Sedentary behavior as a risk factor for cognitive decline: A focus on the influence of glycemic control in brain health
Abstract Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend most...
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Published in | Alzheimer's & dementia : translational research & clinical interventions Vol. 3; no. 3; pp. 291 - 300 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.09.2017
John Wiley & Sons, Inc Elsevier |
Subjects | |
Online Access | Get full text |
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Abstract | Abstract Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend most of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, an additional practical strategy may be to reduce and replace sedentary behavior with intermittent light-intensity physical activity. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing sedentary behavior can help slow cognitive decline. |
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AbstractList | Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all‐cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light‐intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline.
Highlights
Older adults spend a majority of time in sedentary behavior.
Sedentary behavior may be linked to cognitive decline via glycemic control.
Replacing sitting with intermittent light activity can improve glycemic control.
Future research should determine if light activity can forestall cognitive decline.
Engaging in more light activity may be an achievable public health target. Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all‐cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light‐intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline. Older adults spend a majority of time in sedentary behavior. Sedentary behavior may be linked to cognitive decline via glycemic control. Replacing sitting with intermittent light activity can improve glycemic control. Future research should determine if light activity can forestall cognitive decline. Engaging in more light activity may be an achievable public health target. Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline. • Older adults spend a majority of time in sedentary behavior. • Sedentary behavior may be linked to cognitive decline via glycemic control. • Replacing sitting with intermittent light activity can improve glycemic control. • Future research should determine if light activity can forestall cognitive decline. • Engaging in more light activity may be an achievable public health target. Abstract Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend most of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, an additional practical strategy may be to reduce and replace sedentary behavior with intermittent light-intensity physical activity. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing sedentary behavior can help slow cognitive decline. Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline.Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline. Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all-cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light-intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline. •Older adults spend a majority of time in sedentary behavior.•Sedentary behavior may be linked to cognitive decline via glycemic control.•Replacing sitting with intermittent light activity can improve glycemic control.•Future research should determine if light activity can forestall cognitive decline.•Engaging in more light activity may be an achievable public health target. Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best option for slowing the onset of dementia. However, older adults spend very little time doing moderate to vigorous exercise and spend a majority of time in sedentary behavior. Sedentary behavior has been linked to poor glycemic control and increased risk of all‐cause mortality. Here, we explore a potential link between sedentary behavior and brain health. We highlight the role of glycemic control in maintaining brain function and suggest that reducing and replacing sedentary behavior with intermittent light‐intensity physical activity may protect against cognitive decline by reducing glycemic variability. Given that older adults find it difficult to achieve current exercise recommendations, this may be an additional practical strategy. However, more research is needed to understand the impact of poor glycemic control on brain function and whether practical interventions aimed at reducing and replacing sedentary behavior with intermittent light intensity physical activity can help slow cognitive decline. |
Author | Grace, Megan S. Dunstan, David W. Dempsey, Paddy C. Green, Daniel J. Wheeler, Michael J. Gardiner, Paul A. Ellis, Kathryn A. |
AuthorAffiliation | f Centre for Health Services Research, The University of Queensland, South Brisbane, Queensland, Australia i Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia d Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia a Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia c Swinburne University of Technology, Melbourne, Victoria, Australia e The Florey Institute of Neuroscience and Mental Health, The University of Melbourne Parkville, Parkville, Victoria, Australia h Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom b School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Western Australia, Australia g Mater Research Institute, The University of Queensland, South Brisbane, Queensland, Australia |
AuthorAffiliation_xml | – name: a Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia – name: b School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Western Australia, Australia – name: d Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia – name: c Swinburne University of Technology, Melbourne, Victoria, Australia – name: e The Florey Institute of Neuroscience and Mental Health, The University of Melbourne Parkville, Parkville, Victoria, Australia – name: f Centre for Health Services Research, The University of Queensland, South Brisbane, Queensland, Australia – name: g Mater Research Institute, The University of Queensland, South Brisbane, Queensland, Australia – name: h Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom – name: i Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia |
Author_xml | – sequence: 1 fullname: Wheeler, Michael J – sequence: 2 fullname: Dempsey, Paddy C – sequence: 3 fullname: Grace, Megan S – sequence: 4 fullname: Ellis, Kathryn A – sequence: 5 fullname: Gardiner, Paul A – sequence: 6 fullname: Green, Daniel J – sequence: 7 fullname: Dunstan, David W |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29067335$$D View this record in MEDLINE/PubMed |
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Copyright | The Authors 2017 The Authors 2017 The Authors. Published by Elsevier Inc. on behalf of the Alzheimer's Association. 2017. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2017 The Authors 2017 |
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Keywords | Glucose metabolism Sedentary behavior Exercise Physical activity Sitting Light-intensity activity Breaks in sedentary time Diabetes Cognitive function Alzheimer's disease Dementia |
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PublicationDate | September 2017 |
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PublicationTitle | Alzheimer's & dementia : translational research & clinical interventions |
PublicationTitleAlternate | Alzheimers Dement (N Y) |
PublicationYear | 2017 |
Publisher | Elsevier Inc John Wiley & Sons, Inc Elsevier |
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Snippet | Abstract Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the... Cognitive decline leading to dementia represents a global health burden. In the absence of targeted pharmacotherapy, lifestyle approaches remain the best... |
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SubjectTerms | Alzheimer's disease Apoptosis Brain research Breaks in sedentary time Chronic illnesses Cognitive function Dementia Diabetes Energy Exercise Glucose Glucose metabolism Hyperglycemia Hypoglycemia Insulin resistance Investigations Light-intensity activity Metabolism Neurology Neuropathology Older people Other Physical activity Public health Sedentary behavior Sitting |
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Title | Sedentary behavior as a risk factor for cognitive decline: A focus on the influence of glycemic control in brain health |
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