Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study

Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. How...

Full description

Saved in:
Bibliographic Details
Published in:International journal of nursing studies 2022-07, Vol.131, p.104243-104243, Article 104243
Main Authors: Ahn, Sangwoo, Lingerfelt, Carrie N., Lee, Chung Eun, Lee, Jung-Ah, Raynor, Hollie A., Anderson, Joel G.
Format: Article
Language:English
Subjects:
Behavior
Cognition
Cognition & reasoning
Cognitive impairment
Cross-sectional studies
Cure
Dementia
Diet
Exercise
Habits
Health behavior
Health promotion
Health status
Healthy habits
Hypertension
Interaction terms
Intervention
MIND diet
Patient compliance
Physical activity
Retirement
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3
cites cdi_FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3
container_end_page 104243
container_issue
container_start_page 104243
container_title International journal of nursing studies
container_volume 131
creator Ahn, Sangwoo
Lingerfelt, Carrie N.
Lee, Chung Eun
Lee, Jung-Ah
Raynor, Hollie A.
Anderson, Joel G.
description Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. However, research on the relationship between the combination of physical activity and the MIND diet and cognition is rare. The purpose of this study was to investigate whether the combination of high-intensity physical activity and the MIND diet is associated with better cognition compared with either behavior alone or neither behavior. A population-based, cross-sectional study was conducted using data from the Health and Retirement Study. Using information from a total of 3463 participants (age 68.0 ± 10.0 years), multivariate linear regression models and binary logistic regression models with interaction terms between high-intensity physical activity (PA) and the MIND diet (MIND) were used to assess associations of PA and MIND with global cognition and odds of cognitive decline. Group comparisons were conducted among four groups: PA−/MIND−, PA+/MIND−, PA−/MIND+, and PA+/MIND+. PA+/MIND− did not predict cognitive outcomes (versus PA−/MIND−). PA−/MIND+ was associated with better global cognition (mean difference [d] = 0.81; 95% confidence interval [CI] = 0.50–1.11; p 
doi_str_mv 10.1016/j.ijnurstu.2022.104243
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2664785379</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0020748922000724</els_id><sourcerecordid>2707252865</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3</originalsourceid><addsrcrecordid>eNqFUU2P0zAUtBCILYW_sLLEhUuKP-LE4US1AnalRVxA4ma59kvjqrWD7XTVf8lPwml3OXDhZOl53sy8GYSuKVlRQpv3u5Xb-SmmPK0YYawMa1bzZ2hBZcuruqM_n6MFIYxUbS27K_QqpR0hhEoiX6IrLoQggooF-r1OKRinswsehx5rO0AEbwDngAe3HSrnM_jk8gmPwyk5o_dYm-yO80R7i_MA-CtYlyFG7UH7yjrIOpbfcYxBmwHSTJZyGPFwGiGe-YrczByP4M_afYjYwxSDhS14iMXREbCFvT7hmRA_uDxgE7bezfgPeI1NDClVCcw8KLZKGPb0Gr3o9T7Bm8d3iX58_vT95ra6__bl7mZ9XxneNbmipuNCCmk0YW1nNoZAI3hTb1rZ99CKTVNTaQRI2TIhSrqUd1py1nUd45JavkTvLrzlxl8TpKwOLhnY70sGYUqKNU3dSsHbrkDf_gPdhSkWxwXVksLPZNFeouaCOp8VoVdjdIeSo6JEzZ2rnXrqXM2dq0vnZfH6kX7aHMD-XXsquQA-XgBQ8jg6iCoZN3dsXSzhKRvc_zT-ALu1xoI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2707252865</pqid></control><display><type>article</type><title>Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>ScienceDirect Freedom Collection</source><creator>Ahn, Sangwoo ; Lingerfelt, Carrie N. ; Lee, Chung Eun ; Lee, Jung-Ah ; Raynor, Hollie A. ; Anderson, Joel G.</creator><creatorcontrib>Ahn, Sangwoo ; Lingerfelt, Carrie N. ; Lee, Chung Eun ; Lee, Jung-Ah ; Raynor, Hollie A. ; Anderson, Joel G.