The relationship between physical activity and cognitive function among the middle-aged and older adults in China: the moderating effect of diet

ZHAO Caifeng; DONG Weizhong; XU Shanshan; HU Liang

doi:10.16462/j.cnki.zhjbkz.2024.10.004

Volume 28 Issue 10

Oct. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(10): 1137-1142

ZHAO Caifeng, DONG Weizhong, XU Shanshan, HU Liang. The relationship between physical activity and cognitive function among the middle-aged and older adults in China: the moderating effect of diet[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(10): 1137-1142. doi: 10.16462/j.cnki.zhjbkz.2024.10.004

Citation:

ZHAO Caifeng, DONG Weizhong, XU Shanshan, HU Liang. The relationship between physical activity and cognitive function among the middle-aged and older adults in China: the moderating effect of diet[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(10): 1137-1142. doi: 10.16462/j.cnki.zhjbkz.2024.10.004

Citation:

ZHAO Caifeng, DONG Weizhong, XU Shanshan, HU Liang. The relationship between physical activity and cognitive function among the middle-aged and older adults in China: the moderating effect of diet[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(10): 1137-1142. doi: 10.16462/j.cnki.zhjbkz.2024.10.004

PDF( 816 KB)

The relationship between physical activity and cognitive function among the middle-aged and older adults in China: the moderating effect of diet

doi: 10.16462/j.cnki.zhjbkz.2024.10.004

1.
Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China
2.
Laboratory for Digital Sports and Health, College of Education, Zhejiang University, Hangzhou 310058, China

More Information

Corresponding author: HU Liang, E-mail: lianghu@zju.edu.cn
Received Date: 2024-01-12
Rev Recd Date: 2024-08-17

Available Online: 2024-12-11

Publish Date: 2024-10-10

Abstract

Abstract

Objective To investigate the relationship between physical activity and cognitive function among the middle-aged and older adults in China, as well as the impact of diet on this relationship. The findings will provide a basis for implementing comprehensive behavioral interventions. Methods Based on the China health and nutrition survey (CHNS), 3 584 subjects with a baseline age of 55 years and above were included. A linear mixed-effects model was used to examine the association between physical activity and cognitive function, and a stratified analysis was conducted to determine whether such association varies between different groups of diet. Results After adjusting for demographic factors, lifestyle factors, and chronic disease conditions, there was a significant association between overall physical activity and total cognitive function scores (β=0.050, 95% CI: 0.035-0.065). Stratified analyses showed that in the group with lower health level of diet, the overall level of physical activity was more strongly associated with the total cognitive function score (β=0.094, 95% CI: 0.054-0.133). Conclusions More attention should be paid to protecting cognitive function by increasing physical activity level for middle-aged and elderly Chinese, especially those with low dietary health level.
- Physical activity,
- Diet,
- Cognitive function,
- Moderating effect

FullText(HTML)

References(17)

