The role of physical function and physical activity on cognitive function in the elderly

The aim of this study is to clarify the role of physical activity level and physical function on cognitive function of the elderly. A nested case–control investigation from a middle-aged and elderly cognitive health cohort was conducted. 103 mild cognitive impairment (MCI) patients were selected for...

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Main Authors: Chengyan Qi, Xianyun Wang, Dajun Li, Huini Ding, Jing Shen, Yuning Jiao, Wangziyan Lu, Yuandi Xi
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-01-01
Series:Global Transitions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589791824000033
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author Chengyan Qi
Xianyun Wang
Dajun Li
Huini Ding
Jing Shen
Yuning Jiao
Wangziyan Lu
Yuandi Xi
author_facet Chengyan Qi
Xianyun Wang
Dajun Li
Huini Ding
Jing Shen
Yuning Jiao
Wangziyan Lu
Yuandi Xi
author_sort Chengyan Qi
collection DOAJ
description The aim of this study is to clarify the role of physical activity level and physical function on cognitive function of the elderly. A nested case–control investigation from a middle-aged and elderly cognitive health cohort was conducted. 103 mild cognitive impairment (MCI) patients were selected for the purpose of the study and matched 1:1 according to age and sex. Handgrip strength, gait speed and 5-time chair stand test were used to evaluate physical function. The physical activity scale for the elderly (PASE) was used to assess physical activity level. The Montreal cognitive assessment (MoCA) was used to quickly screen the mild cognitive impairment of the subjects. Body composition was estimated by bioelectrical impedance analysis. The total score of MoCA and the scores of different cognitive domains in two groups were different, handgrip strength was lower in the MCI group. Multivariate logistic regression model results showed that handgrip strength decreased could increase the risk of MCI(OR = 3.008, 95%CI: 1.421,6.369), higher PASE score was correlated with lower risk of MCI (OR = 0.402, 95%CI: 0.168,0.966). After combining body composition indices, handgrip strength and PASE score remained significantly associated with the occurrence of MCI, and there is an interaction. Logistic regression models were used for receiver operating characteristic curve analysis, all models demonstrate a good level of predictive performance for MCI. Physical activity level and physical function are associated with mild cognitive impairment. Higher physical activity level, normal handgrip strength are correlated with lower risk of MCI.
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spelling doaj.art-83f09fe8e67246d19ba337ced8927c4c2024-03-23T06:25:45ZengKeAi Communications Co., Ltd.Global Transitions2589-79182024-01-0168592The role of physical function and physical activity on cognitive function in the elderlyChengyan Qi0Xianyun Wang1Dajun Li2Huini Ding3Jing Shen4Yuning Jiao5Wangziyan Lu6Yuandi Xi7School of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaSchool of Public Health, Capital Medical University, Beijing, 100069, ChinaCorresponding author.; School of Public Health, Capital Medical University, Beijing, 100069, ChinaThe aim of this study is to clarify the role of physical activity level and physical function on cognitive function of the elderly. A nested case–control investigation from a middle-aged and elderly cognitive health cohort was conducted. 103 mild cognitive impairment (MCI) patients were selected for the purpose of the study and matched 1:1 according to age and sex. Handgrip strength, gait speed and 5-time chair stand test were used to evaluate physical function. The physical activity scale for the elderly (PASE) was used to assess physical activity level. The Montreal cognitive assessment (MoCA) was used to quickly screen the mild cognitive impairment of the subjects. Body composition was estimated by bioelectrical impedance analysis. The total score of MoCA and the scores of different cognitive domains in two groups were different, handgrip strength was lower in the MCI group. Multivariate logistic regression model results showed that handgrip strength decreased could increase the risk of MCI(OR = 3.008, 95%CI: 1.421,6.369), higher PASE score was correlated with lower risk of MCI (OR = 0.402, 95%CI: 0.168,0.966). After combining body composition indices, handgrip strength and PASE score remained significantly associated with the occurrence of MCI, and there is an interaction. Logistic regression models were used for receiver operating characteristic curve analysis, all models demonstrate a good level of predictive performance for MCI. Physical activity level and physical function are associated with mild cognitive impairment. Higher physical activity level, normal handgrip strength are correlated with lower risk of MCI.http://www.sciencedirect.com/science/article/pii/S2589791824000033Mild cognitive impairmentPhysical functionPhysical activityBody compositionNested case-control study
spellingShingle Chengyan Qi
Xianyun Wang
Dajun Li
Huini Ding
Jing Shen
Yuning Jiao
Wangziyan Lu
Yuandi Xi
The role of physical function and physical activity on cognitive function in the elderly
Global Transitions
Mild cognitive impairment
Physical function
Physical activity
Body composition
Nested case-control study
title The role of physical function and physical activity on cognitive function in the elderly
title_full The role of physical function and physical activity on cognitive function in the elderly
title_fullStr The role of physical function and physical activity on cognitive function in the elderly
title_full_unstemmed The role of physical function and physical activity on cognitive function in the elderly
title_short The role of physical function and physical activity on cognitive function in the elderly
title_sort role of physical function and physical activity on cognitive function in the elderly
topic Mild cognitive impairment
Physical function
Physical activity
Body composition
Nested case-control study
url http://www.sciencedirect.com/science/article/pii/S2589791824000033
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