Urban and rural disparities in the association between physical exercise, cognitive activity, and mild cognitive impairment in community-dwelling older adults

LIAN Pengfei; LIU Zhang; ZENG Yan; LIU Dan; CHENG Guirong; YANG Mengliu; YU Yafu; ZHANG Jingjing; ZHOU Fukai; XU Lang

doi:10.16462/j.cnki.zhjbkz.2023.10.003

Volume 27 Issue 10

Oct. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2023 > 27(10): 1128-1132

LIAN Pengfei, LIU Zhang, ZENG Yan, LIU Dan, CHENG Guirong, YANG Mengliu, YU Yafu, ZHANG Jingjing, ZHOU Fukai, XU Lang. Urban and rural disparities in the association between physical exercise, cognitive activity, and mild cognitive impairment in community-dwelling older adults[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1128-1132. doi: 10.16462/j.cnki.zhjbkz.2023.10.003

Citation:

LIAN Pengfei, LIU Zhang, ZENG Yan, LIU Dan, CHENG Guirong, YANG Mengliu, YU Yafu, ZHANG Jingjing, ZHOU Fukai, XU Lang. Urban and rural disparities in the association between physical exercise, cognitive activity, and mild cognitive impairment in community-dwelling older adults[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1128-1132. doi: 10.16462/j.cnki.zhjbkz.2023.10.003

Citation:

LIAN Pengfei, LIU Zhang, ZENG Yan, LIU Dan, CHENG Guirong, YANG Mengliu, YU Yafu, ZHANG Jingjing, ZHOU Fukai, XU Lang. Urban and rural disparities in the association between physical exercise, cognitive activity, and mild cognitive impairment in community-dwelling older adults[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(10): 1128-1132. doi: 10.16462/j.cnki.zhjbkz.2023.10.003

PDF( 919 KB)

Urban and rural disparities in the association between physical exercise, cognitive activity, and mild cognitive impairment in community-dwelling older adults

doi: 10.16462/j.cnki.zhjbkz.2023.10.003

LIAN Pengfei^{1, 2},
LIU Zhang³,
ZENG Yan^{1, 2},
LIU Dan^{1, 2},
CHENG Guirong^{1, 2},
YANG Mengliu^{1, 2},
YU Yafu^{1, 2},
ZHANG Jingjing^{1, 2},
ZHOU Fukai^{1, 2},
XU Lang^{1, 2
,
,}

1.
Medical College, Wuhan University of Science and Technology, Wuhan 430065, China
2.
Brain Science and Advanced Technology Institute, Wuhan University of Science and Technology, Wuhan 430065, China
3.
Dawu County Hospital of Traditional Chinese Medicine, Xiaogan 432800, China

Funds:

National Key Research and Development Program of China 2020YFC2006000

National Natural Science Foundation of China 72174159

Health Commission of Hubei Province Scientific Research Project WJ2019H174

More Information

Corresponding author: XU Lang, E-mail: xulang@wust.edu.cn
Received Date: 2022-09-16
Rev Recd Date: 2023-01-30

Available Online: 2023-10-23

Publish Date: 2023-10-10

Abstract

Abstract

Objective The study aimed to investigate the correlation between physical exercise, cognitive activity, and mild cognitive impairment (MCI) in the community-dwelling older adults, with focus on the disparities between urban and rural areas. Methods Based on the Hubei Memory and Aging Cohort Study (HMACS), participants were divided into four groups according to the participation in exercise status: no exercise (NE), physical exercise only (PE), cognitive activity only (CA), and physical exercise and cognitive activity (PE+CA). Multivariate logistic regression model was used to analyze the correlation between the patterns of physical exercise and cognitive activity with MCI and its urban-rural disparities. Results A total of 8 365 participants were enrolled, with an average age of (71.67±5.52) years. The prevalence of MCI was 23.22% (95% CI: 22.31%-24.12%), and the MCI prevalence in rural areas was higher than that in urban areas (41.00%∶13.61%). The risk of MCI in the PE, CA, and PE+CA groups were significantly lower than that in the NE group (both P < 0.05). Further, based on the analysis of residence stratification, rural PE group (OR=0.646, 95% CI: 0.542-0.771) and urban CA group (OR=0.684, 95% CI: 0.487-0.961) significantly exhibited a lower risk of MCI (all P < 0.05). Conclusions The prevalence of MCI in rural areas is higher than that in urban areas. Physical exercise and cognitive activity will significantly reduce the risk of MCI; the correlation between single exercise patterns and MCI was different between urban and rural areas. Under the goal of healthy aging, we should take into account the cultural background of older adults and urban-rural differences when the intervention strategies for cognitive impairment diseases was formulated.
- Older adults,
- Physical exercise and cognitive activity,
- Mild cognitive impairment,
- Prevalence

FullText(HTML)

References(20)

