Physical Activity and Cognitive Function in Middle and Late Adulthood ‒ Results of a Preliminary Study
Natalia Gawron
The Maria Grzegorzewska University, Institute of Psychologyhttps://orcid.org/0000-0002-6052-1946
Aleksander Zębrowski
Jagiellonian University, Centre for Brain Researchhttps://orcid.org/0000-0003-0037-9172
Beata Hintze
The Maria Grzegorzewska University, Institute of Psychologyhttps://orcid.org/0000-0003-1899-2143
Abstrakt
Objective: The aim of the study was to characterise the physical activity (PA) of middle-aged and older adults and to determine whether the amount of PA was related to their level of cognitive function.
Methods: This was a cross-sectional study of 52 women and 30 men aged 50‒80 years. Subtests of the Wechsler Intelligence Scales for Adults Revised Version ‒ Renormalisation WAIS-R(PL) were used to assess cognitive function: Digit span, Block design and Digit symbol, as well as the Colour Trails Test (CTT) and the Link's cube task. Physical activity was measured using the International Physical Activity Questionnaire-Long Version (IPAQ-LF) and a pedometer worn by the volunteers for one week. Associations between cognitive function and PA were estimated using non-parametric correlations. In addition, cognitive function and PA were compared in healthy participants, participants with one chronic condition, and participants with two or more conditions.
Results: Walking, as measured by a pedometer, was at an average level in the study participants, and PA, as reported on the IPAQ-LF questionnaire, was very high. There were few associations between PA and cognitive performance. Moderate and vigorous levels of PA reported on the IPAQ-LF were correlated with more accurate performance on the Block design and Link's cube tasks. Higher levels of leisure time PA reported on the IPAQ-LF were correlated with better performance on the CTT. More PA at work was correlated with higher performance on most tasks. Activity measured by number of steps did not correlate with cognitive function. More steps correlated with less time spent inactive on the IPAQ-LF. In addition, healthier participants performed better on cognitive tasks and took more steps than those with chronic conditions.
Conclusion: The research has contributed to the understanding of the relationship between real-life PA and cognitive function in middle-aged and older adults, and has provided important insights into PA in these individuals.
Słowa kluczowe:
neuropsychology of cognitive ageing, physical activityBibliografia
Basińska-Zych, A., Kaiser, A. (2017). Selected Determinants of Physical Activity of the Inhabitants of the Poznań Metropolis Based on the IPAQ Questionnaire. Studia Periegetica, 20(4), 13–38. Google Scholar
Biddle, S. J. H., Mutrie, N., Gorely, T., & Faulkner, G. (2021). Psychology of Physical Activity: Determinants, Well-Being and Interventions (4th ed.). Routledge. https://doi.org/10.4324/9781003127420
Crossref
Google Scholar
Biernat, E. (2013). International Physical Activity Questionnaire – Polish long version. Polish Journal of Sports Medicine, 29(1), 1–15. Google Scholar
Biernat, E., & Piątkowska, M. (2016). Overestimation of physical activity by long IPAQ in a Polish nationwide study. Hygeia Public Health, 51(1), 87–95. Google Scholar
Binnewies, J., Nawijn, L., Brandmaier, A. M., Baaré, W. F. C., Boraxbekk, C. J., Demnitz, N., Drevon, C. A., Fjell, A. M., Lindenberger, U., Madsen, K. S., Nyberg, L., Topiwala, A., Walhovd, K. B., Ebmeier, K. P., & Penninx, B. W. J. H. (2023). Lifestyle-related risk factors and their cumulative associations with hippocampal and total grey matter volume across the adult lifespan: A pooled analysis in the European Lifebrain consortium. Brain Research Bulletin, 200, article 110692. https://doi.org/10.1016/j.brainresbull.2023.110692
Crossref
Google Scholar
