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Perimenopausal Physical Activity and Dementia Risk: A Systematic Review

Simmons, Niall; Ruiz, Miguel Rodriguez; Ronca, Flaminia; (2024) Perimenopausal Physical Activity and Dementia Risk: A Systematic Review. International Journal of Sports Medicine , 45 (09) pp. 637-658. 10.1055/a-2307-8122. Green open access

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Abstract

Mixed-gender studies predominate in the current literature exploring the interaction between physical activity and dementia risk. Considering that menopause appears to contribute to females' increased risk of cognitive decline when compared to males, further clarity is required on the impact of physical activity in reducing late-life dementia risk, specifically in perimenopausal females. A literature search of MEDLINE, EMBASE, Web of Science, SCOPUS and CINAHL databases yielded fourteen studies for review. A significant inverse relationship between perimenopausal leisure time physical activity, or physical fitness, and future all-cause dementia risk was found in most studies exploring this interaction. Higher levels of perimenopausal household physical activity and combined non-leisure time physical activity also displayed a favorable impact in lowering dementia risk. A dose-response effect was demonstrated, with approximately 10 MET-hour/week of leisure time physical activity required for significant dementia risk reduction. Three of four papers exploring causality provided analyses proposed to counter the reverse causation argument, suggesting that physical activity may indeed have a protective role in reducing dementia risk post-menopause. The current systematic review provides promising results regarding the impact of pre- and perimenopausal physical activity on reducing late-life dementia risk, suggesting that promoting perimenopausal physical activity may serve as a crucial tool in mitigating the risk of post-menopausal cognitive decline.

Type: Article
Title: Perimenopausal Physical Activity and Dementia Risk: A Systematic Review
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1055/a-2307-8122
Publisher version: http://dx.doi.org/10.1055/a-2307-8122
Language: English
Additional information: © 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons. org/licenses/by-nc-nd/4.0/)
Keywords: Science & Technology, Life Sciences & Biomedicine, Sport Sciences, dementia, leisure time physical activity, non-leisure time physical activity, systematic review, perimenopause, BODY-MASS INDEX, LEISURE-TIME, PARKINSONS-DISEASE, LATE-LIFE, MIDLIFE, METAANALYSIS, ASSOCIATION, MENOPAUSE, FITNESS, WOMEN
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 Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10197809
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