Associations of exercise snacks with cognitive function among older adults in NHANES 2011–2014

IF 3.7 2区 医学 Q1 PSYCHIATRY General hospital psychiatry Pub Date : 2025-05-01 Epub Date: 2025-03-13 DOI:10.1016/j.genhosppsych.2025.03.005
Junyu Wu , Yufei Wang , Peng Qiu , Youqiang Li
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Abstract

Background

With an aging global population, dementia incidence is rapidly increasing, affecting 50 million people worldwide. While physical activity has been linked to cognitive enhancement, the specific effects of intermittent short bouts of exercise, termed ‘exercise snacks’ (ES), on cognitive function (CF) in older adults are not well understood.

Methods

We analyzed data from 2549 adults aged ≥60 years from the 2011–2014 National Health and Nutrition Examination Survey cycles. CF was assessed using standardized tests, and physical activity data were obtained from accelerometer measurements. ES was defined as 2–5 min of moderate-to-vigorous physical activity. Regression analyses, smoothed curve fitting, and threshold effect analyses were conducted, adjusting for relevant covariates.

Results

Significant positive associations were found between CF and daily average Monitor-Independent Movement Summary specific to ES (MIMS-ES: β = 0.0001, 95 % CI: 0.0001–0.0001) and total time spent on ES (Time-ES: β = 0.0021, 95 % CI: 0.0014–0.0029). Each additional unit of MIMS-ES and each minute of ES daily increased CF scores by 0.0001 and 0.0021 points, respectively, suggesting benefits for cognitive health in aging populations. An inverted U-shaped relationship was observed, with inflection points at 2522.82 units/day for MIMS-ES and 91.57 min/day for Time-ES, indicating diminishing cognitive benefits beyond these thresholds.

Conclusion

ES was associated with higher CF. This practical form of physical activity offers an effective strategy for cognitive health and mitigating age-related decline, presenting a more accessible alternative to traditional continuous exercise.
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NHANES 2011-2014中老年人运动零食与认知功能的关系
随着全球人口老龄化,痴呆症发病率正在迅速增加,全球有5000万人受到影响。虽然体育活动与认知增强有关,但间歇性短时间运动(称为“运动零食”(ES))对老年人认知功能(CF)的具体影响尚不清楚。方法分析2011-2014年全国健康与营养调查周期2549名年龄≥60岁的成年人的数据。使用标准化测试评估CF,并通过加速度计测量获得身体活动数据。ES被定义为2-5分钟的中等到剧烈的身体活动。进行回归分析、平滑曲线拟合和阈值效应分析,调整相关协变量。结果CF与ES特异性的每日平均监测独立运动总结(MIMS-ES: β = 0.0001, 95% CI: 0.0001 - 0.0001)和ES总花费时间(time -ES: β = 0.0021, 95% CI: 0.0014-0.0029)之间存在显著正相关。每天每增加一个单位的MIMS-ES和每增加一分钟的ES, CF评分分别增加0.0001和0.0021分,表明对老年人的认知健康有益。观察到倒u型关系,MIMS-ES的拐点为2522.82个单位/天,Time-ES的拐点为91.57个单位/天,表明超过这些阈值的认知益处正在减少。结论:体育锻炼与较高的CF相关。这种实用的体育活动形式为认知健康和减轻与年龄相关的衰退提供了一种有效的策略,为传统的持续锻炼提供了一种更容易获得的替代方案。
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来源期刊
General hospital psychiatry
General hospital psychiatry 医学-精神病学
CiteScore
9.60
自引率
2.90%
发文量
125
审稿时长
20 days
期刊介绍: General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.
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