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轻度体力活动与社区居住的老年人的认知能力呈正相关。

Light physical activity is positively associated with cognitive performance in older community dwelling adults.

作者信息

Johnson Liam G, Butson Michael L, Polman Remco C, Raj Isaac S, Borkoles Erika, Scott David, Aitken Dawn, Jones Graeme

机构信息

Clinical Exercise Science Research Program, Institute of Sport, Exercise and Active Living, Victoria University, Australia; The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Australia.

Active Living and Public Health Research Program, Institute of Sport, Exercise and Active Living, Victoria University, Australia.

出版信息

J Sci Med Sport. 2016 Nov;19(11):877-882. doi: 10.1016/j.jsams.2016.02.002. Epub 2016 Feb 17.

Abstract

OBJECTIVES

To evaluate the associations between an objective measure of different intensities of physical activity, upper- and lower-limb muscle strength and psychomotor performance and set-shifting domains of cognitive executive function in older adults.

DESIGN

A cross-sectional study.

METHODS

From the Tasmanian Older Adult Cohort Study, 188 community-dwelling older adults (53.7% female; mean age±SD 63.98±7.3 years) undertook 7-day physical activity behaviour monitoring using an accelerometer. Dynamometers were used to assess leg extension strength. The Trail Maker Tests were used to measure psychomotor processing speed and set-shifting performance.

RESULTS

When controlling for age, smoking history, alcohol intake, educational achievement and neuropsychological functioning, higher levels of light physical activity, but not sedentary behaviour or moderate or vigorous physical activity, was found to be associated with better set-shifting performance. Neither physical activity behaviour or muscle strength were found to be associated with psychomotor performance. In addition, older age, greater alcohol intake, and lower levels of educational attainment, verbal learning and memory performance were significantly associated with lower scores on the set-shifting task; whereas older age and reduced neuropsychological functioning were associated with lower psychomotor processing speed scores.

CONCLUSIONS

Light physical activity is associated with higher executive functioning in community-dwelling older adults and this strengthens the evidence supporting exercise as a neuroprotective agent. Further studies are needed to understand why light physical activity behaviour positively influences executive functioning, and how such physical activity can be implemented into the daily routine of older adults.

摘要

目的

评估老年人不同强度体力活动的客观测量指标、上下肢肌肉力量、心理运动表现与认知执行功能的定势转换领域之间的关联。

设计

一项横断面研究。

方法

从塔斯马尼亚老年人群队列研究中,选取188名社区居住的老年人(女性占53.7%;平均年龄±标准差为63.98±7.3岁),使用加速度计进行为期7天的体力活动行为监测。用测力计评估腿部伸展力量。使用连线测验来测量心理运动处理速度和定势转换表现。

结果

在控制年龄、吸烟史、酒精摄入量、教育程度和神经心理功能后,发现较高水平的轻度体力活动与较好的定势转换表现相关,而久坐行为、中度或剧烈体力活动则不然。未发现体力活动行为或肌肉力量与心理运动表现相关。此外,年龄较大、酒精摄入量较高、教育程度较低、言语学习和记忆表现与定势转换任务得分较低显著相关;而年龄较大和神经心理功能下降与心理运动处理速度得分较低相关。

结论

轻度体力活动与社区居住老年人较高的执行功能相关,这进一步证明了运动作为一种神经保护剂的证据。需要进一步研究来理解为什么轻度体力活动行为会对执行功能产生积极影响,以及如何将这种体力活动纳入老年人的日常生活中。

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