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Timing of physical activity across adulthood on later-life cognition: 30 years follow-up in the 1946 British birth cohort

Abstract:

Background: To assess how timing, frequency and maintenance of being physically active, spanning over 30 years in adulthood, is associated with later-life cognitive function.

Methods: Participants (n=1417, 53% female) were from the prospective longitudinal cohort study, 1946 British birth cohort. Participation in leisure time physical activity was reported five times between ages 36 and 69, categorised into: not active (no participation in physical activity/month); moderately active (participated 1–4 times/month); most active (participated 5 or more times/month). Cognition at age 69 was assessed by tests of cognitive state (Addenbrooke’s Cognitive Examination-III), verbal memory (word learning test) and processing speed (visual search speed).

Results: Being physically active, at all assessments in adulthood, was associated with higher cognition at age 69. For cognitive state and verbal memory, the effect sizes were similar across all adult ages, and between those who were moderately and most physically active. The strongest association was between sustained cumulative physical activity and later-life cognitive state, in a dose-response manner. Adjusting for childhood cognition, childhood socioeconomic position and education largely attenuated these associations but results mainly remained significant at the 5% level.

Conclusions: Being physically active at any time in adulthood, and to any extent, is linked with higher later-life cognitive state, but lifelong maintenance of physical activity was most optimal. These relationships were partly explained by childhood cognition and education, but independent of cardiovascular and mental health and APOE-E4, suggestive of the importance of education on the lifelong impacts of physical activity.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/jnnp-2022-329955

Authors

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Role:
Author
ORCID:
0000-0002-3800-4416
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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Oxford college:
St Cross College
Role:
Author
ORCID:
0000-0003-4543-4075
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Role:
Author
ORCID:
0000-0003-2059-024X


Publisher:
BMJ Publishers
Journal:
Journal of Neurology, Neurosurgery and Psychiatry More from this journal
Volume:
94
Issue:
5
Pages:
349-356
Publication date:
2023-02-21
Acceptance date:
2022-12-16
DOI:
EISSN:
1468-330X
ISSN:
0022-3050


Language:
English
Keywords:
Pubs id:
1330707
Local pid:
pubs:1330707
Deposit date:
2023-02-27
ARK identifier:

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