Environmental predictors of objectively measured out-of-home time among older adults with cognitive decline

Harada, Kazuhiro; Lee, Sang Yoon; Lee, Sungchul; Bae, Sejong; Harada, Kenji; Shimada, Hiroyuki

doi:10.1016/j.archger.2019.01.021

Cited by 12 publications

(9 citation statements)

References 37 publications

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“…The main results of this trial are being prepared for submission as another manuscript. Several papers on the secondary analysis of this trial have already been published elsewhere [40,41]. The participants of the trial were recruited from a subcohort of the National Center for Geriatrics and Gerontology Study of Geriatric Syndromes (NCGG-SGS) [42], conducted in 2013 in Midori Ward of Nagoya city, Aichi Prefecture, Japan.…”

Section: Participants and Proceduresmentioning

confidence: 99%

The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A Randomized Controlled Trial

Bae

Harada

Lee

et al. 2020

JCM

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The aim of this study was to examine cortical thickness changes associated with a multicomponent exercise intervention combining physical exercise and cognitive training in older adults with cognitive decline. This study involved a secondary analysis of neuroimaging data from a randomized controlled trial with 280 older adults having cognitive decline who were randomly assigned to either a multicomponent exercise group (n = 140) that attended weekly 90-minute exercise and cognitive training sessions or a health education control group (n = 140). The cortical thickness and cognitive performance were assessed at the baseline and at trial completion (10 months). The cortical thickness in the frontal and temporal regions was determined using FreeSurfer software. Cognitive performance was evaluated using the Gerontology-Functional Assessment Tool (NCGG-FAT). The cortical thickness significantly increased in the middle temporal (p < 0.001) and temporal pole (p < 0.001) in the multicomponent exercise group compared with the control group. Cortical thickness changes were significantly associated with change in trail making test (TMT)-A, TMT-B, and story memory after a 10-month multicomponent exercise intervention. This study suggests that multicomponent exercise programs combining physical exercise and cognitive training have important implications for brain health, especially in providing protection from age-related cortical thinning.

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Section: Participants and Proceduresmentioning

confidence: 99%

The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A Randomized Controlled Trial

Bae

Harada

Lee

et al. 2020

JCM

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“…Previous studies have employed mixed models with data settings similar to the current study to examine prospective associations of neighbourhood environmental factors with other health behaviours without calculating change scores. Such behaviours include physical activity (20) , out-of-home behaviour (21) and children's outdoor play (22) . Mixed models are appropriate for prospective data because their significance is unbiased, compared with ordinal regression models (23) .…”

Section: Prospective Analysismentioning

confidence: 99%

Distance to supermarkets and dietary variety among Japanese older adults: examining the moderating role of grocery delivery services

Harada

Masumoto

Okada³

2020

Public Health Nutr.

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Objective: To examine whether using grocery delivery services moderates the relationship between distance to supermarket and dietary variety among Japanese older adults. Design: We conducted a 1-year prospective cohort study. Distance to supermarket was measured using geographic information systems. We collected information on dietary variety score (range 0–10), regular use of grocery delivery services and socio-demographic factors using a questionnaire delivered via post. Setting: The current study was performed in Nada Ward, Kobe City, Japan, from 2017 to 2018. Participants: Older adults living in Nada Ward (n 778). Results: The linear mixed model showed that a longer distance to supermarket (per 100 m: B = –0·07, 95 % CI –0·14, –0·01, P = 0·048) significantly predicted lower dietary variety after adjusting for socio-demographic factors. Using grocery delivery services (B = 0·28, 95 % CI –0·08, 0·64, P = 0·127) did not significantly predict dietary variety, and neither did its interaction with distance to supermarket (B = –0·04, 95 % CI –0·17, 0·10, P = 0·604). Conclusions: The current study found that longer distance to supermarket was associated with lower dietary variety among Japanese older adults and that the use of grocery delivery services did not moderate this association. The findings imply that the use of grocery delivery services is insufficient to reduce the negative influence of inconvenient food access on dietary variety among older adults.

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“…GPS technologies are emerging as a solution to monitor mobility and life space patterns in PwD. Across nine of the included studies [22,37,38,40,42,45,[48][49][50], GPS-derived mobility outcomes broadly agreed with travel diaries completed by participants. This is congruent with work in healthy older adults and populations with non-dementia neurodegenerative disorders [19][20][21].…”

Section: Overall Findingsmentioning

confidence: 89%

“…Several studies also used the convex hull algorithm to capture the convex hull area, the smallest convex shape that contains all the GPS recorded coordinates, which allowed the life space area to be captured [22,28,48]. In four of the studies a geographic information system (GIS) was used in alignment with the GPS data to retrieve information about the nature of the location that the participants visited, for example, a supermarket, leisure centre or medical centre [45,46,50,51].…”

Section: Gps Data Processingmentioning

confidence: 99%

Wearable and Portable GPS Solutions for Monitoring Mobility in Dementia: A Systematic Review

Cullen

Mazhar

Smith

et al. 2022

Sensors

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Dementia is the most common neurodegenerative disorder globally. Disease progression is marked by declining cognitive function accompanied by changes in mobility. Increased sedentary behaviour and, conversely, wandering and becoming lost are common. Global positioning system (GPS) solutions are increasingly used by caregivers to locate missing people with dementia (PwD) but also offer a non-invasive means of monitoring mobility patterns in PwD. We performed a systematic search across five databases to identify papers published since 2000, where wearable or portable GPS was used to monitor mobility in patients with common dementias or mild cognitive impairment (MCI). Disease and GPS-specific vocabulary were searched singly, and then in combination, identifying 3004 papers. Following deduplication, we screened 1972 papers and retained 17 studies after a full-text review. Only 1/17 studies used a wrist-worn GPS solution, while all others were variously located on the patient. We characterised the studies using a conceptual framework, finding marked heterogeneity in the number and complexity of reported GPS-derived mobility outcomes. Duration was the most frequently reported category of mobility reported (15/17), followed by out of home (14/17), and stop and trajectory (both 10/17). Future research would benefit from greater standardisation and harmonisation of reporting which would enable GPS-derived measures of mobility to be incorporated more robustly into clinical trials.

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Environmental predictors of objectively measured out-of-home time among older adults with cognitive decline

Cited by 12 publications

References 37 publications

The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A Randomized Controlled Trial

The Effect of a Multicomponent Dual-Task Exercise on Cortical Thickness in Older Adults with Cognitive Decline: A Randomized Controlled Trial

Distance to supermarkets and dietary variety among Japanese older adults: examining the moderating role of grocery delivery services

Wearable and Portable GPS Solutions for Monitoring Mobility in Dementia: A Systematic Review

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