Bowden Davies, K. A., Pickles, S., Sprung, V. S., Kemp, G. J., Alam, U., Moore, D. R., Tahrani, A. A., & Cuthbertson, D. J. (2019). Reduced physical activity in young and older adults: metabolic and musculoskeletal implications. Therapeutic Advances in Endocrinology and Metabolism, 10, article 2042018819888824. https://doi.org/10.1177/2042018819888824
Crossref
Google Scholar
Brito, D. V. C., Esteves, F., Rajado, A. T., Silva, N., ALFA score Consortium, Araújo, I., Bragança, J., Castelo-Branco, P., & Nóbrega, C. (2023). Assessing cognitive decline in the aging brain: lessons from rodent and human studies. NPJ Aging, 9(1), article 23. https://doi.org/10.1038/s41514-023-00120-6
Crossref
Google Scholar
Brzeziński, J., Gaul, M., Machowski, A., & Zakrzewska, M. (2011). Skala Inteligencji Wechslera dla Dorosłych Wersja Zrewidowana – Renormalizacja WAIS-R(PL) [The Wechsler Adult Intelligence Scale Revised-Renormalised Version WAIS-R(PL)]. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego. Google Scholar
Burzynska, A. Z., Voss, M. W., Fanning, J., Salerno, E. A., Gothe, N. P., McAuley, E., & Kramer, A. F. (2020). Sensor-measured sedentariness and physical activity are differentially related to fluid and crystallized abilities in aging. Psychology and Aging, 35(8), 1154–1169. https://doi.org/10.1037/pag0000580
Crossref
Google Scholar
Campbell, T., & Cullen, B. (2023). Estimating the effect of physical activity on cognitive function within the UK Biobank cohort. International Journal of Epidemiology, 52(5), 1592–1611. https://doi.org/10.1093/ije/dyad009
Crossref
Google Scholar
Carvalho, A., Rea, I. M., Parimon, T., & Cusack, B. J. (2014). Physical activity and cognitive function in individuals over 60 years of age: a systematic review. Clinical Interventions in Aging, 9, 661–682. https://doi.org/10.2147/CIA.S55520
Crossref
Google Scholar
Chastin, S. F. M., Culhane, B., & Dall, P. M. (2014). Comparison of self-reported measure of sitting time (IPAQ) with objective measurement (activPAL). Physiological Measurement, 35(11), 2319–2328. https://doi.org/10.1088/0967-3334/35/11/2319
Crossref
Google Scholar
Ciria, L. F., Román-Caballero, R., Vadillo, M. A., Holgado, D., Luque-Casado, A., Perakakis, P., & Sanabria, D. (2023). An umbrella review of randomized control trials on the effects of physical exercise on cognition. Nature Human Behaviour, 7(6), 928–941. https://doi.org/10.1038/s41562-023-01554-4
Crossref
Google Scholar
Cleland, C., Ferguson, S., Ellis, G., & Hunter, R. F. (2018). Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Medical Research Methodology, 18(1), article 176. https://doi.org/10.1186/s12874-018-0642-3
Crossref
Google Scholar
Cox, E. P., O’Dwyer, N., Cook, R., Vetter, M., Cheng, H. L., Rooney, K., & O’Connor, H. (2016). Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: A systematic review. Journal of Science and Medicine in Sport, 19, 616–628. https://doi.org/10.1016/j.jsams.2015.09.003
Crossref
Google Scholar
Ferguson, T., Olds, T., Curtis, R., Blake, H., Crozier, A. J., Dankiw, K., Dumuid, D., Kasai, D., O'Connor, E., Virgara, R., & Maher, C. (2022). Effectiveness of wearable activity trackers to increase physical activity and improve health: a systematic review of systematic reviews and meta-analyses. The Lancet. Digital Health, 4(8), e615–e626. https://doi.org/10.1016/S2589-7500(22)00111-X
Crossref
Google Scholar
García-Suárez, P. C., Rentería, I., Plaisance, E. P., Moncada-Jiménez, J., & Jiménez-Maldonado, A. (2021). The effects of interval training on peripheral brain derived neurotrophic factor (BDNF) in young adults: a systematic review and meta-analysis. Scientific Reports, 11(1), article 8937. https://doi.org/10.1038/s41598-021-88496-x
Crossref
Google Scholar
Hayes, S. M., Alosco, M. L., Hayes, J. P., Cadden, M., Peterson, K. M., Allsup, K., Forman, D. E., Sperling, R. A., & Verfaellie, M. (2015). Physical Activity Is Positively Associated with Episodic Memory in Aging. Journal of the International Neuropsychological Society: JINS, 21(10), 780–790. https://doi.org/10.1017/S1355617715000910
