Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, USA.
J Gerontol A Biol Sci Med Sci. 2021 Mar 31;76(4):716-724. doi: 10.1093/gerona/glab013.
The physical and cognitive benefits of moderate-vigorous intensity physical activity (MVPA) for adults have been well documented. Recently, there has been increasing interest in the independent health benefits of light-intensity physical activity (LPA). This research has primarily focused on the relationship between LPA and morbidity and mortality risk, with few studies investigating cognitive associations. The purpose of this scoping review was to catalog existing evidence on the association between device-based or technologically measured LPA and cognition among adults, identify trends in the literature, and recommend future areas for research.
Six electronic databases were searched between January and June 2020. Forty published studies met the inclusion criteria, which included both healthy and clinical young and older adult populations. Among the 40 articles were 14 acute exercise studies, 4 randomized control trials (RCTs), 18 cross-sectional studies, and 4 longitudinal studies.
7/14 (50%) acute, 3/4 (75%) RCT, 10/18 (56%) cross-sectional, and 2/4 (50%) longitudinal studies reported a significant, positive relationship between LPA and one or more cognitive outcomes. These heterogeneous findings can largely be attributed to the diverse study designs and populations, as well as the numerous assessments used to test the cognitive domains.
These collective findings suggest LPA may be a potential lifestyle intervention to improve cognition across adulthood. However, the inconsistent approaches used among these studies suggest a more concerted, unified scientific approach is needed to further understand the LPA-cognition relationship.
适度剧烈强度体育活动(MVPA)对成年人的身体和认知益处已有充分的记录。最近,人们对低强度体力活动(LPA)的独立健康益处越来越感兴趣。这项研究主要集中在 LPA 与发病率和死亡率风险之间的关系上,很少有研究调查认知相关性。本范围综述的目的是对基于设备或技术测量的 LPA 与成年人认知之间的关联进行现有证据进行编目,确定文献中的趋势,并为未来的研究推荐领域。
2020 年 1 月至 6 月期间,在六个电子数据库中进行了搜索。符合纳入标准的 40 项已发表研究包括健康和临床的年轻和老年成年人。在 40 篇文章中,有 14 项急性运动研究、4 项随机对照试验(RCT)、18 项横断面研究和 4 项纵向研究。
14 项急性研究中的 7/14(50%)、4 项 RCT 中的 3/4(75%)、18 项横断面研究中的 10/18(56%)和 4 项纵向研究中的 2/4(50%)报告了 LPA 与一个或多个认知结果之间存在显著的正相关关系。这些异质的发现主要归因于不同的研究设计和人群,以及用于测试认知领域的众多评估方法。
这些综合发现表明,LPA 可能是改善成年期认知的潜在生活方式干预措施。然而,这些研究中使用的不一致方法表明,需要更协调、统一的科学方法来进一步了解 LPA-认知关系。