{"title":"The Effect of Adherence to a Tai Chi Intervention on Quality of Life of Older People Living With Dementia.","authors":"Iram Bibi, Remco Polman, Samuel R Nyman","doi":"10.1123/japa.2024-0017","DOIUrl":"https://doi.org/10.1123/japa.2024-0017","url":null,"abstract":"<p><strong>Background/objectives: </strong>Adherence to exercise programs is required to reap their established benefits and to sustain Quality of Life (QoL). This study explored People Living with Dementia's (PLWD) adherence to a Tai Chi exercise program and its effects on their QoL. The study included assessment of factors affecting adherence to a Tai Chi exercise intervention, causes of nonadherence, and effect of adherence on PLWD's QoL.</p><p><strong>Methods: </strong>This study was part of a randomized controlled trial where 41 community-dwelling PLWD received a Tai Chi exercise intervention in addition to usual care for 20 weeks. The measures used in this study included PLWD's QoL, global cognitive function, moderate physical activity, intention and confidence to attend classes, record of PLWD's and their carers' health conditions, and percentages of PLWD's Tai Chi class attendance and home practice during the intervention phase. Multiple linear regression, bivariate correlation, and independent sample t-test analyses were conducted to evaluate associations between these variables.</p><p><strong>Results: </strong>PLWD's overall percentage of class attendance, M (SD) = 69.19 (29.95), demonstrated high adherence. Moreover, QoL of highly adherent PLWD was significantly higher than low adherents. Among all variables, PLWD's and carers' health conditions (β = -0.64; p < .001, β = -0.38; p < .001, respectively) were the dominating factors that reduced PLWD's Tai Chi adherence, while PLWD's moderate physical activity at baseline (β = 0.27; p = .02) was significant positive predictor. Significance/Implications: PLWD's and their carers' health issues must be addressed to enhance PLWD's exercise adherence and sustain good QoL.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Júlio Benvenutti Bueno de Camargo, Felipe Alves Brigatto
{"title":"Beta-Alanine for Improving Exercise Capacity, Muscle Strength, and Functional Performance of Older Adults: A Systematic Review.","authors":"Júlio Benvenutti Bueno de Camargo, Felipe Alves Brigatto","doi":"10.1123/japa.2024-0118","DOIUrl":"https://doi.org/10.1123/japa.2024-0118","url":null,"abstract":"<p><strong>Background/objective: </strong> Beta-alanine supplementation increases muscle carnosine content and also improves exercise capacity and performance in young adults, with mixed findings emerging from the few studies investigating its effects on older participants. Therefore, this study aimed to systematically review the evidence regarding the effects of beta-alanine on exercise capacity, muscle strength, and functional performance of older adults.</p><p><strong>Methods: </strong> This systematic review was conducted following the specific methodological guidelines of the Preferred Report Items for Systematic Reviews and Meta-Analyses and the Physiotherapy Evidence Database scale. Furthermore, the Cochrane risk-of-bias assessment tool was used. The search was carried out in five relevant databases (MEDLINE, Embase, Web of Science, Scopus, and Cochrane Library) from inception up to March 2024.</p><p><strong>Results: </strong> Of the 1,749 registers identified, only five met the established criteria and were included in this systematic review. A total of 163 older adults (mean age ± SD: 69.1 ± 2.8 years; range: 66.2-72.7 years) were included across all five studies. The majority of studies included participants from both genders. The mean intervention duration ± SD was 11.7 ± 1.0 weeks. The mean daily dosage was 2.7 ± 0.4 g/day (range: 2.4-3.2 g/day).</p><p><strong>Conclusion: </strong> Overall, exercise capacity may be improved following supplementation protocols with dosages ranging from 2.4 to 3.2 g/day. Muscle strength and functional performance do not seem to be improved by beta-alanine since these tasks are not significantly impacted by acidosis buildup.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chloe French, Yvonne McKenzie, Emma Stanmore, Sorrel Burden
