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 inAlzheimer's & dementia : translational research & clinical interventions Vol. 3; no. 3; pp. 291 - 300
Main Authors Wheeler, Michael J, Dempsey, Paddy C, Grace, Megan S, Ellis, Kathryn A, Gardiner, Paul A, Green, Daniel J, Dunstan, David W
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2017
John Wiley & Sons, Inc
Elsevier
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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.
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
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– name: i Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
Author_xml – sequence: 1
  fullname: Wheeler, Michael J
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  fullname: Dempsey, Paddy C
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  fullname: Dunstan, David W
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29067335$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
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.
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Issue 3
Keywords Glucose metabolism
Sedentary behavior
Exercise
Physical activity
Sitting
Light-intensity activity
Breaks in sedentary time
Diabetes
Cognitive function
Alzheimer's disease
Dementia
Language English
License This is an open access article under the CC BY-NC-ND license.
Attribution-NonCommercial-NoDerivs
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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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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https://dx.doi.org/10.1016/j.trci.2017.04.001
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Volume 3
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