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      Lifecourse Activity Participation From Early, Mid, and Later Adulthood as Determinants of Cognitive Aging: The Lothian Birth Cohort 1921

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          Abstract

          Objectives:

          To examine potential sensitive periods for activity participation across adulthood to reduce cognitive decline and to determine whether associations persist after accounting for the lifetime stability of cognitive ability.

          Method:

          The Lothian Birth Cohort 1921 is a longitudinal study of cognitive aging. Participants were born in 1921 and most completed a mental ability test at the age of 11 years. Cognitive assessments were completed at mean ages 79 ( N = 550), 83 ( N = 321), 87 ( N = 235), and 90 years ( N = 129). Participants provided retrospective details of their activity participation for young (20–35 years), mid (40–55 years), and later adulthood (60–75 years), and contemporaneously at age 79.

          Results:

          Associations between activity and the level of, and change in, cognitive ability in old age were examined with latent growth curve models. Accounting for demographics and childhood cognitive ability, engagement in leisure activities in midlife was positively associated with cognitive ability level (path coefficient = .32), whereas higher physical activity in later adulthood was associated with less cognitive decline (.27).

          Discussion:

          The findings support a lifecourse approach in identifying determinants of cognitive aging; leisure and physical activity during different periods of adulthood may enhance cognitive abilities or reduce decline.

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          Most cited references14

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          Mental Exercise and Mental Aging: Evaluating the Validity of the "Use It or Lose It" Hypothesis.

          It is widely believed that keeping mentally active will prevent age-related mental decline. The primary prediction of this mental-exercise hypothesis is that the rate of age-related decline in measures of cognitive functioning will be less pronounced for people who are more mentally active, or, equivalently, that the cognitive differences among people who vary in level of mental activity will be greater with increased age. Although many training studies, and comparisons involving experts, people in specific occupations, and people whose mental activity levels are determined by their self-reports, have found a positive relation between level of activity and level of cognitive functioning, very few studies have found an interactive effect of age and mental activity on measures of cognitive functioning. Despite the current lack of empirical evidence for the idea that the rate of mental aging is moderated by amount of mental activity, there may be personal benefits to assuming that the mental-exercise hypothesis is true.
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            A prospective study of physical activity and cognitive decline in elderly women: women who walk.

            Several studies have suggested that physical activity is positively associated with cognitive function in elderly persons. Evidence about this association has been limited by the cross-sectional design of most studies and by the frequent lack of adjustment for potential confounding variables. We determined whether physical activity is associated with cognitive decline in a prospective study of older women. We studied 5925 predominantly white community-dwelling women (aged > or =65 years) who were recruited at 4 clinical centers and were without baseline cognitive impairment or physical limitations. We measured cognitive performance using a modified Mini-Mental State Examination at baseline and 6 to 8 years later. Physical activity was measured by self-reported blocks (1 block approximately 160 m) walked per week and by total kilocalories (energy) expended per week in recreation, blocks walked, and stairs climbed. Cognitive decline was defined as a 3-point decline or greater on repeated modified Mini-Mental State Examination. Women with a greater physical activity level at baseline were less likely to experience cognitive decline during the 6 to 8 years of follow-up: cognitive decline occurred in 17%, 18%, 22%, and 24% of those in the highest, third, second, and lowest quartile of blocks walked per week (P< .001 for trend). Almost identical results were obtained by quartile of total kilocalories expended per week. After adjustment for age, educational level, comorbid conditions, smoking status, estrogen use, and functional limitation, women in the highest quartile remained less likely than women in the lowest quartile to develop cognitive decline (for blocks walked: odds ratio, 0.66 [95% confidence interval, 0.54-0.82]; for total kilocalories: odds ratio, 0.74 [95% confidence interval, 0.60-0.90]). Women with higher levels of baseline physical activity were less likely to develop cognitive decline. This association was not explained by differences in baseline function or health status. This finding supports the hypothesis that physical activity prevents cognitive decline in older community-dwelling women.
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              Population based study of social and productive activities as predictors of survival among elderly Americans.

              To examine any association between social, productive, and physical activity and 13 year survival in older people. Prospective cohort study with annual mortality follow up. Activity and other measures were assessed by structured interviews at baseline in the participants' homes. Proportional hazards models were used to model survival from time of initial interview. City of New Haven, Connecticut, United States. 2761 men and women from a random population sample of 2812 people aged 65 and older. Mortality from all causes during 13 years of follow up. All three types of activity were independently associated with survival after age, sex, race/ethnicity, marital status, income, body mass index, smoking, functional disability, and history of cancer, diabetes, stroke, and myocardial infarction were controlled for. Social and productive activities that involve little or no enhancement of fitness lower the risk of all cause mortality as much as fitness activities do. This suggests that in addition to increased cardiopulmonary fitness, activity may confer survival benefits through psychosocial pathways. Social and productive activities that require less physical exertion may complement exercise programmes and may constitute alternative interventions for frail elderly people.
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                Author and article information

                Journal
                J Gerontol B Psychol Sci Soc Sci
                J Gerontol B Psychol Sci Soc Sci
                geronb
                geronb
                The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
                Oxford University Press (US )
                1079-5014
                1758-5368
                January 2017
                7 October 2016
                7 October 2016
                : 72
                : 1
                : 25-37
                Affiliations
                1Department of Psychology, Heriot-Watt University , Edinburgh.
                2Centre for Cognitive Ageing and Cognitive Epidemiology and
                3Department of Psychology, School of Philosophy, Psychology and Language Sciences, University of Edinburgh .
                Author notes
                Correspondence should be addressed to Alan J. Gow, PhD, Department of Psychology, Heriot-Watt University, Edinburgh, EH14 4AS, UK. E-mail: A.J.Gow@ 123456hw.ac.uk

                Decision Editor: Nicole Anderson, PhD

                Article
                10.1093/geronb/gbw124
                5156497
                27974473
                911c502b-e1fa-4827-b463-7adeb40c639f
                © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 January 2016
                : 1 September 2016
                Page count
                Pages: 13
                Funding
                Funded by: Biotechnology and Biological Sciences Research Council http://dx.doi.org/10.13039/501100000268
                Award ID: 15/SAG09977
                Funded by: University Of Edinburgh http://dx.doi.org/10.13039/501100000848
                Funded by: Royal Society of Edinburgh http://dx.doi.org/10.13039/501100000332
                Funded by: Biotechnology and Biological Sciences Research Council http://dx.doi.org/10.13039/501100000268
                Funded by: Medical Research Council http://dx.doi.org/10.13039/501100000265
                Award ID: MR/K026992/1
                Categories
                Special Issue: Cognitive Aging: Original Research Report

                Geriatric medicine
                differential preservation,leisure activity,longitudinal,physical activity,preserved differentiation,retrospective

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