References

[1]	Catindig JA, Venketasubramanian N, Ikram MK, et al. Epidemiology of dementia in Asia: insights on prevalence, trends and novel risk factors [J]. J Neurol Sci, 2012, 321(1-2): 11-16. DOI: 10.1016/j.jns.2012.07.023.
[2]	Sanford AM. Mild cognitive impairment [J]. Clin Geriatr Med, 2017, 33(3): 325-337. DOI: 10.1016/j.cger.2017.02.005.
[3]	2022 Alzheimer′s disease facts and figures [J]. Alzheimers Dement, 2022, 18(4): 700-789. DOI: 10.1002/alz.12638.
[4]	Anderson ND. State of the science on mild cognitive impairment (MCI) [J]. CNS Spectr, 2019, 24(1): 78-87. DOI: 10.1017/S1092852918001347.
[5]	Jongsiriyanyong S, Limpawattana P. Mild cognitive impairment in clinical practice: a review article [J]. Am J Alzheimers Dis Other Demen, 2018, 33(8): 500-507. DOI: 10.1177/1533317518791401.
[6]	Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, ntervention, and care: 2020 report of the Lancet Commission [J]. Lancet, 2020, 396(10248): 413-446. DOI: 10.1016/S0140-6736(20)30367-6.
[7]	Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care [J]. Lancet, 2017, 390(10113): 2673-2734. DOI: 10.1016/S0140-6736(17)31363-6.
[8]	Li L, Cheng GR, Liu D, et al. The Hubei Memory and Aging Cohort Study: Study Design, Baseline Characteristics, and Prevalence of Cognitive Impairments [J]. J Alzheimers Dis, 2022, 85(2): 561-571. DOI: 10.3233/JAD-215129.
[9]	Verghese J, LeValley A, Derby C, et al. Leisure activities and the risk of amnestic mild cognitive impairment in the elderly. [J]. Neurology, 2006, 66(6): 821-827. DOI: 10.1212/01.wnl.0000202520.68987.48.
[10]	Wu W, Zhao Q, Xiao Z, et al. Association of combined engagement in cognitive and physical activity with domain-specific cognitive function: the Shanghai Aging Study [J]. Int J Geriatr Psychiatry, 2021, 36(1): 116-126. DOI: 10.1002/gps.5403.
[11]	Cheng ST. Cognitive reserve and the prevention of dementia: the role of physical and cognitive activities [J]. Curr Psychiatry Rep, 2016, 18(9): 85. DOI: 10.1007/s11920-016-0721-2.
[12]	中国痴呆与认知障碍诊治指南写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 2018中国痴呆与认知障碍诊治指南(五): 轻度认知障碍的诊断与治疗[J]. 中华医学杂志, 2018, 98(17): 1294-1301. DOI: 10.3760/cma.j.issn.0376-2491.2018.17.003. China Dementia and Cognitive Impairment Diagnosis and Treatment Guidelines Writing Group, Cognitive Disorders Professional Committee of neurologists branch of The Chinese Medical Doctor Association. 2018 Chinese guidelines for the diagnosis and treatment of dementia and cognitive impairment(Ⅴ): diagnosis and treatment of mild cognitive impairment [J]. Natl Med J Chin, 2018, 98(17): 1294-1301. DOI: 10.3760/cma.j.issn.0376-2491.2018.17.003.
[13]	史路平, 姚水洪, 王薇, 等. 中国老年人群轻度认知障碍患病率及发展趋势的Mete分析[J]. 中国全科医学, 2022, 25(1): 109-114. DOI: 10.12114/j.issn.1007-9572.2021.00.315. Shi LP, Yao SH, Wang W, et al. Prevalence and distribution trends of mild cognitive impairment among Chinese older adults: a meta-analysis [J]. Chin Gen Pract, 2022, 25(1): 109-114. DOI: 10.12114/j.issn.1007-9572.2021.00.315.
[14]	Hu C, Wang L, Zhao X, et al. Investigation of risk factors for the conversion of mild cognitive impairment to dementia [J]. Int J Neurosci, 2021, 131(12): 1173-1180. DOI: 10.1080/00207454.2020.1782905.
[15]	王洪羽, 金宏, 刘威. 老年人轻度认知功能障碍影响因素分析[J]. 吉林医药学院学报, 2017, 38(6): 452-454. DOI: 10.13845/j.cnki.issn1673-2995.2017.06.020. Wang HY, Jin H, Liu W. Analysis of influencing factors of mild cognitive dysfunction in the elderly [J]. J Jilin Med Univ, 2017, 38(6): 452-454. DOI: 10.13845/j.cnki.issn1673-2995.2017.06.020.
[16]	Liu D, Li L, An L, et al. Urban-rural disparities in mild cognitive impairment and its functional subtypes among community-dwelling older residents in central China [J]. Gen Psychiatr, 2021, 34(5): e100564. DOI: 10.1136/gpsych-2021-100564.
[17]	郭程程, 王月枫, 候林林, 等. 轻度认知功能障碍病人体力活动研究进展[J]. 护理研究, 2021, 35(19): 3458-3461. DOI: 10.12102/j.issn.1009-6493.2021.19.015. Guo CC, Wang YF, Hou LL, et al. Research progress on physical activity of patients with mild cognitive impairment [J]. Chin Nurs Res, 2021, 35(19): 3458-3461. DOI: 10.12102/j.issn.1009-6493.2021.19.015.
[18]	Najar J, Östling S, Gudmundsson P, et al. Cognitive and physical activity and dementia: a 44-year longitudinal population study of women [J]. Neurology, 2019, 92(12): e1322-e1330. DOI: 10.1212/WNL.0000000000007021.
[19]	Lam LC, Ong PA, Dikot Y, et al. Intellectual and physical activities, but not social activities, are associated with better global cognition: a multi-site evaluation of the cognition and lifestyle activity study for seniors in Asia (CLASSA) [J]. Age Ageing, 2015, 44(5): 835-840. DOI: 10.1093/ageing/afv099.
[20]	Wang R, Chen Z, Zhou Y, et al. Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: a fixed-effects analysis [J]. Soc Sci Med, 2019, 238: 112518. DOI: 10.1016/j.socscimed.2019.112518.