References

[1]	Luo JQ, Agboola F, Grant E, et al. Accelerated longitudinal changes and ordering of alzheimer disease biomarkers across the adult lifespan[J]. Brain, 2022, 145(12): 4459-4473. DOI: 10.1093/brain/awac238.
[2]	Han SD, Fleischman DA, Yu L, et al. Cognitive decline and hippocampal functional connectivity within older black adults[J]. Hum Brain Mapp, 2022, 43(16): 5044-5052. DOI: 10.1002/hbm.26070.
[3]	Gallardo-Gómez D, Del Pozo-Cruz J, Noetel M, et al. Optimal dose and type of exercise to improve cognitive function in older adults: a systematic review and Bayesian model-based network meta-analysis of RCTs[J]. Ageing Res Rev, 2022, 76: 101591. DOI: 10.1016/j.arr.2022.101591.
[4]	Lin HW, Liu HH, Dai YL, et al. Effect of physical activity on cognitive impairment in patients with cerebrovascular diseases: a systematic review and Meta-analysis[J]. Front Neurol, 2022, 13: 854158. DOI: 10.3389/fneur.2022.854158.
[5]	Dominguez LJ, Veronese N, Vernuccio L, et al. Nutrition, physical activity, and other lifestyle factors in the prevention of cognitive decline and dementia[J]. Nutrients, 2021, 13(11): 4080. DOI: 10.3390/nu13114080.
[6]	Ellouze I, Sheffler J, Nagpal R, et al. Dietary patterns and alzheimer's disease: an updated review linking nutrition to neuroscience[J]. Nutrients, 2023, 15(14): 3204. DOI: 10.3390/nu15143204.
[7]	Komulainen P, Tuomilehto J, Savonen K, et al. Exercise, diet, and cognition in a 4-year randomized controlled trial: dose-responses to exercise training (DR's EXTRA)[J]. Am J Clin Nutr, 2021, 113(6): 1428-1439. DOI: 10.1093/ajcn/nqab018.
[8]	Dixon A, Porter S, Suhrie K, et al. Predicting daily functioning with the modified telephone interview for cognitive status[J]. Aging Clin Exp Res, 2022, 34(6): 1267-1274. DOI: 10.1007/s40520-022-02081-4.
[9]	Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 compendium of physical activities: a second update of codes and MET values[J]. Med Sci Sports Exerc, 2011, 43(8): 1575-1581. DOI: 10.1249/MSS.0b013e31821ece12.
[10]	Aengevaeren VL, Mosterd A, Bakker EA, et al. Exercise volume versus intensity and the progression of coronary atherosclerosis in middle-aged and older athletes: findings from the MARC-2 study[J]. Circulation, 2023, 147(13): 993-1003. DOI: 10.1161/CIRCULATIONAHA.122.061173.
[11]	Morris MC, Tangney CC, Wang YM, et al. MIND diet slows cognitive decline with aging[J]. Alzheimers Dement, 2015, 11(9): 1015-1022. DOI: 10.1016/j.jalz.2015.04.011.
[12]	Román GC, Jackson RE, Gadhia R, et al. Mediterranean diet: the role of long-chain ω-3 fatty acids in fish; polyphenols in fruits, vegetables, cereals, coffee, tea, cacao and wine; probiotics and vitamins in prevention of stroke, age-related cognitive decline, and alzheimer disease[J]. Rev Neurol, 2019, 175(10): 724-741. DOI: 10.1016/j.neurol.2019.08.005.
[13]	Biazus-Sehn LF, Schuch FB, Firth J, et al. Effects of physical exercise on cognitive function of older adults with mild cognitive impairment: a systematic review and Meta-analysis[J]. Arch Gerontol Geriatr, 2020, 89: 104048. DOI: 10.1016/j.archger.2020.104048.
[14]	Hsiao C, Wen CJ, Yen HY, et al. Association between accelerometer-measured light-intensity physical activity and cognitive function in older adults[J]. J Nutr Health Aging, 2022, 26(3): 230-235. DOI: 10.1007/s12603-022-1749-0.
[15]	Balasubramanian P, Kiss T, Gulej R, et al. Accelerated aging induced by an unhealthy high-fat diet: initial evidence for the role of Nrf2 deficiency and impaired stress resilience in cellular senescence[J]. Nutrients, 2024, 16(7): 952. DOI: 10.3390/nu16070952.
[16]	Chen C, Nakagawa S. Physical activity for cognitive health promotion: an overview of the underlying neurobiological mechanisms[J]. Ageing Res Rev, 2023, 86: 101868. DOI: 10.1016/j.arr.2023.101868.
[17]	Chu CQ, Yu LL, Qi GY, et al. Can dietary patterns prevent cognitive impairment and reduce alzheimer's disease risk: exploring the underlying mechanisms of effects[J]. Neurosci Biobehav Rev, 2022, 135: 104556. DOI: 10.1016/j.neubiorev.2022.104556.