在身体活跃的中老年人中,低内在能力与运动引起的认知增强减弱有关

IF 6.8 Q1 CLINICAL NEUROLOGY
Brandon A. Yates, Ariela R. Orkaby, Jakob L. Vingren, Lawrence E. Armstrong
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引用次数: 0

摘要

世界卫生组织支持将内在能力(IC)作为评估和监测老年人认知健康的框架。低智商与较高的痴呆风险相关。定期运动可以改善认知健康,降低痴呆风险,并可能增加IC。然而,定期运动训练对大脑的长期慢性益处取决于单次运动增强认知的有效性。然而,IC如何影响单次锻炼后的改善幅度尚未阐明。方法选取40名身体质量指数≥24.9 kg/m2(范围:24.9 ~ 36.3)、身体活跃的成年人(55±6岁,平均±SD)为研究对象。IC域在操作上定义如下:认知(Mini Cog和Trail Making Test part A和B [TMT A+B]性能)、活力(身体组成和运动性能)和运动功能(习惯性步速)。根据运动功能将参与者分为慢速组(≤1.0 m/s; LOW-IC)和正常组(>1.0 m/s; NORM-IC)。在锻炼(161公里自行车项目)之前和之后,参与者完成了执行功能任务(TMT A+B)。在控制基线TMT A+B表现的情况下,采用协方差分析检测TMT A+B的显著改善(p < 0.05)。结果被试具有相似的认知能力和活力,但两组在运动功能上存在显著差异。在运动后,NORM-IC的改善(- 13 s[- 18至- 8];p < 0.001;偏η2 = 0.47;调整后的平均值[95%置信区间])大于LOW-IC (- 3 s[- 9至2];p = 0.25;偏η2 = 0.04),显示出显著的相互作用(p = 0.004)。在成年中后期,低IC与钝化的急性运动诱导的认知增强有关。未来的研究有理由确定支撑这一新发现的生理机制。超重/肥胖的成年人在耐力运动后表现出认知能力的提高。运动功能差限制了超重成年人从运动中获得的认知能力。IC比认知能力更能预测运动相关的认知收益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Low intrinsic capacity is associated with a blunted exercise-induced cognitive enhancement in physically active middle-aged and older adults

Low intrinsic capacity is associated with a blunted exercise-induced cognitive enhancement in physically active middle-aged and older adults

Low intrinsic capacity is associated with a blunted exercise-induced cognitive enhancement in physically active middle-aged and older adults

Low intrinsic capacity is associated with a blunted exercise-induced cognitive enhancement in physically active middle-aged and older adults

Low intrinsic capacity is associated with a blunted exercise-induced cognitive enhancement in physically active middle-aged and older adults

INTRODUCTION

The World Health Organization supports intrinsic capacity (IC) as a framework for assessing and monitoring an older person's cognitive health. Low IC is associated with higher dementia risk. Regular exercise participation improves cognitive health, reduces dementia risk, and may increase IC. However, the long-term chronic brain benefits of regular exercise training are dependent upon the effectiveness of single exercise bouts to augment cognition. Yet, how IC influences the magnitude of improvement following a single exercise bout has not been elucidated.

METHODS

A convenience sampling of 40 physically active adults (55 ± 6 years; mean ± SD) with a body mass index ≥ 24.9 kg/m2 (range: 24.9 to 36.3) were included in this study. IC domains were operationally defined as follows: cognitive (Mini Cog and Trail Making Test Parts A and B [TMT A+B] performance), vitality (body composition and exercise performance), and locomotor function (habitual gait speed). Participants were stratified by locomotor function into a slow group (≤1.0 m/s; LOW-IC) and a normal group (>1.0 m/s; NORM-IC). Immediately prior to and following the exercise session (161-km cycling event) participants completed the executive function task (TMT A+B). An analysis of covariance, controlling for baseline TMT A+B performance, was used to detect a significant improvement in TMT A+B (p < 0.05).

RESULTS

Participants had similar cognitive abilities and vitality, but groups significantly differed by locomotor function. A significant interaction (p = 0.004) was revealed where improvement for NORM-IC (−13 s [−18 to −8]; p < 0.001; partial η2 = 0.47; adjusted mean [95% confidence interval]) was greater than for LOW-IC (−3 s [−9 to 2]; p = 0.25; partial η2 = 0.04) following the exercise session.

DISCUSSION

Low IC is associated with a blunted acute exercise-induced cognitive enhancement in mid to late adulthood. Future research is justified to determine the physiological mechanisms underpinning this novel finding.

Highlights

  • Adults with overweight/obesity show cognitive gains after endurance exercise.
  • Poor locomotor function limits cognitive gains from exercise in overweight adults.
  • IC better predicts exercise-related cognitive gains than cognition.
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来源期刊
CiteScore
10.10
自引率
2.10%
发文量
134
审稿时长
10 weeks
期刊介绍: Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.
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