome) was assessed using 5 questions from the Short Portable Mental Status Questionnaire. Physical activity (exposure) was self-reported as number of sessions per week. The latent growth model was used to examine associations between changes in physical activity and cognitive performance after controlling for sociodemographic variables, lifestyle behaviors, and health status. Results: With multivariate adjustment, higher initial levels of physical activity were significantly associated with better initial cognitive performance (standardized coefficient β = 0.17). A higher level of physical activity at baseline (1996) was significantly related to slower decline in cognitive performance, as compared with a lower level of activity (β = 0.22). The association between changes in physical activity and changes in cognitive performance was stronger (β = 0.36) than the previous 2 associations. The effect remained after excluding participants with cognitive decline before baseline. Conclusions: Physical activity in later life is associated with slower age-related cognitive decline

Effects of an acute bout of light-intensity walking on sleep in older women with sleep impairment: A randomized controlled trial

Study objective: This study aimed to explore the effects of a single bout of light-intensity walking on sleep in older women with mild sleep impairment. Methods: A total of 40 women aged 55 years or above with mild sleep impairment were randomized to either a treadmill-walking session for 50 mins or a quiet-rest control. All participants completed the study (mean age: 60.4±4.7). Sleep quality was assessed by ActiGraph for 2 nights before (pre-test) and 2 nights after exercise (post-test). A mixed-design analysis of variance was used with group as the between-subjects factor and time point as the within-subjects factor. Results: No significant group difference on demographic variables, body mass index, physical and mental status, and eight sleep parameters were observed at baseline. Significant group-time interactions existed for sleep latency (p<0.001) and sleep efficiency (p=0.025). After the intervention, the walking group reduced sleep latency by 3.3 minutes (p=0.001) and also had greater sleep efficiency (increase 3.8%, p=0.008), but no significant change was found in the control group. No significant group-time interactions were present for the other six sleep parameters (activity counts, total sleep time, wake after sleep onset, number and length of awakenings, or time in bed). Conclusion: A single session of light-intensity walking led to a modest reduction in sleep latency and improvement of sleep efficiency in older women with mild sleep impairment

Relationships of leisure-time and non-leisure-time physical activity with depressive symptoms: a population-based study of Taiwanese older adults.

Background: Limited research has explored the relationship between non-leisure-time physical activity (NLTPA), including domestic and work-related physical activities, with depressive symptoms. This study was designed to elucidate independent associations between leisure-time physical activity (LTPA), NLTPA, and specific parameters of physical activity (frequency, duration and intensity) with depressive symptoms in older adults. Methods: A total of 2,727 persons aged ≥ 65 years participating in the 2005 Taiwan National Health Interview Survey were studied. Depressive symptoms were measured by the Center for Epidemiological Studies Depression Scale. Information regarding energy parameters for each type of LTPA and NLTPA during the past 2-week period was analyzed. After adjusting for socio-demographic variables, lifestyle behaviors and health status, multivariate logistic regression models were used to compute adjusted odds ratios (AOR) for LTPA and NLTPA for predicting depressive symptoms. Results: LTPA but not NLTPA was significantly associated with depressive symptoms. Compared with participants expending 2000+ kcal/week through LTPA, the risk of experiencing depressive symptoms was significantly higher for those expending 1-999 kcal/week (AOR = 2.06, 95% CI: 1.25-3.39), and those who expending 0 kcal/week (AOR= 3.72, 95%CI: 2.28-6.06). Among the three parameters of LTPA (intensity, duration and frequency) examined, only intensity was independently associated with depressive symptoms. Conclusions: These findings imply that exercise recommendations for older adults should emphasize the importance of higher intensity activity, rather than frequency or duration, for improved mental well-being. However, well-designed prospective cohort studies or intervention trials are needed to confirm these findings

Accelerometer-measured daily steps and subjective cognitive ability in older adults: A two-year follow-up study

There is still a paucity of longitudinal studies examining the relationships between objectively-assessed daily steps and cognitive performance in older adults. The current study aimed to explore whether there is a dose-response relationship between accelerometer-measured daily steps and subjective cognitive decline rate after 2 years in older adults. A total of 285 community-dwelling older adults (age = 74.52 ± 6.12 years, female = 55.4%) wore accelerometers for 7 consecutive days measuring daily steps in 2012. Subjective cognitive ability was measured using a Chinese version of the Ascertain Dementia 8-item Questionnaire (AD8). In total 274 (96.1%) participants completed the follow-up study in 2014. Multivariable negative binomial regression adjusted for confounders was undertaken. Daily steps were linearly related to a reduced decline rate in subjective cognitive ability after 2 years. When daily steps were categorized into groups (<3500, 3500–6999, and ≥7000 steps/day), taking approximately 3500–6999 steps/day was associated with a reduced subjective cognitive decline rate (RR = 0.57, 95% CI = 0.37–0.89) after 2 years compared with <3500 steps/day. When accruing ≥7000 steps/day, the decline rate progressively decreased further (RR = 0.43, 95% CI = 0.23–0.82). Sensitivity analyses supported the stability of these findings. These results suggest that there is an inverse dose-response association of daily steps with subjective cognitive decline rate. Even as few as 3500–6999 steps/day was associated with a lower subjective cognitive decline rate after 2 years. Accumulating ≥7000 steps/day could provide greater protection for subjective cognitive ability

Additional file 4: of A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants

Figure S1. Funnel plot of standard error by log rate ratio. (PDF 7 kb

Additional file 1: of A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants

Table S1. Characteristics of studies included in the meta-regression. (DOCX 37 kb

Additional file 3: of A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants

Table S3. Goodness of fit for meta-regression models. (DOCX 22 kb

Cross-sectional and longitudinal associations of outdoor walking with overall mental health in later life

Purpose: This study aimed to examine the cross-sectional and longitudinal associations of three walking parameters (frequency, duration, and intensity) with overall mental health in older adults. Methods: A cross-sectional survey was conducted in 2014 with 1255 community-dwelling older adults aged 65 years and older in Taipei, Taiwan. Among them, 408 participants completed the one-year follow-up survey in 2015. Self-reported outdoor walking during the past 7 days was measured by asking the frequency, duration, and intensity. Metabolic equivalent (MET) values (<2.5, 2.5–<3.5, 3.5–<4.5, and ≥4.5 MET) were assigned to the four levels of speed (slow pace, average, brisk, and fast pace) based on the average walking distance per minute. Overall mental health was assessed using the Five-item Brief Symptom Rating Scale (BSRS-5). Multivariable linear regression models were conducted to explore the cross-sectional and longitudinal associations between outdoor walking and overall mental health, adjusting for socio-demographic factors, lifestyle behaviors, comorbidity and health status. Results: Among the walking parameters, only walking intensity emerged as a significant predictor of subsequent overall mental health. Multivariable regression analysis showed that light-to-moderate intensity (approximately 2.5–<4.5 METs) was significantly associated with better overall mental health at 12-month follow-up. Conclusions: Outdoor walking at light-to-moderate intensity is prospectively associated with better overall mental health in later life

Additional file 1 of The effect of physical activity on sleep disturbance in various populations: a scoping review of randomized clinical trials

Additional file 1: Table S1. Quality Assessment of Controlled Intervention Studies (QACIS) of the included articles

Additional file 3 of The effect of physical activity on sleep disturbance in various populations: a scoping review of randomized clinical trials

Additional file 3. Summary of effect sizes of PA intervention and FITT-D in the included articles