Physical Activity, Cognitive Decline, and Quality of Life in Older Adults
Keywords:
Physical activity, Cognitive decline, Quality of life, Older adults, Neuroplasticity, Aerobic exercise, Resistance trainingAbstract
Objective: This narrative review aims to explore the relationship between physical activity, cognitive decline, and quality of life in older adults, examining the mechanisms by which PA influences these outcomes, summarizing key studies, and identifying differences in impact by type, duration, and intensity of PA.
Methods and Materials: A comprehensive literature search was conducted across multiple electronic databases, including PubMed, MEDLINE, Scopus, and PsycINFO. Inclusion criteria focused on studies involving participants aged 60 and older, examining the effects of PA on cognitive function and QoL, published in English between January 2000 and December 2023.
Results: Physical activity positively impacts cognitive decline and QoL in older adults through improved cardiovascular health, increased neuroplasticity, and enhanced neurogenesis. Key studies indicate that regular PA, especially aerobic and resistance exercises, is associated with better cognitive functioning and slower cognitive decline. The type, duration, and intensity of PA significantly influence its effectiveness, with moderate-intensity and long-term engagement yielding the most substantial benefits.
Conclusion: Physical activity is a vital intervention for promoting cognitive health and enhancing QoL in older adults. Healthcare providers and policymakers should encourage regular PA among older adults, incorporating a variety of exercises to maximize benefits. Future research should focus on establishing causality, exploring optimal PA regimens, and examining the cost-effectiveness of PA programs to inform practice and policy.
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References
1. Padala KP, Parkes C, Padala PR. Neuropsychological
and Functional Impact of COVID-19 on Mild Cognitive
Impairment. American Journal of Alzheimer S Disease & Other
Dementias®. 2020;35:153331752096087.
2. Peng S. Correlation Among Sleep Quality, Physical
Frailty and Cognitive Function of the Older Adults in China: The
Mediating Role. Frontiers in Public Health. 2023;11.
3. Desai P. Neuroticism, Physical Activity, and Cognitive
Functioning in a Population-Based Cohort of Older Adults. BMC
Geriatrics. 2023;23(1).
4. Kim H-J, Fredriksen-Goldsen KI, Jung H. Determinants
of Physical Functioning and Health-Related Quality of Life Among
Sexual and Gender Minority Older Adults With Cognitive
Impairment. Journal of Aging and Health. 2022;35(1-2):138-50.
5. Li G, Li K. Turning Point of Cognitive Decline for
Chinese Older Adults From a Longitudinal Analysis: Protective
Factors and Risk Factors. Healthcare. 2022;10(11):2304.
6. Kimura N. Lifestyle Factors That Affect Cognitive
Function–a Longitudinal Objective Analysis. Frontiers in Public
Health. 2023;11.
7. Kimura-Ono A, Maekawa K, Kuboki T, Nawachi K,
Fujisawa M, Sato H, et al. Prosthodontic Treatment Can Improve
the Ingestible Food Profile in Japanese Adult Outpatients. Journal
of Prosthodontic Research. 2023;67(2):189-95.
8. Enayati Shabkolai M, Enayati Shabkalai M, Bagheri
Dadokolai M. The Effectiveness of Treatment based on Acceptance
and Commitment on Social Adaptation, Academic Self-Regulation
and Cognitive Flexibility of Students with Specific Learning
Disorders. International Journal of Education and Cognitive
Sciences. 2023;4(1):33-41.
9. Kahaki F. The Effectiveness of Social-Cognitive
Competence Skills Training on Positive Affects and Executive
Functions of Adolescents. Journal of Psychological Dynamics in
Mood Disorders (PDMD). 2024;3(1):222-33.
10. Meesters PD, Comijs HC, de Haan L, Smit JH,
Eikelenboom P, Beekman ATF, Stek ML. Subjective quality of life
and its determinants in a catchment area based population of elderly
schizophrenia patients. Schizophrenia Research. 2013;147(2):275-
80.
11. Mostafavi M, Haydari S, Emadian SO. Comparing the
effectiveness of multisensory stimulation and cognitive
rehabilitation on mental state, memory and sleep disorder in elderly
women with cognitive impairments. Applied Family Therapy
Journal (AFTJ). 2023;4(5):529-53.
