Sleep, sedentary activity, physical activity, and cognitive function among older adults: The National Health and Nutrition Examination Survey, 2011–2014

Wei, Jingkai; Hou, Ruixue; Xie, Liyang; Chandrasekar, Eeshwar K.; Lu, Haidong; Wang, Tiansheng; Li, Changwei; Xu, Hanzhang

doi:10.1016/j.jsams.2020.09.013

Cited by 31 publications

(52 citation statements)

References 23 publications

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“…Total sleep time was found to share a negative association with global cognition when it surpassed a threshold of ∼8.35 hours per night in one study (Kimura et al 2019). Similarly, Wei et al (2021) found that the association between sleep and global cognition was negative for older adults who engaged in >7 hours of sleep per night, but positive for those who engaged in <7 hours per night.…”

Section: Resultsmentioning

confidence: 88%

“…All 23 studies included a measure of PA, with 18 studies including a second time use measure of SB, and 9 studies including a measure of sleep. Four studies included measures of all three time-use behaviours (Anastasiou et al, 2018; Fanning et al, 2017; Vance et al, 2016; Wei et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies measured PA objectively using accelerometry (Table 2), whilst nine studies used subjective measures to capture PA. Subjective measures of PA included: the Athens Physical Activity Questionnaire (APAQ) (Anastasiou et al, 2018); Community Health Activity Program for Seniors (CHAMPS) questionnaire (Steinberg et al, 2015); Global Physical Activity Questionnaire (GPAQ) (Wei et al, 2021); Lifestyle Questionnaire (Marcellini et al, 2010); Physical Activity Questionnaire (PAQ) (Vance et al, 2016; Vance et al, 2005); open-ended questions about leisure time PA over past 30 days (Edwards and Loprinzi, 2017); a 7-day PA diary to capture >10 minute bouts of leisure-time PA (Lambiase et al, 2014); and a single-item questionnaire on frequency of exercise per week (only for purpose of improving health) (Yuan et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies measured SB objectively using accelerometry (see Table 2), whilst seven studies used a subjective measure to capture SB. Subjective measures of SB included: APAQ (Anastasiou et al, 2018); GPAQ (Wei et al, 2021); CHAMPS (Steinberg et al, 2015); Lifestyle Questionnaire (Marcellini et al, 2010); PAQ (Vance et al, 2016); and two single-item questionnaires (how much time spent sitting and watching TV on a typical day over the past 30 days (Edwards and Loprinzi, 2017); how many hours spent sleeping, seated or lying down over past week (Vance et al, 2005)). In the latter study, sleep and SB were classified as the same behaviour (both grop…”

Section: Resultsmentioning

confidence: 99%

“…The 19-item Pittsburgh Sleep Quality Index (PSQI) was used by Falck et al (2018) to capture 7 components of sleep, whilst Fanning et al (2017) used one item from the PSQI to capture average nightly sleep over the past month. Wei et al (2021) conducted interviews to obtain values for average duration of sleep per night.…”

Section: Resultsmentioning

confidence: 99%

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How are combinations of physical activity, sedentary behaviour and sleep related to cognitive function in older adults? A systematic review

Mellow

Crozier

Dumuid

et al. 2021

Preprint

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The relationships between cognitive function and each of physical activity, sleep and sedentary behaviour in older adults are well documented. However, these three time use behaviours are co-dependent parts of the 24-hour day (spending time in one leaves less time for the others), and their best balance for cognitive function in older adults is still largely unknown. This systematic review summarises the existing evidence on the associations between combinations of two or more time-use behaviours and cognitive function in older adults. Embase, Pubmed, PsycInfo, Medline and Emcare databases were searched in March 2020 and updated in May 2021, returning a total of 25,289 papers for screening. A total of 23 studies were included in the synthesis, spanning >23,000 participants (mean age 71 years). Findings support previous evidence that spending more time in physical activity and limiting sedentary behaviour is broadly associated with better cognitive outcomes in older adults. Higher proportions of moderate-vigorous physical activity in the day were most frequently associated with better cognitive function. Some evidence suggests that certain types of sedentary behaviour may be positively associated with cognitive function, such as reading or computer use. Sleep duration appears to share an inverted U-shaped relationship with cognition, as too much or too little sleep is negatively associated with cognitive function. This review highlights considerable heterogeneity in methodological and statistical approaches, and encourages a more standardised, transparent approach to capturing important daily behaviours in older adults. Investigating all three time-use behaviours together against cognitive function using suitable statistical methodology is strongly recommended to further our understanding of optimal 24-hour time-use for brain function in aging.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

How are combinations of physical activity, sedentary behaviour and sleep related to cognitive function in older adults? A systematic review

Mellow

Crozier

Dumuid

et al. 2021

Preprint

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The influence of baseline sleep on exercise‐induced cognitive change in cognitively unimpaired older adults: A randomised clinical trial

Sewell,

Rainey‐Smith,

Peiffer

et al. 2023

Int J Geriat Psychiatry

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ObjectivesObservational studies consistently demonstrate that physical activity is associated with elevated cognitive function, however, there remains significant heterogeneity in cognitive outcomes from randomized exercise interventions. Individual variation in sleep behaviours may be a source of variability in the effectiveness of exercise‐induced cognitive change, however this has not yet been investigated. The current study aimed to (1) investigate the influence of a 6‐month exercise intervention on sleep, assessed pre‐ and post‐intervention and, (2) investigate whether baseline sleep measures moderate exercise‐induced cognitive changes.MethodsWe utilised data from the Intense Physical Activity and Cognition (IPAC) study (n = 89), a 6‐month moderate intensity and high intensity exercise intervention, in cognitively unimpaired community‐dwelling older adults aged 60–80 (68.76 ± 5.32). Exercise was supervised and completed on a stationary exercise bicycle, and cognitive function was measured using a comprehensive neuropsychological battery administered pre‐ and post‐intervention. Sleep was measured using the Pittsburgh sleep quality index. There was no effect of the exercise intervention on any sleep outcomes from pre‐ to post‐intervention.ResultsThere was a significant moderating effect of baseline sleep efficiency on both episodic memory and global cognition within the moderate intensity exercise group, such that those with poorer sleep efficiency at baseline showed greater exercise‐induced improvements in episodic memory.ConclusionsThese results suggest that those with poorer sleep may have the greatest exercise‐induced cognitive benefits and that baseline sleep behaviours may be an important source of heterogeneity in previous exercise interventions targeting cognitive outcomes.

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Review of Literature

Zhang

2024

Advances in Studies of Aging and Health

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Sleep, sedentary activity, physical activity, and cognitive function among older adults: The National Health and Nutrition Examination Survey, 2011–2014

Cited by 31 publications

References 23 publications

How are combinations of physical activity, sedentary behaviour and sleep related to cognitive function in older adults? A systematic review

How are combinations of physical activity, sedentary behaviour and sleep related to cognitive function in older adults? A systematic review

The influence of baseline sleep on exercise‐induced cognitive change in cognitively unimpaired older adults: A randomised clinical trial

Review of Literature

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