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Correlates of sedentary behavior in middle-aged and old age people with mild cognitive impairment: a multinational study

Published online by Cambridge University Press:  16 October 2018

Davy Vancampfort Open the ORCID record for Davy Vancampfort [Opens in a new window] ,
Brendon Stubbs ,
Elvira Lara ,
Mathieu Vandenbulcke ,
Nathalie Swinnen  and
Ai Koyanagi
Davy Vancampfort*
Affiliation:
Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium University Psychiatric Center KU Leuven, KU Leuven, Kortenberg, Belgium
Brendon Stubbs
Affiliation:
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, UK
Elvira Lara
Affiliation:
Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
Mathieu Vandenbulcke
Affiliation:
Old Age Psychiatry, University Psychiatric Centre (UPC) - KU Leuven, Leuven, Belgium
Nathalie Swinnen
Affiliation:
University Psychiatric Center KU Leuven, KU Leuven, Kortenberg, Belgium
Ai Koyanagi
Affiliation:
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain
*
Correspondence should be addressed to: Davy Vancampfort, Tervuursevest 101, 3001 Leuven, Belgium. Phone: +32 2 758 05 11; Fax: +32 2 759 9879. Email: [email protected].
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Abstract

Objective:

Despite the benefits of being active for people with mild cognitive impairment (MCI) on cognition and the acknowledgement that MCI is a critical period for intervening to prevent dementia, little is known about the actual sedentary levels in people with MCI. This study investigates correlates of sedentary behavior (SB) in people with MCI.

Design:

This was a cross-sectional study.

Setting:

Data from the World Health Organization’s Study on Global Ageing and Adult Health were analyzed.

Participants:

Individuals aged ≥50 years with MCI were included.

Measurements:

SB was assessed by the Global Physical Activity Questionnaire. Associations between SB levels and the correlates were examined using multivariable linear and logistic regressions.

Results:

4,082 individuals aged ≥50 years with MCI (64.4 ± 17.0 years; 55.1% female) were included. The prevalence of high SB (i.e., ≥8 hours/day) was 14.0% (95%CI = 12.2%–16.0%), while the time spent sedentary was 262 ± 290 minutes/day. Correlates significantly associated with being sedentary ≥8 hours/day and time spent sedentary per day were, older age, being unemployed, depression, sleep problems, obesity (vs. normal weight), diabetes, stroke, poor self-rated health, and lower levels of social cohesion.

Conclusions:

Future research exploring interventions to reduce SB in people with MCI should target the identified sociodemographic and mental and physical health correlates, while the promotion of social cohesion may have the potential to increase the efficacy of future public health initiatives.

Keywords

dementiaexercisephysical activity
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 4: Issue Theme: Aging and Well-Being , April 2019 , pp. 579 - 589
Copyright
© International Psychogeriatric Association 2018 

