{"id":1097,"date":"2022-03-22T00:52:20","date_gmt":"2022-03-22T00:52:20","guid":{"rendered":"https:\/\/linksus.net\/physical-fitness-may-reduce-dementia-risk-by-33-medical-news-today\/"},"modified":"2022-03-22T00:52:20","modified_gmt":"2022-03-22T00:52:20","slug":"physical-fitness-may-reduce-dementia-risk-by-33-medical-news-today","status":"publish","type":"post","link":"https:\/\/linksus2.linksus.net\/index.php\/2022\/03\/22\/physical-fitness-may-reduce-dementia-risk-by-33-medical-news-today\/","title":{"rendered":"Physical fitness may reduce dementia risk by 33% &#8211; Medical News Today"},"content":{"rendered":"<p>Leveraging the vast breadth of people receiving care in the Veterans Health Administration (VHA), first author <a rel=\"noopener noreferrer\" href=\"https:\/\/apps.smhs.gwu.edu\/smhs\/facultydirectory\/profile.cfm?empName=Edward%20Zamrini&#038;FacID=2054588205\" data-type=\"URL\" data-id=\"https:\/\/apps.smhs.gwu.edu\/smhs\/facultydirectory\/profile.cfm?empName=Edward%20Zamrini&#038;FacID=2054588205\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Dr. Edward Zamrini<\/a> and his colleagues studied 649,605 military veterans ages 30\u201395 years. <br \/>These individuals had not received a diagnosis with ADRD and had performed an Exercise Treadmill Test (ETT) as part of their routine care. <br \/>The scientists analyzed these individuals\u2019 charts for the diagnosis of ADRD over an average of 8.8 years.<br \/>Dr. Zamrini, principal author <a rel=\"noopener noreferrer\" href=\"https:\/\/apps.smhs.gwu.edu\/smhs\/facultydirectory\/profile.cfm?empName=Qing%20Zeng&#038;FacID=2072303360&#038;show=1\" data-type=\"URL\" data-id=\"https:\/\/apps.smhs.gwu.edu\/smhs\/facultydirectory\/profile.cfm?empName=Qing%20Zeng&#038;FacID=2072303360&#038;show=1\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Prof. Qing Zeng-Teitler<\/a>, and their colleagues compared ETT results and the incidence at which ADRD developed in these individuals. <br \/>Exercise tolerance tests help quantify fitness levels using a standard of measure called METs, or <a rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1002\/clc.4960130809\" data-type=\"URL\" data-id=\"https:\/\/doi.org\/10.1002\/clc.4960130809\" target=\"_blank\" class=\"content-link css-1pg8eb5\">metabolic equivalence of task<\/a>. <br \/>In this study, the authors divided participants into five groups based on the METs they could achieve from lowest to highest fitness: on average, about 3.8 to 11.7 METs. <br \/>For comparison, 1 MET is equivalent to sitting quietly, yoga requires <hl-trusted-source source=\"Wiley\" rationale=\"Peer reviewed journal\"><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960130809\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">3.2 METs<\/a><\/hl-trusted-source>, and backpacking at 3.63 miles per hour would demand 11.6 METs.<br \/>The scientists found that less fit individuals were at the highest risk of experiencing ADRD. Conversely, highly fit people were the least likely to develop ADRD.<br \/>Dr. Zamrini, director of neurology at Irvine Clinical Research, adjunct professor of clinical research and leadership at George Washington University, and adjunct professor of neurology at the University of Utah, explained to <em>Medical News Today<\/em>:<br \/>\u201cOur study found a strong, graded inverse association between cardiorespiratory fitness and reduction of risk of [Alzheimer\u2019s Disease]. This means that the more fit a person is, the more likely that if they were to develop AD, they would develop it later.\u201d<br \/><strong>Specifically, the researchers found that, compared with the least fit participants, the fittest were 33% less likely to develop ADRD. Similarly, the second most fit group was 26% less likely to develop ADRD, the third most fit group was 20% less likely, and the fourth most fit was 13% less likely.<\/strong><br \/>\u201cThere are two main factors that influence cardiorespiratory fitness: genetics and exercise. We cannot change our genetics,\u201d he continued, \u201cbut we can improve our cardiorespiratory fitness through a sensible exercise program. Our study also demonstrates that we don\u2019t have to become marathon runners to reduce our risk. Even small increases in cardiorespiratory fitness can help!\u201d<br \/><a rel=\"noopener noreferrer\" href=\"https:\/\/www.providence.org\/doctors\/profile\/764297-scott-andrew-kaiser\" data-type=\"URL\" data-id=\"https:\/\/www.providence.org\/doctors\/profile\/764297-scott-andrew-kaiser\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Dr. Scott Kaiser, MD<\/a>, a board certified geriatrician and Director of Geriatric Cognitive Health for the Pacific Neuroscience Institute at Providence Saint John\u2019s Health Center in Santa Monica, CA, elaborated for <em>MNT<\/em>:<br \/>\u201cYou cannot prove that it was the low fitness that caused dementia. But, that said, the association was so clear, not just in the strength of the association but in the nature of the association. The way it so neatly correlated with rising fitness levels lowering dementia risk. It\u2019s a very convincing association.\u201d<br \/>\u201cThere are many other studies that have looked prospectively to affirm this link between physical fitness and risk of dementia and confirm that regular and recommended exercise can reduce [a person\u2019s] risk of developing dementia,\u201d continued Dr. Kaiser.<br \/>\u201cSo, studies like the [worldwide] <a rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1016\/S0140-6736(15)60461-5\" data-type=\"URL\" data-id=\"https:\/\/doi.org\/10.1016\/S0140-6736(15)60461-5\" target=\"_blank\" class=\"content-link css-1pg8eb5\">FINGER<\/a> study, out of Finland, where they are actually looking prospectively at populations over time \u2014 there is just mounting evidence [\u2026] that if you want to reduce your risk of dementia and maintain a healthy brain, you should exercise regularly and pursue other activities to improve your cardiorespiratory fitness.\u201d<br \/>What do these results mean? Dr. Zamrini elaborates:<br \/><strong>\u201cMy advice to everyone concerned about their risk of [Alzheimer\u2019s disease] is \u2018live as healthy a lifestyle as you can manage.\u2019 There are several lifestyle measures considered beneficial. These include exercise, diet, adequate sleep, and staying mentally active and socially engaged. The strongest evidence is for exercise.