Dementia is a progressive brain disorder that affects memory, thinking, behavior, and the ability to carry out daily tasks. It is a set of symptoms caused by various underlying diseases such as Alzheimer’s, Parkinson’s and Huntington’s. Dementia often begins with mild memory loss that gradually worsens over time, affecting quality of life and independence.
Older women who engage in more daily walking and moderate-to-vigorous physical activity are more likely to develop mild dementia, according to a new study led by the Herbert Wertheim School of Public Health and Human Longevity Sciences at the University of California, San Diego. less sexual. disability or dementia.
The team recently published its findings
“Given that the onset of dementia begins 20 years or more before symptoms show, the early intervention for delaying or preventing cognitive decline and dementia among older adults is essential,” said senior author Andrea LaCroix, Ph.D., M.P.H., Distinguished Professor at the Herbert Wertheim School of Public Health and Human Longevity Science at UC San Diego.
Andrea LaCroix, Ph.D., M.P.H., Distinguished Professor at the UC San Diego Herbert Wertheim School of Public Health and Human Longevity Science. Credit: University of California San Diego
While there are several types, dementias are debilitating neurological conditions that can cause loss of memory, the ability to think, problem solve or reason. Mild cognitive impairment is an early stage of memory loss or thinking problems that is not as severe as dementia.
According to the United States Department of Health and Human Services, dementia affects more than 5 million people in this country. That number is expected to double by 2050.
More women live with and are at higher risk of developing dementia than men.
“Physical activity has been identified as one of the three most promising ways to reduce the risk of dementia and Alzheimer’s disease. Prevention is important because once dementia is diagnosed, it is very difficult to slow or reverse. There is no cure,” said LaCroix.
However, because few large studies have examined device measures of movement and sitting in relation to mild cognitive impairment and dementia, much of the published research on the associations of physical activity and sedentary behavior with cognitive decline and dementia is based on self-reported measures, said first author, Steven Nguyen, Ph.D., M.P.H., a postdoctoral scholar at the Herbert Wertheim School of Public Health.
Steven Nguyen, Ph.D., M.P.H., a postdoctoral scholar at the UC San Diego Herbert Wertheim School of Public Health and Human Longevity Science. Credit: University of California San Diego
For this study, the researchers sampled data from 1,277 women as part of two Women’s Health Initiative (WHI) ancillary studies — the WHI Memory Study (WHIMS) and the Objective Physical Activity and Cardiovascular Health (OPACH) study. The women wore research-grade accelerometers and went about their daily activities for up to seven days to obtain accurate measures of physical activity and sitting.
The activity trackers showed the women averaged 3,216 steps, 276 minutes in light physical activities, 45.5 minutes of moderate-to-vigorous physical activity, and 10.5 hours of sitting per day. Examples of light physical activity could include housework, gardening, or walking. Moderate-to-vigorous physical activity could include brisk walking.
The study findings also showed that higher amounts of sitting and prolonged sitting were not associated with a higher risk of mild cognitive impairment or dementia.
Impact of physical activity on dementia graphic. Credit: UC San Diego Herbert Wertheim School of Public Health and Human Longevity Science
Together, this information has clinical and public health importance as there is little published information on the amount and intensity of physical activity needed for a lower dementia risk said Nguyen.
“Older adults can be encouraged to increase the movement of at least moderate intensity and take more steps each day for a lower risk of mild cognitive impairment and dementia,” said Nguyen.
“The findings for steps per day are particularly noteworthy because steps are recorded by a variety of wearable devices increasingly worn by individuals and could be readily adopted.”
The authors said further research is needed among large diverse populations that include men.
Reference: “Accelerometer-measured physical activity and sitting with incident mild cognitive impairment or probable dementia among older women” by Steve Nguyen, Andrea Z. LaCroix, Kathleen M. Hayden, Chongzhi Di, Priya Palta, Marcia L. Stefanick, JoAnn E. Manson, Stephen R. Rapp, Michael J. LaMonte and John Bellettiere, 25 January 2023, Alzheimer’s & Dementia.
DOI: 10.1002/alz.12908
The study was funded, in part, by the National Institute on Aging and the National Heart, Lung, and Blood Institute. The Women’s Health Initiative was funded by the National Heart, Lung, and Blood Institute.
