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年轻成年人的一般认知能力、中年期身体活动与晚年早期认知功能之间的关系:一项针对男性的四十年纵向队列研究。

Relationships among young adult general cognitive ability, midlife physical activity, and early late-life cognitive functioning: A four-decade longitudinal cohort study in men.

作者信息

Iso-Markku Paula, Buchholz Erik J, Tu Xin M, Gillespie Nathan, Reynolds Chandra A, Lyons Michael J, Kremen William S, Franz Carol E

机构信息

Department of Psychiatry University of California, San Diego La Jolla California USA.

Center for Behavior Genetics of Aging University of California, San Diego La Jolla California USA.

出版信息

Alzheimers Dement (Amst). 2025 Aug 22;17(3):e70169. doi: 10.1002/dad2.70169. eCollection 2025 Jul-Sep.

Abstract

INTRODUCTION

Research on whether physical activity (PA) is associated with cognition is abundant but very few studies have examined the extent to which prior cognitive ability may account for PA participation in midlife.

METHODS

Over 800 men self-reported PA at average ages of 40 and 56. General cognitive ability (GCA) was assessed at an average age of 20. Specific cognitive abilities and GCA were assessed at average ages of 56 and 68. Relationships among age 20 GCA, midlife PA, and cognitive functioning in mid- and late-life were examined with generalized estimating equations.

RESULTS

Age 20 GCA was significantly associated with age 56 leisure metabolic equivalent of energy expenditure (MET)-hours of PA ( = 0.14,  = 0.027). Age 56 leisure MET-hours were positively ( = 0.04,  = 0.021) and age 40 vigorous leisure PA was inversely ( = -0.10,  = 0.012) associated with age 68 GCA ( = 0.04,  = 0.021).

DISCUSSION

There are reciprocal associations between PA and cognitive functioning.

HIGHLIGHTS

Young adult general cognitive ability (GCA) predicts midlife physical activity (PA).Midlife PA and cognition were not associated after adjusting for young adult GCA.Midlife PA is associated with later-life cognition, adjusted for young adult GCA.Work-related PA was inversely associated with later-life cognitive functioning.The relationship between PA and cognitive function is bidirectional.

摘要

引言

关于身体活动(PA)与认知之间关系的研究很多,但很少有研究探讨先前的认知能力在多大程度上可以解释中年人的PA参与情况。

方法

800多名男性自我报告了他们在平均年龄40岁和56岁时的PA情况。一般认知能力(GCA)在平均年龄20岁时进行评估。特定认知能力和GCA在平均年龄56岁和68岁时进行评估。使用广义估计方程研究了20岁时的GCA、中年PA与中年及晚年认知功能之间的关系。

结果

20岁时的GCA与56岁时休闲活动的能量消耗代谢当量(MET)小时数显著相关(β = 0.14,P = 0.027)。56岁时的休闲MET小时数与68岁时的GCA呈正相关(β = 0.04,P = 0.021),而40岁时的剧烈休闲PA与68岁时的GCA呈负相关(β = -0.10,P = 0.012)。

讨论

PA与认知功能之间存在相互关联。

要点

年轻成年人的一般认知能力(GCA)可预测中年身体活动(PA)。在调整年轻成年人的GCA后,中年PA与认知无关联。在调整年轻成年人的GCA后,中年PA与晚年认知相关。与工作相关的PA与晚年认知功能呈负相关。PA与认知功能之间的关系是双向的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7d/12373490/3f872278efe0/DAD2-17-e70169-g001.jpg

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