{"title":"Are Mobile Apps Effective at Targeting Physical Activity or Malnutrition in Community-Dwelling Older Adults? A Systematic Review and Meta-Analysis.","authors":"Chloe French, Yvonne McKenzie, Emma Stanmore, Sorrel Burden","doi":"10.1123/japa.2023-0449","DOIUrl":"https://doi.org/10.1123/japa.2023-0449","url":null,"abstract":"<p><p>This systematic review aims to identify the effectiveness of digital health applications (apps) to increase physical activity (PA) or prevent malnutrition in community-dwelling older adults. Searches were conducted in June 2023 across seven electronic databases (MEDLINE, PsycINFO, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica database, Allied and Complementary Medicine Database, and Cochrane Central Register of Controlled Trials), and grey literature were searched via google scholar. Data from studies that met the inclusion criteria were extracted. Risk of bias was assessed, and the quality of evidence was evaluated using Grading of Recommendations Assessment, Development, and Evaluation. Meta-analyses were undertaken where appropriate using DerSimonian and Laird random-effects model (Stata version 16.1), or data were described narratively. Twenty-seven studies met the eligibility criteria, although 23 of these had low or unclear risk of bias. Twelve studies considered PA outcomes only, two studies considered nutritional outcomes only, and three studies considered both PA and nutritional components. A meta-analysis comprising six studies (818 participants) showed that those using a digital health app had a higher step count compared with participants in the control group (mean difference = 799, 95% CI [48.76, 1550.08]). Studies looking at nutritional outcomes aimed to increase protein intake or adherence to dietary patterns with mixed findings. Digital health apps have the potential to increase PA in community-dwelling older adults. Digital health app interventions that aim to reduce the risk of malnutrition in older adults is a relatively unexplored area with mixed findings, so more high-quality studies should be prioritized.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole Halim, Katherine B Owen, Ben J Smith, Margaret Thomas, Anne Tiedemann, Catherine Sherrington, Adrian E Bauman
{"title":"Increasing Reported Physical Activity Among Australian Adults: Progress Toward a Healthy Older Age.","authors":"Nicole Halim, Katherine B Owen, Ben J Smith, Margaret Thomas, Anne Tiedemann, Catherine Sherrington, Adrian E Bauman","doi":"10.1123/japa.2023-0426","DOIUrl":"https://doi.org/10.1123/japa.2023-0426","url":null,"abstract":"<p><strong>Background/objectives: </strong>A globally aging population necessitates public health action that supports healthy aging. Although it is well established that participation in physical activity (PA), sport, and active recreation are important for healthy aging, PA levels remain generally lower among older adults. This study examines trends in physical activities that older adults engage in and identifies disparities in activities across subgroups as defined by age, gender, and socioeconomic status.</p><p><strong>Methods: </strong>Data from two New South Wales survey data sets (New South Wales Population Health Survey and AusPlay) investigated patterns and trends of PA, sport, and active recreation between 2016 and 2021 among adults aged 65+ years. Weighted prevalence estimates of meeting PA guidelines (≥150 min/week of moderate to vigorous PA), weekly minutes spent walking and doing moderate to vigorous PA, and annual participation rates in specific activities were calculated as weighted proportions. Multivariable logistic regression models included age, gender, and socioeconomic status as independent variables.</p><p><strong>Results: </strong>Between 2016 and 2021, the proportion of older adults meeting PA guidelines increased (37.8%-51.3%). Adults aged 75+ years, older men, and those living in the least disadvantaged areas experienced greater increases in moderate to vigorous PA.</p><p><strong>Conclusions: </strong>Older adults' reported PA levels have increased in recent years, highlighting opportunities to prioritize PA promotion in the global agenda to support healthy and active aging. Significance/Implications: This study offers insights into recent trends and noteworthy increases in PA, sport, and active recreation among older Australian adults. These can assist policymakers in developing, evaluating, and implementing population-wide strategies to maintain improved activity levels.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louise Robin, Benoit Borel, Stéphane Mandigout, Annabelle De Serres-Lafontaine, Charles Sebiyo Batcho