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References

Albert, M. S. et al. (2011). The diagnosis of mild cognitive impairment due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimer’s & Dementia, 7, 270–279. doi: 10.1016/j.jalz.2011.03.008.CrossRefGoogle Scholar
Alzheimer’s Disease International (2015). World Alzheimer Report. London: Alzheimer’s Disease International.Google Scholar
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washinton, DC: American Psychiatric Association.Google Scholar
Baker, N. A., Barbour, K. E., Helmick, C. G., Zack, M. and Al Snih, S. (2017). Arthritis and cognitive impairment in older adults. Rheumatology International, 37, 955–961. doi: 10.1007/s00296-017-3698-1.CrossRefGoogle ScholarPubMed
Biswas, A. et al. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Annals of Internal Medicine, 162, 123–132. doi: 10.7326/M14-1651.CrossRefGoogle ScholarPubMed
Cohen, D. A., Finch, B. K., Bower, A. and Sastry, N. (2006). Collective efficacy and obesity: the potential influence of social factors on health. Social Science & Medicine, 62, 769–778. doi: 10.1016/j.socscimed.2005.06.033.CrossRefGoogle Scholar
Cunningham, C. and Hennessy, E. (2015). Co-morbidity and systemic inflammation as drivers of cognitive decline: new experimental models adopting a broader paradigm in dementia research. Alzheimer’s Research & Therapy, 7, 33. doi: 10.1186/s13195-015-0117-2.CrossRefGoogle ScholarPubMed
Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M. and Prina, A. (2017). Physical activity and healthy ageing: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 38, 6–17. doi: 10.1016/j.arr.2017.06.003.CrossRefGoogle ScholarPubMed
Ekelund, U. et al. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 388, 1302–1310. doi: 10.1016/S0140-6736(16)30370-1.CrossRefGoogle ScholarPubMed
Firth, J. et al. (2018). Effect of aerobic exercise on hippocampal volume in humans: a systematic review and meta-analysis. Neuroimage, 166, 230–238. doi: 10.1016/j.neuroimage.2017.11.007.CrossRefGoogle ScholarPubMed
Falck, R.S., Landry, G. J., Best, J. R., Davis, J. C., Chiu, B. K. and Liu-Ambrose, T. (2017). Cross-sectional relationships of physical activity and sedentary behavior with cognitive function in older adults with probable mild cognitive impairment. Physical Therapy, 97, 975–984. doi: 10.1093/ptj/pzx074.CrossRefGoogle ScholarPubMed
Ferri, C. P. and Jacob, K. (2017). Dementia in low-income and middle-income countries: different realities mandate tailored solutions. PLoS Medicine, 14, e1002271. doi: 10.1371/journal.pmed.1002271.CrossRefGoogle ScholarPubMed
Ganesan, A.N. et al. (2016). International mobile-health intervention on physical activity, sitting, and weight: the Stepathlon cardiovascular health study. Journal of the American College of Cardiology, 67, 2453–2463. doi: 10.1016/j.jacc.2016.03.472.CrossRefGoogle ScholarPubMed
Kaduszkiewicz, H., Zimmermann, T., Beck-Bornholdt, H. P. and van den Bussche, H. (2005). Cholinesterase inhibitors for patients with Alzheimer’s disease: systematic review of randomised clinical trials. BMJ, 331, 321–327. doi: 10.1136/bmj.331.7512.321.CrossRefGoogle ScholarPubMed
Katon, W. et al. (2015). Effect of depression and diabetes mellitus on the risk for dementia: a national population-based cohort study. JAMA Psychiatry, 72, 612–619. doi: 10.1001/jamapsychiatry.2015.0082.CrossRefGoogle ScholarPubMed
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A. and Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA, 185, 914–919. doi: 10.1001/jama.1963.03060120024016.CrossRefGoogle ScholarPubMed
Kessler, R. C. and Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121. doi: 10.1002/mpr.168.CrossRefGoogle Scholar
Kowal, P. et al. (2012). Data resource profile: the World Health Organization Study on global AGEing and adult health (SAGE). International Journal of Epidemiology, 41, 1639–1649. doi: 10.1093/ije/dys210.CrossRefGoogle Scholar
Langa, K. M. et al. (2017). A comparison of the prevalence of dementia in the United States in 2000 and 2012. JAMA Internal Medicine, 177, 51–58. doi: 10.1001/jamainternmed.2016.6807.CrossRefGoogle ScholarPubMed
McCulloch, S., Robertson, D. and Kirkpatrick, P. (2016). Sustaining people with dementia or mild cognitive impairment in employment: a systematic review of qualitative evidence. British Journal of Occupational Therapy, 79, 682–692. doi: 10.1177/0308022616665402.CrossRefGoogle Scholar
Mirza, S. S. et al. (2016). 10-year trajectories of depressive symptoms and risk of dementia: a population-based study. The Lancet Psychiatry, 3, 628–635. doi: 10.1016/S2215-0366(16)00097-3.CrossRefGoogle ScholarPubMed