Crossref
Google Scholar
Heesch, K. C., van Uffelen, J. G., Hill, R. L., & Brown, W. J. (2010). What do IPAQ questions mean to older adults? Lessons from cognitive interviews. International Journal of Behavioral Nutrition and Physical Activity, 7, article 35. https://doi.org/10.1186/1479-5868-7-35
Crossref
Google Scholar
Hobbs, N., Godfrey, A., Lara, J., Errington, L., Meyer, T. D., Rochester, L., White, M., Mathers, J. C., & Sniehotta, F. F. (2013). Are behavioral interventions effective in increasing physical activity at 12 to 36 months in adults aged 55 to 70 years? A systematic review and meta-analysis. BMC Medicine, 11, article 75. https://doi.org/10.1186/1741-7015-11-75
Crossref
Google Scholar
Husu, P., Suni, J., Vähä-Ypyä, H., Sievänen, H., Tokola, K., Valkeinen, H., Mäki-Opas, T., & Vasankari, T. (2016). Objectively measured sedentary behavior and physical activity in a sample of Finnish adults: a cross-sectional study. BMC Public Health, 16(1), article 920. https://doi.org/10.1186/s12889-016-3591-y
Crossref
Google Scholar
IPAQ. (2005). Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) – Short and Long Forms. The International Physical Activity Questionnaire. https://drive.google.com/file/d/1gehdq1-04eSWfbxscwtzXa1MUlD8Mffa/view Google Scholar
Juan, C. H., Wang, C. H., & Kao, S. C. (red.). (2024). Enhancement of brain functions prompted by physical activity, Vol 1. Academic Press. Google Scholar
Kirk-Sanchez, N. J., & McGough, E. L. (2014). Physical exercise and cognitive performance in the elderly: current perspectives. Clinical Interventions in Aging, 9, 51–62. https://doi.org/10.2147/CIA.S39506
Crossref
Google Scholar
Kopp, B., Rösser, N., Tabeling, S., Stürenburg, H. J., de Haan, B., Karnath, H. O., & Wessel, K. (2014). Disorganized behavior on Link's cube test is sensitive to right hemispheric frontal lobe damage in stroke patients. Frontiers in Human Neuroscience, 8, article 79. https://doi.org/10.3389/fnhum.2014.00079
Crossref
Google Scholar
Krzepota, J., Biernat, E., & Florkiewicz, B. (2013). Poziom aktywności fizycznej słuchaczy Uniwersytetu Trzeciego Wieku o zróżnicowanym indeksie masy ciała [Level of physical activity among students of the university of the third age with consideration of body mass index]. Medycyna Ogólna i Nauki o Zdrowiu [General Medicine and Health Sciences], 19(2), 200–205. Google Scholar
Kujawa, M. J., Marcinkowska, A. B., Grzywińska, M., Waśkow, M., Romanowski, A., Szurowska, E., Winklewski, P. J., & Szarmach, A. (2023). Physical activity and the brain myelin content in humans. Frontiers in Cellular Neuroscience, 17, article 1198657. https://doi.org/10.3389/fncel.2023.1198657
Crossref
Google Scholar
Lim, S. T., Jung, Y. Z., Akama, T., & Lee, E. (2020). Physical Activity Amount and Cognitive Impairment in Korean Elderly Population. Brain Sciences, 10(11), article 804. https://doi.org/10.3390/brainsci10110804
Crossref
Google Scholar
Łojek, E., & Stańczak, J. (2012). Kolorowy Test Połączeń [Color Trails Test]. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego. Google Scholar
Macek, P., Terek-Derszniak, M., Żak, M., Biskup, M., Ciepiela, P., Król, H., Smok-Kalwat, J., & Góźdź, S. (2019). WHO recommendations on physical activity versus compliance rate within a specific urban population as assessed through IPAQ survey: a cross-sectional cohort study. BMJ Open, 9(6), e028334. https://doi.org/10.1136/bmjopen-2018-028334
Crossref
Google Scholar
Makarewicz, A., Jamka, M., Wasiewicz-Gajdzis, M., Bajerska, J., Miśkiewicz-Chotnicka, A., Kwiecień, J., Lisowska, A., Gagnon, D., Herzig, K. H., Mądry, E., & Walkowiak, J. (2021). Comparison of Subjective and Objective Methods to Measure the Physical Activity of Non-Depressed Middle-Aged Healthy Subjects with Normal Cognitive Function and Mild Cognitive Impairment-A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(15), article 8042. https://doi.org/10.3390/ijerph18158042
