Augusto César F. De Moraes , Marcus V. Nascimento-Ferreira , Ethan H. Hunt , Gregory Knell , John Virostko , Susan S. Tapert , Harold W. Kohl (In Memoriam)
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Abstract
Background and aims
Poor cardiovascular health has been linked to a higher risk of cognitive decline in adults, however this relation is not well established among adolescents. The purpose of this analysis was to test the associations of cardiovascular health behaviors (diet, physical activity, nicotine use, and sleep health) and health indicators (body mass index, blood lipids, blood glucose, blood pressure) with adolescents' brain development and executive and cognitive function.
Methods
We included 978 individuals from the Adolescent Brain and Cognitive Development (ABCD) Study who completed the year 2 follow-up assessment. Analysis was limited to those with complete data on cardiovascular health behaviors and health indicators which were used to compute composite cardiovascular health scores. Outcomes included estimates of general cognitive ability, executive function, and learning/memory through the NIH Toolbox neurocognitive battery, and MRI-derived brain morphometry. Associations were estimated by multilevel linear regression models using random effects.
Results
The mean (SD) age was 11.9 (0.2) years, 44.9% were girls, and 53.4% were white race/ethnicity. Individuals with more favorable cardiovascular health behaviors showed higher executive cognitive function scores (β = 0.170; CI 95%, 0.076 to 0.265; p = 00.001). Overall cardiovascular health was associated with a higher measure of executive cognitive function (β = 0.209; CI 95%, 0.067 to 0.351; p = 00.002) and total whole brain cortical volume (β = 480.1; CI 95%, 4.7 to 955.6; p = 00.003). r
Conclusion
Our findings reveal positive associations between adolescents' cardiovascular health behaviors and overall cardiovascular health with cognitive and executive function and brain cortical volume. Although our study is cross-sectional, the findings from a representative group of early adolescents add to the existing evidence suggesting a relationship between cardiovascular and brain health.
期刊介绍：
The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;
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