</creatorcontrib><description>Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. However, research on the relationship between the combination of physical activity and the MIND diet and cognition is rare. The purpose of this study was to investigate whether the combination of high-intensity physical activity and the MIND diet is associated with better cognition compared with either behavior alone or neither behavior. A population-based, cross-sectional study was conducted using data from the Health and Retirement Study. Using information from a total of 3463 participants (age 68.0 ± 10.0 years), multivariate linear regression models and binary logistic regression models with interaction terms between high-intensity physical activity (PA) and the MIND diet (MIND) were used to assess associations of PA and MIND with global cognition and odds of cognitive decline. Group comparisons were conducted among four groups: PA−/MIND−, PA+/MIND−, PA−/MIND+, and PA+/MIND+. PA+/MIND− did not predict cognitive outcomes (versus PA−/MIND−). PA−/MIND+ was associated with better global cognition (mean difference [d] = 0.81; 95% confidence interval [CI] = 0.50–1.11; p &lt; 0.001) and lower odds of cognitive decline (odds ratio [OR] = 0.68; 95% CI = 0.54–0.86; p = 0.001) (versus PA−/MIND−). PA+/MIND+ predicted better global cognition (d = 0.98; 95% CI = 0.59–1.36; p &lt; 0.001) and lower odds of cognitive decline (OR = 0.69; 95% CI = 0.50–0.94; p = 0.004) (versus PA−/MIND−). PA+/MIND+ was associated with better global cognition (d = 0.60; 95% CI = 0.08–1.12; p &lt; 0.001), but did not predict lower odds of cognitive decline (versus PA+/MIND−). PA+/MIND+ did not predict cognitive outcomes (versus PA−/MIND+). Combining high-intensity physical activity and the MIND diet was associated with better cognitive health than high-intensity physical activity alone or non-adherence to both behaviors. To potentially exert additive effects, it will be important to encourage these two healthy habits. More research on the role of combined physical activity and dietary change is necessary to further inform policy and clinical guidance.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2022.104243</identifier><identifier>PMID: 35550515</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Behavior ; Cognition ; Cognition &amp; reasoning ; Cognitive impairment ; Cross-sectional studies ; Cure ; Dementia ; Diet ; Exercise ; Habits ; Health behavior ; Health promotion ; Health status ; Healthy habits ; Hypertension ; Interaction terms ; Intervention ; MIND diet ; Patient compliance ; Physical activity ; Retirement</subject><ispartof>International journal of nursing studies, 2022-07, Vol.131, p.104243-104243, Article 104243</ispartof><rights>2022 Elsevier Ltd</rights><rights>Copyright © 2022 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3</citedby><cites>FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3</cites><orcidid>0000-0002-9492-4970 ; 0000-0002-3782-9504 ; 0000-0003-0678-5956 ; 0000-0002-7847-6653 ; 0000-0002-6216-4014</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35550515$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahn, Sangwoo</creatorcontrib><creatorcontrib>Lingerfelt, Carrie N.</creatorcontrib><creatorcontrib>Lee, Chung Eun</creatorcontrib><creatorcontrib>Lee, Jung-Ah</creatorcontrib><creatorcontrib>Raynor, Hollie A.</creatorcontrib><creatorcontrib>Anderson, Joel G.</creatorcontrib><title>Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. However, research on the relationship between the combination of physical activity and the MIND diet and cognition is rare. The purpose of this study was to investigate whether the combination of high-intensity physical activity and the MIND diet is associated with better cognition compared with either behavior alone or neither behavior. A population-based, cross-sectional study was conducted using data from the Health and Retirement Study. Using information from a total of 3463 participants (age 68.0 ± 10.0 years), multivariate linear regression models and binary logistic regression models with interaction terms between high-intensity physical activity (PA) and the MIND diet (MIND) were used to assess associations of PA and MIND with global cognition and odds of cognitive decline. Group comparisons were conducted among four groups: PA−/MIND−, PA+/MIND−, PA−/MIND+, and PA+/MIND+. PA+/MIND− did not predict cognitive outcomes (versus PA−/MIND−). PA−/MIND+ was associated with better global cognition (mean difference [d] = 0.81; 95% confidence interval [CI] = 0.50–1.11; p &lt; 0.001) and lower odds of cognitive decline (odds ratio [OR] = 0.68; 95% CI = 0.54–0.86; p = 0.001) (versus PA−/MIND−). PA+/MIND+ predicted better global cognition (d = 0.98; 95% CI = 0.59–1.36; p &lt; 0.001) and