\u201d<\/strong><br \/><em>MNT<\/em> asked Dr. Kaiser if ethnic or socioeconomic factors have a part in the development of dementia. Dr. Kaiser explained:<br \/>\u201cWhen you talk about ethnic and socioeconomic demographic factors, the reality we are facing right now is that the research shows that older Latinos are about 1.5 times as likely as older white people to develop [Alzheimer\u2019s disease].\u201d<br \/>\u201cAnd African Americans are twice as likely,\u201d he continued, \u201cso there are real equity issues at play here. It\u2019s also a disease more common in women. So, getting to the root cause of why these differences exist and being able to do something about it is really, I think, one of the most important challenges we collectively face going forward. This is a big problem. I truly believe it can be solved.\u201d<br \/><em>MNT<\/em> asked Dr. Zamrini if there were any limitations to the interpretation of the study results. He observed:<br \/>\u201cThis is an epidemiologic study. Such studies do not prove cause and effect. However, the strength of epidemiologic studies is in the number of subjects studied. The large number in our study and the adjustments we made for co-morbidities strengthen our findings.\u201d<br \/><strong>\u201cOur study was performed reviewing veterans\u2019 (anonymized) data. Thus, the study may not be fully generalizable to the general population.\u201d<\/strong><br \/>On the topic of sex differences in dementia, Dr. Zamrini explained that \u201cBecause of the large dataset, even though the proportion of women is low (5.7%), the number of women studied is 36,881, which is still a large number, and we did not find a substantial difference in results between men and women.\u201d<br \/><em>MNT<\/em> queried Dr. Scott Kaiser about what modifiable risk factors are important in Alzheimer\u2019s. Dr. Kaiser noted that the <em><a rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1016\/S0140-6736(20)30367-6\" data-type=\"URL\" data-id=\"https:\/\/doi.org\/10.1016\/S0140-6736(20)30367-6\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Lancet Commission 2020 report on Dementia prevention, intervention, and care<\/a><\/em> describes 12 modifiable risk factors linked to 40% of cases of dementia worldwide.<br \/>\u201cIf they have more genetic risk, my patients need to focus on their cardiorespiratory fitness as part of their overall brain-healthy lifestyle \u2014 meaning:<br \/>The full results of the research will be presented at the<strong><\/strong><a rel=\"noopener noreferrer\" href=\"https:\/\/www.aan.com\/events\/annual-meeting\/?gclid=EAIaIQobChMIw6_xnNST9gIVVG1vBB2NJwFLEAAYASAAEgJbS_D_BwE\" target=\"_blank\" class=\"content-link css-1pg8eb5\">American Academy of Neurology\u2019s 74th Annual Meeting<\/a><strong>, <\/strong>which takes place in Seattle, April 2\u20137, 2022, and virtually April 24\u201326, 2022.<br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/medical-myths-all-about-dementia;engagement|bottom page content promo click index|1\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Medical myths: All about dementia|rn0\" href=\"\/articles\/medical-myths-all-about-dementia\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">As part of our Medical Myths series, this article covers 11 myths about dementia, including the role of vitamins and supplements and ways to reduce\u2026<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/dementia-and-diet-is-there-a-link;engagement|bottom page content promo click index|2\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Dementia and diet: Is there a link?|rn1\" href=\"\/articles\/dementia-and-diet-is-there-a-link\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">In this Special Feature, two top experts comment on the link between dementia risk and diet and offer an overview of the most recent research on this\u2026<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/medical-myths-all-about-aging;engagement|bottom page content promo click index|3\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Medical myths: All about aging|rn2\" href=\"\/articles\/medical-myths-all-about-aging\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">As part of our series addressing medical myths, we turn our attention to the many myths that surround the &quot;inevitable&quot; decline associated with aging.<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/153390;engagement|bottom page content promo click index|4\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to know about exercise and how to start|rn3\" href=\"\/articles\/153390\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">Exercise involves physical activity, exerting the body with movement, and increasing the heart rate. Exercise is vital for looking after and improving\u2026<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/benefits-of-exercise;engagement|bottom page content promo click index|5\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What are the mental and physical health benefits of exercise?|rn4\" href=\"\/articles\/benefits-of-exercise\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">Even a small amount of exercise can have both curative and preventive health benefits. This article looks at the benefits of exercise for both the\u2026<\/a><br \/>OUR BRANDS<\/p>\n<p><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/study-finds-fitness-may-reduce-dementia-risk-by-33\">source<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Leveraging the vast breadth of people receiving care in the Veterans Health Administration (VHA), first author Dr. Edward Zamrini and his colleagues studied 649,605 military veterans ages 30\u201395 years. These individuals had not received a diagnosis with ADRD and had performed an Exercise Treadmill Test (ETT) as part of their routine care. The scientists analyzed [&hellip;]<\/p>\n","protected":false},"author":869,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/1097"}],"collection":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/users\/869"}],"replies":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/comments?post=1097"}],"version-history":[{"count":0,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/1097\/revisions"}],"wp:attachment":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/media?parent=1097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/categories?post=1097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/tags?post=1097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}