Hollander Matthew, Jariwala Namasvi, Sotelo Lizeth, Kiefer Jamie, Gomez Rowena
Psychology, Palo Alto University, Palo Alto, CA, USA.
Clin Neuropsychol. 2024 Sep 11:1-19. doi: 10.1080/13854046.2024.2399866.
Modifiable lifestyle factors evidence great promise in reducing cognitive decline in older adults. Greater consumption to the MIND diet (Morris et al.) and increased daily physical activity (Buchman et al.) are associated with higher cognitive functioning. The interactive effects of lifestyle factors on cognition in older adults has not been investigated extensively. The present study examined the interaction between MIND diet consumption and intensity of physical activity on cognition in community-dwelling older adults. The sample included 215 older adults (159 female, 79.8; =15.5) from the Memory and Aging Project (Bennet et al.). The measures included the food frequency questionnaire (FFQ, MIND diet consumption), a portable actigraph worn 24 h a day for ten days (activity intensity), and a neuropsychological battery (cognitive variables). Controlling for age and education, multiple regression analyses revealed that MIND diet consumption significantly predicted global cognition (< .05). Physical activity significantly predicted global cognition (< .05), and processing speed (< .01). Interaction effects were significant in global cognition (< .05), and episodic memory (< .01) revealing a pattern that those with the lowest MIND diet consumption may experience greater cognitive benefits from physical activity in than those with higher diet consumption. Findings suggest that older adults who do not consume the MIND diet closely may experience greater benefit in cognitive functioning from exercise than individuals who more greatly consume the diet.
可改变的生活方式因素在减少老年人认知衰退方面显示出巨大潜力。更多地遵循MIND饮食法(莫里斯等人)以及增加日常身体活动(布赫曼等人)与更高的认知功能相关。生活方式因素对老年人认知的交互作用尚未得到广泛研究。本研究考察了MIND饮食法的遵循情况与身体活动强度对社区居住老年人认知的交互作用。样本包括来自记忆与衰老项目(贝内特等人)的215名老年人(159名女性,平均年龄79.8岁;标准差=15.5)。测量指标包括食物频率问卷(FFQ,MIND饮食法的遵循情况)、连续十天每天佩戴24小时的便携式活动记录仪(活动强度)以及一套神经心理测验(认知变量)。在控制年龄和教育程度后,多元回归分析显示,遵循MIND饮食法能显著预测整体认知(P<0.05)。身体活动能显著预测整体认知(P<0.05)以及加工速度(P<0.01)。交互作用在整体认知(P<0.05)和情景记忆(P<0.01)方面显著,揭示出一种模式,即MIND饮食法遵循程度最低的人可能比饮食遵循程度较高的人从身体活动中获得更大的认知益处。研究结果表明,与大量遵循MIND饮食法的个体相比,没有严格遵循MIND饮食法的老年人可能从运动中在认知功能方面获得更大益处。