{"title":"Feasibility and Acceptance of a Remotely Supervised Home-Based Group Mobility Exercise for Older Adults Using a Mobile Robotic Telepresence: A Pilot Study.","authors":"Louise Robin, Benoit Borel, Stéphane Mandigout, Annabelle De Serres-Lafontaine, Charles Sebiyo Batcho","doi":"10.1123/japa.2024-0062","DOIUrl":"https://doi.org/10.1123/japa.2024-0062","url":null,"abstract":"<p><strong>Background/objectives: </strong> Mobile robotic telepresence could be used to remotely supervise physical activity programs. Our study aims to explore the feasibility, acceptance, and usability of a physical activity program offered synchronously via a mobile robotic telepresence platform.</p><p><strong>Methods: </strong> For this interventional study, five Cutii robots were made available in two residences for older adults in Quebec. Participants received the exercise program, two sessions per week for 4-6 weeks, delivered remotely via the robot. The following feasibility indicators were collected during the study, as recommended by Thabane et al.: process, resources, management, and intervention. Acceptance and usability of the technology were measured using the extended version of the Unified Theory of Acceptance and Use of Technology-based questionnaire and the System Usability Scale, respectively.</p><p><strong>Results: </strong> Eighty percent of participants completed the protocol, and 58% of participants attended 80% of the sessions. Various technical problems (internet connection and technology issues) limited the usability and acceptance of the technology.</p><p><strong>Conclusion: </strong> The results revealed that the program was feasible according to the process, management, and intervention indicators but unsatisfactory in terms of resources. For some participants, minor modifications were needed to improve technology support and facilitate connection to the mobile robotic telepresence. Further studies will need to focus on the evaluation of the effectiveness of this type of intervention.</p><p><strong>Implications: </strong>These results emphasize the importance of continuing research evaluating the opportunities provided by new technologies to enhance older adults' engagement in physical activity and inform clinicians and policymakers to improve future services in this domain.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiali Zhao, Juan Liu, Xinlong Ma, Xiaoyang Shi, Yan Wang, Lijing Bai, Ying Wang, Wenhua Li
{"title":"Social-Ecological Correlates of Physical Activity Among Older Adults With Subjective Cognitive Decline in Chinese Community: A Cross-Sectional Study.","authors":"Jiali Zhao, Juan Liu, Xinlong Ma, Xiaoyang Shi, Yan Wang, Lijing Bai, Ying Wang, Wenhua Li","doi":"10.1123/japa.2023-0408","DOIUrl":"https://doi.org/10.1123/japa.2023-0408","url":null,"abstract":"<p><strong>Background: </strong> Subjective cognitive decline (SCD) is an important time window for early prevention of Alzheimer's disease. Regular physical activity (PA) has positive effects on cognitive functions. Little is known about the actual PA levels and social-ecological correlates in people with SCD. This study aimed to describe PA level and examine the individual, interpersonal, and neighborhood environmental correlates of PA among older adults with SCD in the Chinese community.</p><p><strong>Methods: </strong> A total of 246 older adults with SCD who participated in community physical examinations in three community health service centers in Baoding City from May to July 2023 were selected as the investigation subjects through convenience sampling. Questionnaires were conducted on PA, self-efficacy, self-regulation, social support, and community environment of older adults. Multivariate logistic regression was employed to analyze the factors influencing PA in older adults with SCD.</p><p><strong>Results: </strong> Only 25.2% of older adults with SCD were physically active enough. Multivariate logistic regression analysis showed that PA was positively correlated with self-reported health status, self-efficacy, self-regulation, social support, and community facilities. It was negatively associated with age, income, and overweight/obesity.</p><p><strong>Conclusions: </strong> Factors on three levels were all significantly associated with PA. Interventions that incorporate individual, interpersonal, and social factors may be considered to promote PA in older adults with SCD. However, only a few older adults achieve the goal of 150 min/week of moderate activity.