lower odds of cognitive decline (OR = 0.69; 95% CI = 0.50–0.94; p = 0.004) (versus PA−/MIND−). PA+/MIND+ was associated with better global cognition (d = 0.60; 95% CI = 0.08–1.12; p &lt; 0.001), but did not predict lower odds of cognitive decline (versus PA+/MIND−). PA+/MIND+ did not predict cognitive outcomes (versus PA−/MIND+). Combining high-intensity physical activity and the MIND diet was associated with better cognitive health than high-intensity physical activity alone or non-adherence to both behaviors. To potentially exert additive effects, it will be important to encourage these two healthy habits. More research on the role of combined physical activity and dietary change is necessary to further inform policy and clinical guidance.</description><subject>Behavior</subject><subject>Cognition</subject><subject>Cognition &amp; reasoning</subject><subject>Cognitive impairment</subject><subject>Cross-sectional studies</subject><subject>Cure</subject><subject>Dementia</subject><subject>Diet</subject><subject>Exercise</subject><subject>Habits</subject><subject>Health behavior</subject><subject>Health promotion</subject><subject>Health status</subject><subject>Healthy habits</subject><subject>Hypertension</subject><subject>Interaction terms</subject><subject>Intervention</subject><subject>MIND diet</subject><subject>Patient compliance</subject><subject>Physical activity</subject><subject>Retirement</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFUU2P0zAUtBCILYW_sLLEhUuKP-LE4US1AnalRVxA4ma59kvjqrWD7XTVf8lPwml3OXDhZOl53sy8GYSuKVlRQpv3u5Xb-SmmPK0YYawMa1bzZ2hBZcuruqM_n6MFIYxUbS27K_QqpR0hhEoiX6IrLoQggooF-r1OKRinswsehx5rO0AEbwDngAe3HSrnM_jk8gmPwyk5o_dYm-yO80R7i_MA-CtYlyFG7UH7yjrIOpbfcYxBmwHSTJZyGPFwGiGe-YrczByP4M_afYjYwxSDhS14iMXREbCFvT7hmRA_uDxgE7bezfgPeI1NDClVCcw8KLZKGPb0Gr3o9T7Bm8d3iX58_vT95ra6__bl7mZ9XxneNbmipuNCCmk0YW1nNoZAI3hTb1rZ99CKTVNTaQRI2TIhSrqUd1py1nUd45JavkTvLrzlxl8TpKwOLhnY70sGYUqKNU3dSsHbrkDf_gPdhSkWxwXVksLPZNFeouaCOp8VoVdjdIeSo6JEzZ2rnXrqXM2dq0vnZfH6kX7aHMD-XXsquQA-XgBQ8jg6iCoZN3dsXSzhKRvc_zT-ALu1xoI</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Ahn, Sangwoo</creator><creator>Lingerfelt, Carrie N.</creator><creator>Lee, Chung Eun</creator><creator>Lee, Jung-Ah</creator><creator>Raynor, Hollie A.</creator><creator>Anderson, Joel G.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9492-4970</orcidid><orcidid>https://orcid.org/0000-0002-3782-9504</orcidid><orcidid>https://orcid.org/0000-0003-0678-5956</orcidid><orcidid>https://orcid.org/0000-0002-7847-6653</orcidid><orcidid>https://orcid.org/0000-0002-6216-4014</orcidid></search><sort><creationdate>20220701</creationdate><title>Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study</title><author>Ahn, Sangwoo ; Lingerfelt, Carrie N. ; Lee, Chung Eun ; Lee, Jung-Ah ; Raynor, Hollie A. ; Anderson, Joel G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Behavior</topic><topic>Cognition</topic><topic>Cognition &amp; reasoning</topic><topic>Cognitive impairment</topic><topic>Cross-sectional studies</topic><topic>Cure</topic><topic>Dementia</topic><topic>Diet</topic><topic>Exercise</topic><topic>Habits</topic><topic>Health behavior</topic><topic>Health promotion</topic><topic>Health status</topic><topic>Healthy habits</topic><topic>Hypertension</topic><topic>Interaction terms</topic><topic>Intervention</topic><topic>MIND diet</topic><topic>Patient compliance</topic><topic>Physical activity</topic><topic>Retirement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahn, Sangwoo</creatorcontrib><creatorcontrib>Lingerfelt, Carrie N.</creatorcontrib><creatorcontrib>Lee, Chung Eun</creatorcontrib><creatorcontrib>Lee, Jung-Ah</creatorcontrib><creatorcontrib>Raynor, Hollie A.</creatorcontrib><creatorcontrib>Anderson, Joel G.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahn, Sangwoo</au><au>Lingerfelt, Carrie N.</au><au>Lee, Chung Eun</au><au>Lee, Jung-Ah</au><au>Raynor, Hollie A.