scholarly journals Domestic Activities Associated With a Decreased Risk of Cognitive Disorders: Results of the “Fréle” Cohort

2020 ◽  
Vol 8 ◽  
Author(s):  
Caroline Dupré ◽  
David Hupin ◽  
Luc Goethals ◽  
François Béland ◽  
Frédéric Roche ◽  
...  

Background: Previous cohorts studied the association of various types of physical activities with the incidence of cognitive disorders. The objective of this work was to analyze the association of leisure, domestic and professional physical activities with mild and moderate cognitive disorders in older people living in the community.Methods: We used retrospective data from the “FRéLE” (FRagilité: étude Longitudinale de ses Expressions) a longitudinal and observational study. Data collected included socio-demographic variables, lifestyle and health status. Cognitive disorders were assessed using the Montreal Cognitive Assessment (MoCA). Two cut-offs of MoCA were used to analyze mild and moderate cognitive disorders. Physical activity was assessed by the Physical Activity Scale for the Elderly (PASE) structured in three sections: leisure, household, and professional activities. Spline and logistic regression models were used to estimate the risk of cognitive disorders.Results: At baseline, 428 participants (for study of mild disorders) and 1,271 participants (for study of moderate disorders) without cognitive disorders were included in the analysis. The mean ages were 74 and 78 years, respectively. After a 2-year follow-up, we found mild cognitive disorders in 154 participants (36%) and 71 cases of moderate cognitive disorders (5.6%). In multi-adjusted logistic models, domestic activities were associated with cognitive disorders, but not leisure and professional activities.Conclusion: We found an inverse relation between domestic sub-score and cognitive disorders defined by MoCA < 18. With a specific questionnaire and quantitative information on the type of activities, this study contributed to the debate on the beneficial effects of physical activity on cognition.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Dupré ◽  
N Barth ◽  
A El Moutawakkil ◽  
F Béland ◽  
F Roche ◽  
...  

Abstract Background Few previous cohorts have studied the different type of physical activities and the degree of cognitive decline. The objective of this work was to analyze the leisure, domestic and professional activities with mild and moderate cognitive disorders in older people living in community. Methods The study used data from the longitudinal and observational study, FrèLE (FRagility: Longitudinal Study of Expressions). The collected data included: socio-demographic variables, lifestyle, and health status (frailty, comorbidities, cognitive status, depression). Cognitive decline was assessed by using: MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment). MoCA was used with two cut-offs (26 and 17) so as to define mild and moderate cognitive disorders Physical activity was assessed by the PASE (Physical Activity Scale for the Elderly), structured in three sections: leisure, domestic and professional activities. Spline and proportional hazards regression models (Cox) were used to estimate the risk of cognitive disorders. Results At baseline, 1623 participants were included and the prevalence of cognitive disorders was 6.9% (MMSE) and 7.2% (MoCA), mild cognitive disorders was 71.3%. The mean age was 77 years, and 52% of the participants were women. After a 2 years long follow-up, we found 6.9% (MMSE) and 6% (MoCA) cognitive disorders on participants. Analyses showed that domestic activities were associated to cognitive decline (HR = 0.52 [0.28-0.94] for MMSE and HR = 0.48 [0.28-0.80] for MoCA). No association were found with leisure and professional activities, and no spline were significant with mild cognitive disorders. Conclusions Analysis showed a relationship between cognitive disorders and type of physical activity, thanks to the use of specific questionnaire of elderly and two global test of cognition. These findings will contribute to the debate on the beneficial effects of physical activity on cognition. Key messages This work allowed to compare two test of cognition and their link with physical activity. It contributes to the debate on the beneficial effects of physical activity on cognition. The work allowed us to see the effect of the different types of physical activity and the impact of the statistical method on the results.


2021 ◽  
Vol 30 (4) ◽  
pp. 35-41
Author(s):  
Hoang Thi Hai Van ◽  
Dao Anh Son ◽  
Pham Quang Thai

The study was conducted on 1,210 elderly people (aged 60 and older) with the purpose of understanding physical activity and cognitive impairment among elderly people in some districts of Ha Nam province in 2018. The results showed that the percentage of elderly people with symptoms of cognitive impairment was high, accounting for 46.36%. There was a significant difference between the rate of cognitive impairment of the group who exercised frequently (41.92%) and that of the group who did not exercise (51.62%) (p<0.05). Compared to the Non-exercise group, the risks of cognitive impairment of group exercise 15 - 45 minutes/week (OR = 0.69; 95% CI: 0.51 - 0.93); group exercise 45 - 90 minute/week group (OR = 0.61; 95% CI: 0.44 - 0.84) and group exercise Over 90 minutes/week (OR = 0.43; 95% CI: 0.27 - 0.67) were all significantly lower. The more time the research subjects exercise, the lower their risk of developing cognitive impairment became. Our finding suggests that physical activities may delay or prevent the onset of cognitive impairment in elderly people. It is necessary to expand research, continue to apply the cognitive screening test based on international standards, while guiding and encouraging elderly people to carry out physical activities according to their capabilities and international recommendations.


