Yuxian Ma, Olesya Ajnakina, Andrew Steptoe and Dorina Cadar
Dementia is a major health challenge that could steal away the opportunity for successful ageing of the population. A priority is to identify lifestyle factors that may reduce the risk of dementia, or even prevent it. The modifiable risk factors for vascular diseases — such as smoking, excessive alcohol intake, lack of physical activity, low intake of antioxidants and high intake of saturated fats — are receiving greater attention in this area because of their association with cognitive impairment and dementia in older people.
Obesity, which is linked to lifestyle behaviours, is an important modifiable risk factor. In our recent study carried out at the UCL Department of Behavioural Science and Health, we found that being overweight or obese was associated with a greater risk of developing dementia.
We are all familiar with studies that investigate the associations between physical activity and outcomes such as death or cardiovascular disease. However, we rarely focus on the length of time over which these study participants are followed up to see if one of the outcomes occurs.
Over an average week, adults in the United
Kingdom living with chronic disease spend 61 minutes (9%) less on moderate
activity — such as gardening, brisk walking and housework — and 3 minutes (11%)
less on vigorous activity — such as running and aerobics — than their healthy peers.
Perhaps this comes as a surprise. After all, few of us would question the health benefits of keeping moving and getting our heart rate racing. Physical activity guidelines, such as those developed by the UK’s National Institute for Health and Clinical Excellence, specifically refer to the importance of increasing physical activity for chronic disease management.
So why have we observed a gap in activity
levels between those living with chronic disease and those without?
Findings from a community-based 5-year cluster randomised trial
Masamitsu Kamada, I-Min Lee and Ichiro Kawachi
Despite the well-known health benefits of physical activity, physical inactivity remains highly prevalent globally. Effective population strategies to promote physical activity are needed to reduce the global burden of non-communicable diseases stemming from physical inactivity. But the question is: how do we effectively promote physical activity at the population level, such as in entire communities?
Vicente Martínez-Vizcaíno, Celia Álvarez-Bueno and Iván Cavero-Redondo
Our study, recently published in the IJE, looks at the relationship between pre-gestational weight status and children’s neurodevelopment. It shows that children born to mothers who were normal weight before pregnancy scored better on cognition tests than children born to obese women. An original aspect of our study is that it summarises the evidence provided by 15 previous follow-up studies, including samples from seven different countries, and provides information for both cognition tests and general intelligence scores.
Vicky Stiles, Brad Metcalf, Karen Knapp and Alex Rowlands
We don’t yet know whether it’s best to do it all at once, or little and often, but what we do know is that if a woman’s day-to-day activity contains 1–2 minutes of weight-bearing, high-intensity activity, similar to a medium-paced run for pre-menopausal women or a slow jog for post-menopausal women, she will have better bone health than women who do less. The benefits of high-impact activity on bone health are nothing new. What is novel about our findings is that better bone health is linked to such a short amount of daily activity, albeit at an intensity of the running variety.