The Relationship between Leisure Time Physical Activity and Cognitive Function in Older Americans

J Frailty Aging. 2024;13(4):461-469. doi: 10.14283/jfa.2024.70.

Abstract

Objective: This study aims to investigate the correlation between leisure-time physical activity (LTPA) and cognitive function in older adults.

Methods: We conducted an analysis of 2,657 participants (aged ≥60 years) from the cross-sectional National Health and Nutrition Examination Survey (NHANES) spanning 2011-2014. Multiple logistic regression and linear regression analyses were employed to explore the associations between leisure-time physical activity and cognitive function.

Results: Significant correlations were observed between LTPA duration and frequency with Animal Fluency Test (AF) and Digit Symbol Substitution Test (DSST) scores. Engaging in leisure-time physical activity 1-4 times per week was associated with a 33%((OR) 0.67, (CI) 0.48-0.92) reduced risk of memory decline compared to non-active individuals. An inverted U-shaped relationship was observed between LTPA duration and AF/DSST and a U-shaped relationship between LTPA frequency and the risk of memory decline.

Conclusion: Encouraging older adults to participate in leisure activities 3-4 times per week may help protect cognitive function.

Keywords: Physical activity; cognitive function; dose-response relationship.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognition* / physiology
  • Cognitive Dysfunction / epidemiology
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Humans
  • Leisure Activities* / psychology
  • Male
  • Middle Aged
  • Nutrition Surveys*
  • United States / epidemiology