Author(s):  
Mehdi Safarpour ◽  
Seyed Reza Hosseini ◽  
Akbar Fotouhi ◽  
Hojjat Zeraati ◽  
Masume Mohamadzade ◽  
...  

Background and purpose: Nowadays, immobility is known to be the fourth risk factor for mortality. The aim of the present study was to investigate the relationship between fall experience over the previous year and levels of physical activity in the elderly.Materials and Methods: The study was performed with 1616 participants of 60≤ years. The relationship between physical activities in the elderly with age, sex, educational level, body mass index, comorbidities, and fall experience over the previous year was evaluated. Physical activity in the elderly was evaluated using the physical activity scale for the elderly.Results: In the multiple regression model, the age (β: -1.6, 95% CI:  -2.0- -1.1), sex, female (β: 11.0, 95% CI: 4.3-17.6), and comorbidities (β: -6.8, 95% CI: -13.5 - -0.1) had a significant relationship with the physical activity score. On the contrary, there was no significant difference between the score of physical activity and both groups with and without the experience of fall over the previous year (β: 0.09, 95% CI: -8.0 - 8.2).Conclusion: Increasing age with comorbidity resulted in a decrease in the average physical activity score in the studied elderly population. However, the experience of fall had no relationship with it. Providing the conditions alongside the training required to carry out physical activities, especially in the elderly people with the disease, was suggested.


2021 ◽  
Vol 14(63) (1) ◽  
pp. 141-148
Author(s):  
R.M. BURLUI ◽  
◽  
M.G. POSTELNICU ◽  
D.A. IORDAN ◽  
◽  
...  

In the age of modern and advanced technology, it is observed that sedentarism is characteristic to occupy a wide spectrum of the population from children to the elderly. As for children, they are no longer active when we talk about physical activity both during school hours, but especially in their free time. In this context, the school must encourage the active participation of students in physical activities during the classes included in the school curriculum and after, by offering an attractive variety of extracurricular sports aimed at motivating students, especially those in primary school.


Author(s):  
Élcio Alves Guimarães ◽  
Cristina de Matos Boaventura ◽  
Maria Paula Pereira Andrade ◽  
Nayara Ribeiro Graciano ◽  
Bárbara Vilela Franco Teodoro ◽  
...  

Background: Aging being a natural physiological process can present both physical and psychic changes, due to the conditions of life of the person, and can be influencers for the installation of chronic non-communicable diseases, which may predispose this subject to an episode of fall. Objectives: To compare the propensity to fall in the elderly male and female, practitioners and non-practitioners of physical activities. Methods: The sample consisted of 120 elderly people of both genders practitioners and non-practitioners of physical activity and were used the “Timed Up and Go” and “Functional Reach” tests. Results: Among non-practitioners of physical activity, significant differences were observed between the values of functionality, being that the male group presented higher values than the female group, i.e., men move more, therefore has the lowest risk of fall. Conclusion: It was concluded that the female practitioners of physical activity have a greater risk of suffering an episode of fall compared to the non-practitioners, and in relation to the men practitioners and non-practitioners of physical activity there was no significant difference, showing that the elderly women have a higher risk to fall compared to the elderly men.


Author(s):  
Maria Fiore ◽  
Antonio Cristaldi ◽  
Valeriya Okatyeva ◽  
Salvatore Lo Bianco ◽  
Gea Oliveri Conti ◽  
...  

Background: The health benefits of physical activity are well established, but the association between physical activity and thyroid cancer remains poorly understood. The aim of the study was to investigate the relationship between physical activity and thyroid cancer in order to determine type, frequency, and duration of exercise needed to maximize prevention. Method: Cases, diagnosed from January 2009 to July 2018, and controls were enrolled at the University Hospital “Policlinico-Vittorio Emanuele” of Catania (South Italy). Logistic regression models were used to estimate the crude and adjusted odds ratios (ORs) and their 95% confidence intervals. Results: A total of 106 cases (91.2% papillary type) and 217 controls were enrolled. Physical activity was rare in Catania (32.8%) and was not correlated to risk of total thyroid cancer (OR: 0.997; 95% CI: 0.515–1.929). Conversely, walking every day for at least 60 minutes reduced the risk of thyroid cancer (OR: 0.357; 95% CI: 0.157–0.673). Conclusions: Our study showed that daily walking duration was associated with lower risk of thyroid cancer using a case-control study. Unfortunately, the frequency of physical activity often declines with age, particularly among the elderly, thus more research on physical activity adherence is needed to determine which approaches are most effective in promoting sustained physical activity participation.


