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Impact of various intensities and frequencies of non-occupational physical activity on the risk of dementia among physically independent older adults: the Japan Gerontological Evaluation Study

Arafa, A; Eshak, ES; Shirai, K; Cadar, D; Iso, H; Tsuji, T; Kanamori, S; (2021) Impact of various intensities and frequencies of non-occupational physical activity on the risk of dementia among physically independent older adults: the Japan Gerontological Evaluation Study. Public Health , 196 pp. 204-210. 10.1016/j.puhe.2021.05.022. Green open access

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Abstract

Objectives: The aim of this study was to investigate the association between different intensities and frequencies of non-occupational physical activity (PA) and the risk of dementia among Japanese older adults. / Study design: This was a prospective cohort study. / Methods: A total of 2194 participants aged ≥65 years from the Japan Gerontological Evaluation Study were followed up between 2010 and 2016. The standardised dementia scale of the long-term care insurance system was used to identify incident dementia, whereas non-occupational PA (<2 or ≥2 times/week on each intensity: light, moderate and vigorous) was assessed using a questionnaire. Cox regression was used to compute the hazard ratios (HRs) and 95% confidence intervals (CIs) for incident dementia. / Results: After adjustment for sociodemographic and medical characteristics, the following frequencies and intensities of non-occupational PA, compared with no non-occupational PA at all, were associated with a reduced risk of dementia: light PA ≥2 times/week (HR = 0.61, 95% CI: 0.38–0.97), moderate PA <2 times/week (HR = 0.46, 95% CI: 0.28–0.76), moderate PA ≥2 times/week (HR = 0.57, 95% CI: 0.36–0.91), vigorous PA <2 times/week (HR = 0.40, 95% CI: 0.21–0.74) and vigorous PA ≥2 times/week (HR = 0.29, 95% CI: 0.15–0.57). In the sex-specific analysis, moderate PA <2 times/week and vigorous PA ≥2 times/week were associated with a reduced risk of dementia in men, whereas light and moderate PA ≥2 times/week and all frequencies of vigorous PA were associated with a reduced risk of dementia in women. / Conclusions: Practicing non-occupational PA was associated with a reduced risk of dementia among Japanese older adults.

Type: Article
Title: Impact of various intensities and frequencies of non-occupational physical activity on the risk of dementia among physically independent older adults: the Japan Gerontological Evaluation Study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.puhe.2021.05.022
Publisher version: https://doi.org/10.1016/j.puhe.2021.05.022
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Older adults, Physical activity, Dementia, Cohort study
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10131790
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