Leisure activities and the risk of amnestic mild cognitive impairment in the elderly
Open accessAbstract
Objective To study the influence of leisure activity participation on risk of development of amnestic mild cognitive impairment (aMCI). Methods The authors examined the relationship between baseline level of participation in leisure activities and risk of aMCI in a prospective cohort of 437 community-residing subjects older than 75 years, initially free of dementia or aMCI, using Cox analysis adjusted for age, sex, education, and chronic illnesses. The authors derived Cognitive and Physical Activity Scales based on frequency of participation in individual activities. Results Over a median follow-up of 5.6 years, 58 subjects had development of aMCI. A one-point increase on the Cognitive (hazard ratio [HR] 0.95, 95% CI 0.91 to 0.99) but not Physical Activities Scale (HR 0.97, 95% CI 0.93 to 1.01) was associated with lower risk of aMCI. Subjects with Cognitive Activity scores in the highest (HR 0.46, 95% CI 0.24 to 0.91) and middle thirds (HR 0.52, 95% CI 0.29 to 0.96) had a lower risk of aMCI compared with subjects in the lowest third. The association persisted even after excluding subjects who converted to dementia within 2 years of meeting criteria for aMCI. Conclusions Cognitive activity participation is associated with lower risk of development of amnestic mild cognitive impairment, even after excluding individuals at early stages of dementia.
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Participation in cognitive activities reduced the risk of Alzheimer's disease, while physical activities were unrelated to Alzheimer's disease development 4 years later.
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- Authors
- Verghese, J., LeValley, A., Derby, C., Kuslansky, G., Katz, M., Hall, C., Buschke, H., & Lipton, R. B.
- Affiliations
- Albert Einstein College of Medicine (US)
- From the Department of Neurology (J.V., C.D., G.K., M.K., C.H., H.B., R.B.L.) and Department of Epidemiology and Population Health (A.L., C.D., C.H., R.B.L.), Albert Einstein College of Medicine, Bronx, NY.
- Venue
- Neurology
- Published
- 2006-03-28
- Volume
- 66
- Issue
- 6
- Pages
- 821-827
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC1415273
- OpenAlex
- W2006017769
- Cited by
- 373
- References
- 3
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 20 · 2023: 13 · 2022: 14 · 2021: 20 · 2020: 22 · 2019: 14 · 2018: 14 · 2017: 17 · 2016: 19 · 2015: 17 · 2014: 20 · 2013: 21 · 2012: 27
- FWCI
- 12.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01ag025119-05)
- National Institute on Aging (R01-AG025119, AG03949, P01AG003949, K23AG024848)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- amnestic mild cognitive impairment, leisure, cognitive activity, physical activity, older adults, dementia risk, cognitive aging
- MeSH terms
- Aged, Aged, 80 and over, Amnesia, Cognition Disorders, Female, Follow-Up Studies, Humans, Leisure Activities, Male, Neuropsychological Tests, Prospective Studies, Risk Factors, Cohort Studies
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