</au><au>Anderson, Joel G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>131</volume><spage>104243</spage><epage>104243</epage><pages>104243-104243</pages><artnum>104243</artnum><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract>Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. However, research on the relationship between the combination of physical activity and the MIND diet and cognition is rare. The purpose of this study was to investigate whether the combination of high-intensity physical activity and the MIND diet is associated with better cognition compared with either behavior alone or neither behavior. A population-based, cross-sectional study was conducted using data from the Health and Retirement Study. Using information from a total of 3463 participants (age 68.0 ± 10.0 years), multivariate linear regression models and binary logistic regression models with interaction terms between high-intensity physical activity (PA) and the MIND diet (MIND) were used to assess associations of PA and MIND with global cognition and odds of cognitive decline. Group comparisons were conducted among four groups: PA−/MIND−, PA+/MIND−, PA−/MIND+, and PA+/MIND+. PA+/MIND− did not predict cognitive outcomes (versus PA−/MIND−). PA−/MIND+ was associated with better global cognition (mean difference [d] = 0.81; 95% confidence interval [CI] = 0.50–1.11; p &lt; 0.001) and lower odds of cognitive decline (odds ratio [OR] = 0.68; 95% CI = 0.54–0.86; p = 0.001) (versus PA−/MIND−). PA+/MIND+ predicted better global cognition (d = 0.98; 95% CI = 0.59–1.36; p &lt; 0.001) and lower odds of cognitive decline (OR = 0.69; 95% CI = 0.50–0.94; p = 0.004) (versus PA−/MIND−). PA+/MIND+ was associated with better global cognition (d = 0.60; 95% CI = 0.08–1.12; p &lt; 0.001), but did not predict lower odds of cognitive decline (versus PA+/MIND−). PA+/MIND+ did not predict cognitive outcomes (versus PA−/MIND+). Combining high-intensity physical activity and the MIND diet was associated with better cognitive health than high-intensity physical activity alone or non-adherence to both behaviors. To potentially exert additive effects, it will be important to encourage these two healthy habits. More research on the role of combined physical activity and dietary change is necessary to further inform policy and clinical guidance.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35550515</pmid><doi>10.1016/j.ijnurstu.2022.104243</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-9492-4970</orcidid><orcidid>https://orcid.org/0000-0002-3782-9504</orcidid><orcidid>https://orcid.org/0000-0003-0678-5956</orcidid><orcidid>https://orcid.org/0000-0002-7847-6653</orcidid><orcidid>https://orcid.org/0000-0002-6216-4014</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0020-7489
ispartof International journal of nursing studies, 2022-07, Vol.131, p.104243-104243, Article 104243
issn 0020-7489
1873-491X
language eng
recordid cdi_proquest_miscellaneous_2664785379
source Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection
subjects Behavior
Cognition
Cognition & reasoning
Cognitive impairment
Cross-sectional studies
Cure
Dementia
Diet
Exercise
Habits
Health behavior
Health promotion
Health status
Healthy habits
Hypertension
Interaction terms
Intervention
MIND diet
Patient compliance
Physical activity
Retirement
title Association of adherence to high-intensity physical activity and the Mediterranean-dietary approaches to stop hypertension intervention for neurodegenerative delay diet with cognition: A cross-sectional study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T14%3A00%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20adherence%20to%20high-intensity%20physical%20activity%20and%20the%20Mediterranean-dietary%20approaches%20to%20stop%20hypertension%20intervention%20for%20neurodegenerative%20delay%20diet%20with%20cognition:%20A%20cross-sectional%20study&rft.jtitle=International%20journal%20of%20nursing%20studies&rft.au=Ahn,%20Sangwoo&rft.date=2022-07-01&rft.volume=131&rft.spage=104243&rft.epage=104243&rft.pages=104243-104243&rft.artnum=104243&rft.issn=0020-7489&rft.eissn=1873-491X&rft_id=info:doi/10.1016/j.ijnurstu.2022.104243&rft_dat=%3Cproquest_cross%3E2707252865%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c396t-1c935858ca0279cbc0e65364b78ffe75b6418c5e887255104139a8329992381d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2707252865&rft_id=info:pmid/35550515&rfr_iscdi=true