Crossref
Google Scholar
Maleki, S., Hendrikse, J., Chye, Y., Caeyenberghs, K., Coxon, J. P., Oldham, S., Suo, C., & Yücel, M. (2022). Associations of cardiorespiratory fitness and exercise with brain white matter in healthy adults: A systematic review and meta-analysis. Brain Imaging and Behavior, 16(5), 2402–2425. https://doi.org/10.1007/s11682-022-00693-y
Crossref
Google Scholar
Marcotte, T. D., Schmitter-Edgecombe, M., & Grant, I. (Eds.). (2022). Neuropsychology of everyday functioning (2nd ed.). Guilford Press. Google Scholar
Mitáš, J., Cerin, E., Reis, R. S., Conway, T. L., Cain, K. L., Adams, M. A., Schofield, G., Sarmiento, O. L., Christiansen, L. B., Davey, R., Salvo, D., Orzanco-Garralda, R., Macfarlane, D., Hino, A. A. F., De Bourdeaudhuij, I., Owen, N., Van Dyck, D., & Sallis, J. F. (2019). Do associations of sex, age and education with transport and leisure-time physical activity differ across 17 cities in 12 countries? International Journal of Behavioral Nutrition and Physical Activity, 16(1), article 121. https://doi.org/10.1186/s12966-019-0894-2
Crossref
Google Scholar
Nakamura, Y., Kabayama, M., Godai, K., Tseng, W., Akasaka, H., Yamamoto, K., Takami, Y., Takeya, Y., Gondo, Y., Yasumoto, S., Ogawa, M., Kasuga, A., Masui, Y., Ikebe, K., Arai, Y., Ishizaki, T., Rakugi, H., & Kamide, K. (2023). Longitudinal association of hypertension and dyslipidemia with cognitive function in community-dwelling older adults: the SONIC study. Hypertension Research: Official Journal of the Japanese Society of Hypertension, 46(8), 1829–1839. https://doi.org/10.1038/s41440-023-01271-5
Crossref
Google Scholar
Nicaise, V., Crespo, N. C., & Marshall, S. (2014). Agreement between the IPAQ and accelerometer for detecting intervention-related changes in physical activity in a sample of Latina women. Journal of Physical Activity & Health, 11(4), 846–852. https://doi.org/10.1123/jpah.2011-0412
Crossref
Google Scholar
Skotnicka, M., & Pieszko, M. (2014). Aktywność fizyczna receptą na długowieczność [Physical activity is the key to longevity]. Medycyna Ogólna i Nauki o Zdrowiu [General Medicine and Health Sciences], 20(4), 379–383. https://doi.org/10.5604/20834543.1132040
Crossref
Google Scholar
Szepietowska, E. M. (2019). O pozytywnym wpływie aktywności życiowej (zasobów poznawczych) na funkcje poznawcze u osób dorosłych [Concerning the positive influence of life activity (cognitive reserves) on cognitive functions in adults]. Problemy Higieny i Epidemiologii [Problems of Hygiene and Epidemiology], 100, 66–73. Google Scholar
Szepietowska, E. M., & Dąbal, A. (2023). Lifetime physical activity and the cognitive condition of adults. Research of three independent groups of Polish adults. Kwartalnik Naukowy Fides et Ratio [Quarterly Journal Fides at Ratio], 53(1), 112–124. https://doi.org/10.34766/fetr.v53i1.1024
Crossref
Google Scholar
Troisi Lopez, E., Liparoti, M., Passarello, N., Lucidi, F., & Mandolesi, L. (2023). Multimodal Physical Exercise Affects Visuo-Spatial Working Memory: Preliminary Evidence from a Descriptive Study on Tai-Chi Practitioners and Runners. Brain Sciences, 13(10), article 1400. https://doi.org/10.3390/brainsci13101400
Crossref
Google Scholar
Tudor-Locke, C., Bassett, D. R., Jr, Rutherford, W. J., Ainsworth, B. E., Chan, C. B., Croteau, K., Giles-Corti, B., Le Masurier, G., Moreau, K., Mrozek, J., Oppert, J. M., Raustorp, A., Strath, S. J., Thompson, D., Whitt-Glover, M. C., Wilde, B., & Wojcik, J. R. (2008). BMI-referenced cut points for pedometer-determined steps per day in adults. Journal of Physical Activity & Health, 5(Suppl 1), S126–S139. https://doi.org/10.1123/jpah.5.s1.s126
Crossref
Google Scholar