12. Pourjaberi B, Shirkavand N, Ashoori J. The
Effectiveness of Cognitive Rehabilitation Training on Prospective
Memory and Cognitive Flexibility in Individuals with Depression.
International Journal of Education and Cognitive Sciences.
2023;4(3):45-53.
13. Bollaert RE, Motl RW. Self-Efficacy and Physical and
Cognitive Function in Older Adults With Multiple Sclerosis.
International Journal of Ms Care. 2019;21(2):63-9.
14. Reas ET, Laughlin GA, Bergstrom J, Kritz‐Silverstein D,
McEvoy LK. Physical Activity and Trajectories of Cognitive
Change in Community-Dwelling Older Adults: The Rancho
Bernardo Study. Journal of Alzheimer S Disease. 2019;71(1):109-
18.
15. Heisz JJ, Gould M, McIntosh AR. Age-Related Shift in
Neural Complexity Related to Task Performance and Physical
Activity. Journal of Cognitive Neuroscience. 2015;27(3):605-13.
16. Liu H, Pei Y, Wu B. Association Between Cognitive
Functioning and Active Life Engagement: A Time-Use Study of
Older Adults in Rural China. International Journal of Population
Studies. 2022;8(1):52-62.
17. Liu Y, Hou X, Zhang H, Liu J. The Effect of Different
Types of Physical Activity on Cognitive Reaction Time in Older
Adults in China. Frontiers in Public Health. 2022;10.
18. Kwok C, Pan M, Farm GH. COVID-19 and Its
Implications on Social Engagement, Physical Activity, and
Psychological Well-Being for Older Adults With Alzheimer’s
Disease: A Systematic Review. URNCST Journal. 2021;5(7):1-9.
19. Lee A, Park SH, Kim SS, Kim JH, Koo YR, Kwon H, et
al. A Conceptual Exploration of Cognition-Motor Dual Task
Training for Effective Application in Community-Dwelling Older
Adults. Gerontechnology. 2022;21(s):1-.
20. Lee Y, Kim J, Han ES, Chae S, Ryu M, Ahn K-H, Park
EJ. Changes in Physical Activity and Cognitive Decline in Older
Adults Living in the Community. Age. 2015;37(2).
21. Park D, Kim HS, Kim JH. The Effect of All-Cause
Hospitalization on Cognitive Decline in Older Adults: A
Longitudinal Study Using Databases of the National Health
Insurance Service and the Memory Clinics of a Self-Run Hospital.
BMC Geriatrics. 2023;23(1).
22. Park GR, Kim JH. Coexistent Physical and Cognitive
Decline and the Development of Fear of Falling Among Korean
Older Adults. International Journal of Geriatric Psychiatry.
2022;37(4).
23. Pitrou I, Vasiliadis H-M, Hudon C. Body Mass Index and
Cognitive Decline Among Community-Living Older Adults: The
Modifying Effect of Physical Activity. European Review of Aging
and Physical Activity. 2022;19(1).
24. Sakaki K, Nouchi R, Matsuzaki Y, Saito T, Dinet J,
Kawashima R. Benefits of VR Physical Exercise on Cognition in
Older Adults With and Without Mild Cognitive Decline: A
Systematic Review of Randomized Controlled Trials. Healthcare.
2021;9(7):883.
25. Shin J, Cho E. Patterns and Risk Factors of Cognitive
Decline Among Community-Dwelling Korean Older Adults: The
Korean Longitudinal Study of Aging (2006–2016). 2020.
26. Song H, Park J. Effects of Changes in Physical Activity
With Cognitive Decline in Korean Home-Dwelling Older Adults.
Journal of Multidisciplinary Healthcare. 2022;Volume 15:333-41.
27. Wang RS, Wang B-L, Huang Y-N, Wan TTH. The
Combined Effect of Physical Activity and Fruit and Vegetable
Intake on Decreasing Cognitive Decline in Older Taiwanese
Adults. Scientific Reports. 2022;12(1).