Morris, J. C. et al. (1989). The Consortium to Establish a Registry for Alzheimer’s Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer’s disease. Neurology, 39, 1159–1165. doi: 10.1212/WNL.39.9.1159.Google Scholar
Patel, V. et al. (2007). Treatment and prevention of mental disorders in low-income and middle-income countries. The Lancet, 370, 991–1005. doi: 10.1016/S0140-6736(07)61240-9.CrossRefGoogle ScholarPubMed
Petersen, R. C. (2016). Mild cognitive impairment. Continuum (Minneapolis, MN), 22, 404–418. doi: 10.1212/CON.0000000000000313.Google ScholarPubMed
Prince, M. J. (2015). World Alzheimer Report 2015: The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends. London: Alzheimer’s Disease International.Google Scholar
Rose, G. A. (1962). The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bulletin of the World Health Organization, 27, 645–658.Google Scholar
Sallis, J. F. et al. (2016). Progress in physical activity over the Olympic quadrennium. The Lancet, 388, 1325–1336. doi: 10.1016/S0140-6736(16)30581-5.CrossRefGoogle ScholarPubMed
Sampson, R. J., Raudenbush, S. W. and Earls, F. (1997). Neighborhoods and violent crime: a multilevel study of collective efficacy. Science, 277, 918–924. doi: 10.1126/science.277.5328.918.CrossRefGoogle ScholarPubMed
Schepker, C. A. et al. (2016). Effect of pain and mild cognitive impairment on mobility. Journal of the American Geriatrics Society, 64, 138–143. doi: 10.1111/jgs.13869.CrossRefGoogle ScholarPubMed
Shi, L. et al. (2018). Sleep disturbances increase the risk of dementia: a systematic review and meta-analysis. Sleep Medicine Reviews, 40, 4–16. doi: 10.1016/j.smrv.2017.06.010.CrossRefGoogle ScholarPubMed
Soundy, A., Roskell, C., Stubbs, B. and Vancampfort, D. (2014). Selection, use and psychometric properties of physical activity measures to assess individuals with severe mental illness: a narrative synthesis. Archives of Psychiatric Nursing, 28, 135–151. doi: 10.1016/j.apnu.2013.12.002.CrossRefGoogle ScholarPubMed
Stubbs, B. et al. (2016). How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression. Schizophrenia Research, 176, 431–440. doi: 10.1016/j.schres.2016.05.017.CrossRefGoogle Scholar
Stubbs, B. et al. (2017). Lifetime self-reported arthritis is associated with elevated levels of mental health burden: a multi-national cross sectional study across 46 low-and middle-income countries. Scientific Reports, 7, 7138. doi: 10.1038/s41598-017-07688-6.CrossRefGoogle ScholarPubMed
Suetani, S. et al. (2016). Correlates of physical activity in people living with psychotic illness. Acta Psychiatrica Scandinavica, 134, 129–137. doi: 10.1111/acps.12594.CrossRefGoogle ScholarPubMed
The Psychological Corporation (2002). The Psychological Corporation: The WAIS III-WMS III Updated Technical Manual. San Antonio, TX: Pearson Education.Google Scholar
Tremblay, M. S. et al. (2017). Sedentary Behavior Research Network (SBRN)–terminology consensus project process and outcome. International Journal of Behavioral Nutrition and Physical Activity, 14, 75. doi: 10.1186/s12966-017-0525-8.CrossRefGoogle ScholarPubMed
Vancampfort, D. et al. (2018). Mild cognitive impairment and sedentary behavior in six low- and middle-income countries. Experimental Gerontology, 108, 174–180. doi: 10.1016/j.exger.2018.04.017.CrossRefGoogle Scholar
Vásquez, E. et al. (2017). Is there a relationship between accelerometer-assessed physical activity and sedentary behavior and cognitive function in US Hispanic/Latino adults? The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Preventive Medicine, 103, 43–48. doi: 10.1016/j.ypmed.2017.07.024.CrossRefGoogle Scholar
Viswanath, K., Randolph Steele, W. and Finnegan, J. R. Jr. (2006). Social capital and health: civic engagement, community size, and recall of health messages. American Journal of Public Health, 96, 1456–1461. doi: 10.2105/AJPH.2003.029793.CrossRefGoogle ScholarPubMed
Wheeler, M. J. et al. (2017). Sedentary behavior as a risk factor for cognitive decline? A focus on the influence of glycemic control in brain health. Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 3, 291–300. doi: 10.1016/j.trci.2017.04.001.Google ScholarPubMed
WHO. (2010). Global Recommendations on Physical Activity for Health. Geneva: World Health Organization.Google Scholar
Wimo, A. et al. (2017). The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimer’s & Dementia, 13, 1–7. doi: 10.1016/j.jalz.2016.07.150.CrossRefGoogle ScholarPubMed
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