Tudor-Locke, C., Craig, C. L., Brown, W. J., Clemes, S. A., De Cocker, K., Giles-Corti, B., Hatano, Y., Inoue, S., Matsudo, S. M., Mutrie, N., Oppert, J. M., Rowe, D. A., Schmidt, M. D., Schofield, G. M., Spence, J. C., Teixeira, P. J., Tully, M. A., & Blair, S. N. (2011). How many steps/day are enough? For adults. International Journal of Behavioral Nutrition and Physical Activity, 8, article 79. https://doi.org/10.1186/1479-5868-8-79
Crossref
Google Scholar
Umegaki, H., Makino, T., Uemura, K., Shimada, H., Cheng, X. W., & Kuzuya, M. (2018). Objectively measured physical activity and cognitive function in urban-dwelling older adults. Geriatrics & Gerontology International, 18(6), 922–928. https://doi.org/10.1111/ggi.13284
Crossref
Google Scholar
Wesołowska, K., & Czarkowska-Pączek, B. (2018). Activity of daily living on non-working and working days in Polish urban society. International Journal of Occupational Medicine and Environmental Health, 31(1), 47–54. https://doi.org/10.13075/ijomeh.1896.01076
Crossref
Google Scholar
WHO (World Health Organization). (2018). ACTIVE: a technical package for increasing physical activity. World Health Organization. https://iris.who.int/bitstream/handle/10665/275415/9789241514804-eng.pdf?sequence=1. License: CC BY-NC-SA 3.0 IGO Google Scholar
WHO (World Health Organization). (2021). WHO guidelines on physical activity and sedentary behaviour: at a glance. World Health Organization. https://iris.who.int/handle/10665/337001. License: CC BY-NC-SA 3.0 IGO Google Scholar
Wiśniowska, J., Kruszyński, M., & Łojek, E. (2018). Rehabilitacja osób z zaburzeniami funkcji poznawczych i ruchowych prowadzona w paradygmacie podwójnego zadania [Dual-task paradigm rehabilitation for people with cognitive and motor impairments]. In E. M. Szepietowska & B. Daniluk (Eds.), Rehabilitacja neuropsychologiczna – ujęcie holistyczne [Neuropsychological rehabilitation ‒ a holistic approach] (pp. 111–136). Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej. Google Scholar
Wiśniowska, J., Łojek, E., Chabuda, A., Kruszyński, M., Kupryjaniuk, A., Kulesza, M., Olejnik, A., Orzechowska, P., & Wolak, H. (2022). The cognitive and cognitive-motor training contribution to the improvement of different aspects of executive functions in healthy adults aged 65 years and above – A randomized controlled trial. Applied Neuropsychology. Adult, 1–9. https://doi.org/10.1080/23279095.2022.2106864
Crossref
Google Scholar
Witkowska, A., & Grabara, M. (2021). Aktywność fizyczna i trening zdrowotny seniorów [Physical activity and health training for older people]. Wydawnictwo Akademii Wychowania Fizycznego w Katowicach. Google Scholar
Yoneda, T., Lewis, N. A., Knight, J. E., Rush, J., Vendittelli, R., Kleineidam, L., Hyun, J., Piccinin, A. M., Hofer, S. M., Hoogendijk, E. O., Derby, C. A., Scherer, M., Riedel-Heller, S., Wagner, M., van den Hout, A., Wang, W., Bennett, D. A., & Muniz-Terrera, G. (2021). The Importance of Engaging in Physical Activity in Older Adulthood for Transitions Between Cognitive Status Categories and Death: A Coordinated Analysis of 14 Longitudinal Studies. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 76(9), 1661–1667. https://doi.org/10.1093/gerona/glaa268
Crossref
Google Scholar
Zubala, A., MacGillivray, S., Frost, H., Kroll, T., Skelton, D. A., Gavine, A., Gray, N. M., Toma, M., & Morris, J. (2017). Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews. PLOS ONE, 12(7), e0180902. https://doi.org/10.1371/journal.pone.0180902
Crossref
Google Scholar
The Maria Grzegorzewska University, Institute of Psychology
https://orcid.org/0000-0002-6052-1946
Jagiellonian University, Centre for Brain Research
https://orcid.org/0000-0003-0037-9172
The Maria Grzegorzewska University, Institute of Psychology
https://orcid.org/0000-0003-1899-2143
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Utwór dostępny jest na licencji Creative Commons Uznanie autorstwa – Użycie niekomercyjne – Bez utworów zależnych 4.0 Międzynarodowe.