1. Self-reported mid- to late-life physical and recreational activities: Associations with late-life cognition
- Author
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Gavett, Brandon E, Widaman, Keith F, McKenzie, Cathryn, De Leon, Fransia S, Fletcher, Evan, Farias, Sarah Tomaszewski, and Mungas, Dan
- Subjects
Applied and Developmental Psychology ,Biological Psychology ,Health Services and Systems ,Health Sciences ,Psychology ,Basic Behavioral and Social Science ,Clinical Research ,Aging ,Behavioral and Social Science ,Neurodegenerative ,Acquired Cognitive Impairment ,Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) ,Prevention ,Dementia ,Alzheimer's Disease ,Brain Disorders ,Neurosciences ,Prevention of disease and conditions ,and promotion of well-being ,3.1 Primary prevention interventions to modify behaviours or promote wellbeing ,Humans ,Aged ,Adult ,Middle Aged ,Aged ,80 and over ,Longitudinal Studies ,Self Report ,Retrospective Studies ,Cognition ,Memory ,Episodic ,cognitive aging ,healthy aging ,exercise ,household work ,leisure activities ,hobbies ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Experimental Psychology ,Biomedical and clinical sciences ,Health sciences - Abstract
ObjectivePhysical and recreational activities are behaviors that may modify risk of late-life cognitive decline. We sought to examine the role of retrospectively self-reported midlife (age 40) physical and recreational activity engagement - and self-reported change in these activities from age 40 to initial study visit - in predicting late-life cognition.MethodData were obtained from 898 participants in a longitudinal study of cognitive aging in demographically and cognitively diverse older adults (Age: range = 49-93 years, M = 75, SD = 7.19). Self-reported physical and recreational activity participation at age 40 and at the initial study visit were quantified using the Life Experiences Assessment Form. Change in activities was modeled using latent change scores. Cognitive outcomes were obtained annually (range = 2-17 years) using the Spanish and English Neuropsychological Assessment Scales, which measure verbal episodic memory, semantic memory, visuospatial processing, and executive functioning.ResultsPhysical activity engagement at age 40 was strongly associated with cognitive performance in all four domains at the initial visit and with global cognitive slope. However, change in physical activities after age 40 was not associated with cognitive outcomes. In contrast, recreational activity engagement - both at age 40 and change after 40 - was predictive of cognitive intercepts and slope.ConclusionsRetrospectively self-reported midlife physical and recreational activity engagement were strongly associated with late-life cognition - both level of performance and rate of future decline. However, the data suggest that maintenance of recreational activity engagement (e.g., writing, taking classes, reading) after age 40 is more strongly associated with late-life cognition than continued maintenance of physical activity levels.
- Published
- 2024