28. You E, Ellis KA, Cox KL, Lautenschlager NT. Targeted
Physical Activity for Older Adults With Mild Cognitive
Impairment and Subjective Cognitive Decline. The Medical
Journal of Australia. 2019;210(9):394.
29. Faghfouriazar M. The Effectiveness of Selected
Perceptual-Motor Exercises on Working Memory and Quality of
Life of Elderly Women. Aging Psychology. 2023;9(3):310-293.
30. Hajigadirzadeh A, Taheri A, Babakhani N. Comparing
the effectiveness of cognitive rehabilitation and compassion-based
therapy on self-care behaviors of the elderly with mild cognitive
impairment. Iranian Journal of Rehabilitation Research.
2023;9(4):0-.
31. Kasai JYT, Magaldi RM, Soci MA, Rosa PdM, Curiati
JAÉ. Effects of Tai Chi Chuan on Cognition of Elderly Women
With Mild Cognitive Impairment. Einstein (São Paulo).
2010;8(1):40-5.
32. Mojarad Azar Gharabaghi MJ, Dehghanizade J. The
Effectiveness of a Period of Brain Gym Exercises on the Balance
and Inhibitory Control in the Elderly with Mild Cognitive
Impairment. Aging Psychology. 2021;7(3):228-11.
33. Rampengan DD. Effectiveness of Tai Chi as a NonInvasive Intervention for Mild Cognitive Impairment in the
Elderly: A Comprehensive Review and Meta-Analysis. Narra J.
2024;4(1):e724.
34. Wang X, Si K, Gu W, Wang X. Mitigating Effects and
Mechanisms of Tai Chi on Mild Cognitive Impairment in the
Elderly. Frontiers in Aging Neuroscience. 2023;14.
35. Eshaghi S, Morteza T, Khadijeh I, Knechtle B, Nikolaidis
PT, Chtourou H. The effect of aerobic training and vitamin D
supplements on the neurocognitive functions of elderly women
with sleep disorders. Biological Rhythm Research.
2020;51(5):727-34.
36. Taheri M. Enhancing Cognitive Abilities and Delaying
Cognitive Decline in the Elderly through Tailored Exercise
Programs. Health Nexus. 2023;1(4):67-77.
37. Taheri M, Irandost K, Mirmoezzi M, Ramshini M. Effect
of aerobic exercise and omega-3 supplementation on psychological
aspects and sleep quality in prediabetes elderly women. Sleep and
Hypnosis. 2019;21(2):170-4.
38. Naghavi N, Taheri M, Irandoust K. Psychophysiological
Responses to Cognitive and Physical Training in Obese Elderly. Int
J Sport Stud Health. 2018;1(3):e83935.
39. Taheri M, Farzian S, Esmaeili A, Shabani E. The Effect
of Water Therapy and Jogging Exercises on the Health-Related
Factors of Physical Fitness of Elderly Women. International
Journal of Sport Studies for Health. 2021;3(2):27-32.
40. Thummasorn S, Puntawong P, Suksaby R, Kanjanabat K,
Chaiwong P, Khamhom T. The Comparison of Physical Activity,
Cognitive Function, and Depression Between Older and MiddleAged Adults. The Open Public Health Journal. 2022;15(1).
41. Jeong S-W, Jang JY. Association Between Physical
Activity and Cognitive Dysfunction in the Korean: A CrossSectional Study. Exercise Medicine. 2017;1:3.
42. Chang H-W. Feasibility and Effect of Cognitive-Based
Board Game and Multi-Component Exercise Interventions on
Older Adults With Dementia. Medicine. 2024;103(26):e38640.
43. Seinsche J. Effects of Home-Based Interventions Using
Exergames on Physical and Cognitive Functions in CommunityDwelling Older Adults: A PRISMA-P-compliant Protocol for a
Systematic Review. Frontiers in Public Health. 2024;11.
44. Westman AW, Combs-Miller SA, Moore JL, EhrlichJones L. Measurement Characteristics and Clinical Utility of the
Short Physical Performance Battery Among Community-Dwelling
Older Adults. Archives of Physical Medicine and Rehabilitation.
2019;100(1):185-7.
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Copyright (c) 2024 Fateh Faraziani, Özgür Eken (Author)
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