2015 ◽  
Vol 44 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Sophie Pilleron ◽  
Maëlenn Guerchet ◽  
Bébène Ndamba-Bandzouzi ◽  
Pascal Mbelesso ◽  
Jean-Francois Dartigues ◽  
...  

Background: Stressful life events (SLEs) are considered potential risk factors for cognitive disorders. Our objective was to investigate the association between SLEs and cognitive disorders among the elderly people in Central Africa. Method: A population-based study was conducted in the Central African Republic (CAR) and the Republic of Congo (ROC). Participants aged ≥65 were interviewed using the Community Screening Interview for Dementia. Those who performed poorly were clinically assessed by neurologists. DSM-IV and Petersen criteria were required for a diagnosis of dementia or mild cognitive impairment (MCI), respectively. SLEs were assessed through 18 questions about events that occurred during childhood, adulthood and late-life. Sociodemographic, vascular and psychological factors were also documented. Multivariate multinomial logistic regression models were used to estimate the associations. Results: MCI was positively associated with: the total number of SLEs (OR = 1.1, 95% CI: 1.0-1.2), the number of SLEs from the age of 65 (OR = 1.2, 95% CI: 1.0-1.3), the number of SLEs before the age of 16 among non-depressive participants (OR = 1.6, 95% CI: 1.2-2.2) and with a serious illness in a child experienced when the participant was aged 65 or more (OR = 2.8, 95% CI: 1.6-4.6). No association with dementia was observed. Conclusion: SLEs were positively associated with MCI but not dementia. More comprehensive studies are needed to further investigate this relationship.


2019 ◽  
Vol 12 (2) ◽  
pp. 59-64
Author(s):  
Oktafina Safita Nisa ◽  
Arief Wahyudi Jatmiko

Along with the aging process, all systems of the body dealing with changes or gradual deterioration functions, one of which was a decrease in physical activity. A decrease in physical activity in the elderly was one of the causes of cognitive impairment. Decline in cognitive function in the elderly is the biggest cause of the inability to perform normal daily activities. The purpose of the study was to know the correlation between the level of physical activity and cognitive function in the elderly in Pucangan Village Kartasura SubDistrict. This research was cross sectional design. The population were in this study are listed on the elderly Posyandu Pucangan Village Kartasura Sub-District aged >60 years and include in inclusion criteria. The total sample in this study were 95 respondents. Sampling technique used is nonprobability sampling technique with proportional sampling method. The instrument used to measure the level of physical activity is GPPAQ (General Practice Physical Activity Questionnaire) and for cognitive function using the MMSE (Mini Mental State Examination). Analys of the data used was Chi Square test. Results of univariate known that elderly people who have high levels of physical activity inactive (35.8%) and active as much (21.1%). The percentage of elderly who have normal cognitive function as many (29.5%) and those with severe cognitive disorders amounted to (43.2%). The result of bivariate analysis there was no relationship between the level of physical activity and cognitive function in which showed the value of p value = 0.010 (p> 0.05) means that Ho was rejected. The conclusions of this study shows there is a relationship between the level of physical activity and cognitive function in the elderly in Pucangan Village Kartasura Sub-District.


2021 ◽  
Vol 72 (6) ◽  
pp. 300-306
Author(s):  
U Hemmeter ◽  
T Ngamsri ◽  
K Henkel

Depression and dementia disorders are associated with cardiovascular and somatic co-morbidities, which are closely related to physical inactivity. Physical exercise can improve these cardiovascular and metabolic co-morbidities. In addition, physical activity and training are effective in the prevention and treatment of affective and cognitive disorders. These effects were also found in the elderly. Because of limited effectiveness and tolerance of pharmacological standard treatment options, the relevance of physical exercise as a therapeutic tool should be recognized. In a multifactorial way psychological, neurobiological as general somatic (e.g. cardiovascular and metabolic) aspects are involved in the effectiveness of exercise on brain structure and function. Hence assessment of exercise habits and individual recommendations for physical activity should be implemented as a standard procedure in the therapy of affective disorders and dementia, beginning as early as possible but also at higher ages. Key Words: Aerobic Exercise, Add-On Therapy, Lifelong Training, Neurobiologic Effects, Somatic Co-Morbidities


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