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The COVID Pandemic Worsened Physical Activity Disproportionately in Frailer Adults: A Canadian Longitudinal Study on Aging.","authors":"Myles O'Brien, Andrea Mayo, Olga Theou","doi":"10.1123/japa.2023-0418","DOIUrl":"10.1123/japa.2023-0418","url":null,"abstract":"<p><strong>Introduction: </strong>Frailty is associated with increased hospitalization and mortality and may be exacerbated with physical inactivity. The COVID-19 pandemic has heterogeneously impacted peoples' physical activity level, but the impact on the frail population is unclear.</p><p><strong>Objective: </strong>The objective of this study is to test the hypothesis that higher frailty levels were associated with worse changes in physical activity, ability to move around the home, and do housework during the pandemic.</p><p><strong>Methods: </strong>We included 23,303 Canadians (age: 69.1 ± 9.5 years, 53% females) who participated in the Canadian Longitudinal Study on Aging COVID-19 Questionnaire study. Frailty prior to the pandemic (follow-up 1: 2015-2018) was measured via 52-item frailty index and grouped into 0.00-0.05, 0.05-0.10, 0.10-0.20, and >0.20 scores. Participants were asked whether they changed their levels of physical activity, ability to move at home, and ability to do housework during the pandemic.</p><p><strong>Results: </strong>The average frailty level was 0.09 ± 0.06. Compared with the lowest frailty group, participants with frailty levels >0.20 reported worse physical activity (17% vs. 45%), worse ability to move at home (3% vs. 26%), and perform housework (3% vs. 27%). Covariate-adjusted logistic regression models demonstrated that higher frailty level was associated with a greater odds of reporting worse physical activity (reference: 0.00-0.05; odds ratio for frailty index >0.20:4.03, 95% confidence interval [3.33, 4.87]), worse ability to move in home (odds ratio = 11.16, 95% confidence interval [8.28, 15.03]), and worse ability doing housework (odds ratio = 12.58, 95% confidence interval [9.24, 17.13]).</p><p><strong>Conclusions: </strong>The adverse changes in physical activity levels and ability to move at home among frail older adults during the pandemic document the need for strategies to help vulnerable populations move more.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"201-207"},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pia Pullinen, Jari Parkkari, Jaakko Kaprio, Henri Vähä-Ypyä, Harri Sievänen, Urho Kujala, Katja Waller
{"title":"Association Between Accelerometer-Measured Physical Activity and Mobility Limitations in Twins.","authors":"Pia Pullinen, Jari Parkkari, Jaakko Kaprio, Henri Vähä-Ypyä, Harri Sievänen, Urho Kujala, Katja Waller","doi":"10.1123/japa.2023-0445","DOIUrl":"10.1123/japa.2023-0445","url":null,"abstract":"<p><strong>Background: </strong>The associations between mobility limitations and device-measured physical activity are sparsely studied. In this study, these associations are studied among community-dwelling older twins.</p><p><strong>Methods: </strong>This cross-sectional study utilized data gathered in 2014-2016 for the MOBILETWIN study. Participants were twins born in Finland between 1940 and 1944 (774 participants, mean age 73 years). Physical activity was measured with a hip-worn accelerometer. Mobility limitations were assessed with a questionnaire.</p><p><strong>Results: </strong>Individual-level analyses revealed that physical activity was associated with mobility limitations. Participants with severe mobility limitations took 2,637 (SD = 1,747) steps per day, those with some mobility limitations 4,437 (SD = 2,637) steps, and those without mobility limitations 7,074 (SD = 2,931) steps (p < .05). The within-twin pair analyses revealed the same pattern for the 144 dizygotic twin pairs, but no associations were seen for the 117 monozygotic twin pairs.</p><p><strong>Conclusions: </strong>Accelerometer-measured physical activity and mobility limitations were associated in community-dwelling older adults. Genetic factors may explain some of the variations in physical activity.</p><p><strong>Significance: </strong>A personalized exercise program to promote increased physical activity should be provided for older adults who report mobility difficulties. Future research is needed to examine causality between physical activity and mobility limitations.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"192-200"},"PeriodicalIF":1.