TY - JOUR
T1 - Objectively assessed physical activity and sedentary behavior and global cognitive function in older adults: a systematic review
T2 - a systematic review
AU - Rojer, Anna G. M.
AU - Ramsey, Keenan A.
AU - Amaral Gomes, Elvira S.
AU - D'Andrea, Luke
AU - Chen, Christopher
AU - Szoeke, Cassandra
AU - Meskers, Carel G. M.
AU - Reijnierse, Esmee M.
AU - Maier, Andrea B.
N1 - Funding Information: This work was supported the European Union's Horizon 2020 research and innovation programmes under the Marie Curie Skoldowska-Curie grant for the PANINI project (675003); and the European Union's Horizon 2020 research and innovation programme PreventIT (689238). Funding Information: This work was supported the European Union’s Horizon 2020 research and innovation programmes under the Marie Curie Skoldowska-Curie grant for the PANINI project (675003); and the European Union’s Horizon 2020 research and innovation programme PreventIT (689238). Publisher Copyright: © 2021 The Author(s) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Background: Both physical activity (PA) and sedentary behavior (SB) are important factors for healthy ageing. This systematic review aimed to determine the association of objectively assessed (instrumented) PA and SB with global cognitive function in older adults. Methods: PubMed, Embase, the Cochrane Library (via Wiley), CINAHL, PsychINFO, and SPORTDiscus (via EBSCO) were searched from inception to June 21, 2020 for articles that described associations of objectively assessed PA/SB with global cognitive function in older adults aged 60 years and older. Results were synthesized using an effect direction heat map and albatross plots portrayed estimated effect sizes (standardized regression coefficients (βs)), which were summarized in boxplots. Results: In total, 45 articles were included representing a total of 15,817 older adults (mean/median age ranged from 65 to 88 years; 49.5% female). Longitudinal studies (n = 7) showed that higher moderate-to-vigorous and light PA (MVPA and LPA, respectively) and lower SB were associated with better global cognitive function. Standardized βs of cross-sectional studies (n = 38) showed that lower SB (median [IQR], β = 0.078 [0.004-0.184] and higher LPA (β = 0.096 [0.046-0.188]), activity counts (β = 0.131 [0.049-0.224]), number of steps (β = 0.155 [0.096-0.246]), MVPA (β = 0.163 [0.069-0.285]) and total PA (TPA) (β = 0.174 [0.147-0.255]) were associated with better global cognitive function. Conclusions: Higher PA and lower SB are associated with better global cognitive function in older adults. The greatest estimated effect sizes were found for moderate-to-vigorous and TPA, suggesting that greater duration of any PA, and high intensity PA could be most beneficial for global cognitive function.
AB - Background: Both physical activity (PA) and sedentary behavior (SB) are important factors for healthy ageing. This systematic review aimed to determine the association of objectively assessed (instrumented) PA and SB with global cognitive function in older adults. Methods: PubMed, Embase, the Cochrane Library (via Wiley), CINAHL, PsychINFO, and SPORTDiscus (via EBSCO) were searched from inception to June 21, 2020 for articles that described associations of objectively assessed PA/SB with global cognitive function in older adults aged 60 years and older. Results were synthesized using an effect direction heat map and albatross plots portrayed estimated effect sizes (standardized regression coefficients (βs)), which were summarized in boxplots. Results: In total, 45 articles were included representing a total of 15,817 older adults (mean/median age ranged from 65 to 88 years; 49.5% female). Longitudinal studies (n = 7) showed that higher moderate-to-vigorous and light PA (MVPA and LPA, respectively) and lower SB were associated with better global cognitive function. Standardized βs of cross-sectional studies (n = 38) showed that lower SB (median [IQR], β = 0.078 [0.004-0.184] and higher LPA (β = 0.096 [0.046-0.188]), activity counts (β = 0.131 [0.049-0.224]), number of steps (β = 0.155 [0.096-0.246]), MVPA (β = 0.163 [0.069-0.285]) and total PA (TPA) (β = 0.174 [0.147-0.255]) were associated with better global cognitive function. Conclusions: Higher PA and lower SB are associated with better global cognitive function in older adults. The greatest estimated effect sizes were found for moderate-to-vigorous and TPA, suggesting that greater duration of any PA, and high intensity PA could be most beneficial for global cognitive function.
KW - Aged
KW - accelerometry
KW - cognition
KW - motor activity
KW - sedentary behavior
UR - http://www.scopus.com/inward/record.url?scp=85110171297&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.mad.2021.111524
DO - https://doi.org/10.1016/j.mad.2021.111524
M3 - Review article
C2 - 34181963
SN - 0047-6374
VL - 198
JO - Mechanisms of Ageing and Development
JF - Mechanisms of Ageing and Development
M1 - 111524
ER -