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wii Fit Exercise's Effects on Muscle Strength and Fear of Falling in Older Adults With Alzheimer Disease: A Randomized Controlled Trial.","authors":"Fatma Uğur, Meral Sertel","doi":"10.1123/japa.2023-0428","DOIUrl":"10.1123/japa.2023-0428","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate how Wii Fit exercises affect muscle strength and fear of falling in older adults with Alzheimer's disease.</p><p><strong>Method: </strong>The study included a total of 32 volunteers with Alzheimer's disease, aged 65-80 years. These participants were divided into two groups: the exercise group and the control group. The exercise group received a 30-min (one session) twice-weekly exercise program for 6 weeks with games selected from different categories, such as balance and aerobic exercises, with the Nintendo Wii virtual reality device. During this period, the control group did not receive any treatment, and routine medical treatments continued. At baseline and 6 weeks later, Mini-Mental State Examination, knee extension muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale results were recorded in the exercise and control groups.</p><p><strong>Results: </strong>In intragroup comparison, a statistically significant difference was found in all tests (muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale) in the exercise group after the exercise program (p < .05), while no significant difference was found in the control group (p > .05). According to the interaction of group and time in the intergroup comparison, there was no difference between the groups (exercise and control group) in muscle strength and Timed Up and Go Test (p > .05), but there was a difference in Tinetti Fall Efficacy Scale (p < .05).</p><p><strong>Conclusions: </strong>This randomized controlled trial supports the claim that Wii Fit exercises can reduce the fear of falling in older adults with Alzheimer's disease.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"181-191"},"PeriodicalIF":1.4,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fang Yu, Keenan Pituch, Molly Maxfield, Rodney P Joseph, Jeremy J Pruzin, Dev Ashish, David W Coon, Gabriel Shaibi
{"title":"Relationships of Physical Activity and Type 2 Diabetes With Cognition in Mexican Americans and Non-Hispanic Whites.","authors":"Fang Yu, Keenan Pituch, Molly Maxfield, Rodney P Joseph, Jeremy J Pruzin, Dev Ashish, David W Coon, Gabriel Shaibi","doi":"10.1123/japa.2023-0353","DOIUrl":"10.1123/japa.2023-0353","url":null,"abstract":"<p><p>Problem, Research Strategy, and Findings: Low physical activity (PA) and Type 2 diabetes are associated with cognitive aging and Alzheimer's disease, but the evidence is inconsistent and particularly limited by ethnicity. The purpose of this study was to examine the relationships of PA and Type 2 diabetes with cognition in Mexican Americans and non-Hispanic Whites. The study was a cross-sectional analysis of the Health and Aging Brain Study-Health Disparities (n = 1,982-2,000 after removing outliers). Predictors included Rapid Assessment of Physical Activity and hemoglobin A1c (HbA1c). Episodic memory was assessed by Weschler Memory Scale-Third Edition Logical Memory and Spanish-English Verbal Learning Test, executive function by Weschler Memory Scale-Third Edition Digit Span and Digit Symbol Substitution Test, verbal fluency by FAS and animal naming, and global cognition by the Mini-Mental State Examination. Results show that aerobic PA and HbA1c were not associated with domain-specific, or global cognition, but strength/flexibility PA was associated with FAS (b = 0.404, 95% CI [0.023, 0.761]). Higher aerobic PA was associated with greater verbal fluency for Mexican Americans (b = 0.294, 95% CI [0.96, 0.497]) only. HbA1c was negatively associated with Mini-Mental State Examination (b = 0.838, 95% CI [0.008, 1.656]). For low HbA1c, the association between aerobic PA and Digit Symbol Substitution Test was significant for non-Hispanic Whites (b = 0.838, 95% CI [0.008, 1.656]) in comparison to Mexican Americans. Takeaway for Practice: The relationships between PA, Type 2 diabetes, and cognition vary by cognitive domains and ethnicity. Increasing aerobic activities may be particularly important for Mexican Americans who have elevated HbA1c to potentially improve fluency or executive function.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"161-180"},"PeriodicalIF":1.4,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}